riL-RD IN Court of Appeals FEB 1 2 2015 Lisa Matz CAUSE NO. 296-01024-Jef4 - J—— IN THE 5th DISTRICT COURT OF APPEALS r-J] CASE NO. 15-14-01585-CV 0i SUSAN ANN FISHER, IN THE DISTRICT COURT OF Plaintiff v. MEDICAL CENTER OF PLANO, ALIREZA ZAFARMAN ATEF, MD., COLLIN COUNTY, TEXAS SALMAN WAHEED, MD, RAY J. DELGADILLO, RT, ANNE W. HANDLEY, RN, CYNTHIA CARTER, RN, AND MICHAEL ALLEN, RT., -TH Defendants, 2961M JUDICIAL DISTRICT February 10, 2015 PLAINTIFF'S REQUEST FOR DOCUMENTS TO BE INCLUDED IN CLERK'S RECORD TO: Sandra Hill, Deputy Clerk of the 296th Courtof Collin County, Texas Andrea Stroh Thompson, District Clerk Collin County, Texas Collin County Courthouse 2100 Bloomdale Road McKinney, Texas 75071 972-548-4320, Metro 972-424-1460 ext. 4320 Fax no. 972-547-5732 FROM: Susan Ann Fisher Pro Se Plaintiff RE: Plaintiffs' request for documents to be included in the clerks' record for Susan Ann Fisher v. Medical Center ofPiano, et. al., cause number 296-01024-2014, inthe 296th Court of Collin County, Texas. Plaintiff, Susan Ann Fisher, is appealing this case to the Fifth Court of Appeals. The trial court signed the final judgment in this case for Medical Center of Piano, Cynthia Carter, R.N., Anne W. Handley, R.N., and Ray J. Delgadillo, R.T., on //- /V V^ /-./ 7 Plaintiff filed a notice ofappeal on */-^- /?-/# and has until March 21, 2015, to pay the clerk's fees. See Exhibit A herein attached and referenced. *si /Z.-03-/Y Plaintiff requests that the following documents be included in the clerk'srecord, as required by Texas Rule of Appellate Procedure 34.5(a): 1. Plaintiffs petitions, dated: ^-I !-/<-/ 2. Defendants' answers, dated: Lf -1 I-I^ 5" - H ~'4 ^^ 1' ^ ' ' ^i ?'^'il 3. The courts'judgments and orders, dated: 5'oQ ~'H \0~\H- N //-OU'N n-o-i~m] //-/a-/^ u-M-Hf \--lliri to-n-w, J 4. All post-trial motions, along with the courts' orders on the motions. (j-^T'l1/ 1 -ZOl-II 7-*?-/w, s-i3-iw( ru-N, 1-M-V, io-n, u-h 1/-W 5. Plaintiffs and Defendants'bills of exceptions, dated: — . ' / / 6. Plaintiffs' Notices of Appeal, dated: \ }~2\-I5~ JJ^#s 10-Z7-M. H-U'lH. H-l-14, Il-ID-W JI-ll-IH II-20-A . ^ ' 'V 7. Plaintiffs' request for preparation ofthe reporters' record, dated: 12 -3 /y \ I ii-2L-/i, l-21-ir, i^-i^-/V. //-] j\pe Iy ^ !Ac '^ ^a£• ^ ^ S 13. All requests for findings of fact and conclusions oflaw. / 0 " <3 "?>"/7 ^'c- 14. The courts' findings of fact and conclusions oflaw. / £> - ;3 3-/7 %=d^rzt'^~ 15. Defendants' motion for summary judgement, dated: "7-Q ^ ,/ £/ $ - | ^-/ y %-j$lflf 9-zU-tV, /o-2o-/rf //-OT-ty //-^/7;//-5-A/ U-i-rt^i-di 16. Plaintiffs' response to Defendants' motion for summary judgment, dated: / 0 ~fL( 'f% /o^2-ii •ib~#&dtfr H-oLt-H-1. //-07-/7 IhlZ-li n-\ 17. The following pretrial motions and the courts' orders on the motions: 'f AH W\tJtxon^ ^ ©lcleAs; :*4 j y^c^- Respectfully submitted, SusanAnn Fisher \/ J P.O. Box 460461 Xv Garland, TX 75046 214-730-2578 susanfisher972@yahoo.com EXHIBIT A Order entered January 29, 2015. In The Court of gppeate fiitl) ©itftrtct of Cexa* at ©alias! No. 05-14-01585-CV SUSAN ANN FISHER, Appellant V. MEDICAL CENTER OF PLANO, CYNTHIA CARTER, ANN W. HANDLEY, R.N. AND RAY J. DELGADILLO, R.T., Appellees On Appeal from the 296th Judicial District Court Collin County, Texas Trial Court Cause No. 296-01024-2014 ORDER Before the Court is appellant's January 21, 2015, motion to extendtime to file the clerk's and reporter's records. Because the Court received notice regarding the motion for new trial, the deadlines for filing the clerk's and reporter's records were reset and those records are currently due on March 21, 2015. Accordingly, we DENY appellant's January 21, 2015, motion to extend the deadlines for filing the clerk's and reporter's records as moot. /s/ CRAIG STODDART JUSTICE 12/19/2014 SCANNED Page 1 SE CO to '«f» < 3 , it x a. UJ c» a =£UJ . CAUSE NO. 296-01024-2014 m a. ej» Susan Ann Fisher, IN THE DISTRICT CO Plaintiff i ** § 8 >- *"* <« to Medical Center of Piano, COLLIN COUNTY, TEXAS Alireza Zafarmand Atef, MD, Salman Waheed, MD, Ray J. Delgadillo, RT, Anne W. Handley, RN, CynthiaCarter, RN, & Michael alien, RT, Defendants 296™ JUDICIAL DISTRICT December 18,2014 NOTICE OF APPEAL The plaintiff, Susan Ann Fisher, desires to appeal to the 5* Court ofAppeals, the dismissal ofher case byorder signed on November 14 for Cynthia Carter, RNand the order signed on November 21,2014 for Medical Center ofPiano, Anne W. Handley, RN, RayJ. Delgadillo, RT, and Michael Allen, RT. The plaintiffhas timely served this notice inthe form ofan amendment to the notice of appeal for two other defendants to the same cause, Alireza Zafarmand Atef, MD and Salman Waheed, MD. Though the amendment wss filed timely, the defendants representatives have wrongly contested this legal right to an appeal ofthis case to the honorable 3*court ofappeals. Therefore, the plaintifF asks for the discretion ofthe court in allowing this case to be kept on the docket and for the processing ofher appeal, whether by amendment or byaseparate trial. The plaintiffseeks only to be heard by due process oflaw and not to be kept from her legal liberties to approach the honorable court with her petition. The plaintiffthanks the honorable court for their legal expertise in the concerns ofthis plaintiffwho seeks to obtain ajury ofher peers to make known the plight ofher parent who was given abreathing depressant when he had double pneumonia. Many have suffered such treatment and the plaintiffseeks to rectify this policy so that lives will be saved by the amending ofpolicies in healthcare to prohibit this lethal use ofmedicine for those who haverespiratory related diseases. The plaintiffasks for this appealto come before the honorable court and forour lives to be heldaccountable for by thosewhomay be instrumental in saving them. Respectfully submitted, Susan Ann Fisher Pro Se Plaintiff P.O. Box 460461 Garland, TX 75046 214-730-2578 Susanfishef972(givahoo.com SAF CERTIFICATE OF SERVICE Icertifythaton /W/«?/s^.r[j^ur-" Susan Ann Fisher Pro Se Plaintiff P.O. Box 460461 Garland, TX 75046 214-730-2578 susanfisher972@yahoo.com EXHIBIT B Search Page 1 of 12 Case History Back j Case Number 296-01024-2014 Date Filed: 03/17/2014 Case Type: CV - Medical Malpractice Status: Pending Susan Ann Fisher vs. Medical Center of Piano, Alireza Zafarmand Atef, M.D., Salman Style: Waheed, M.D., Cynthia Carter, RN, Anne W Handley, RN, Michael Allen, RT and Ray J Delgadillo, RT, JudicialOfficer: Roach, John R., Jr. in 296th District Court Parties Type Name DOB Address Attorney Defendant Allen, Michael Cathy F. Bailey Defendant Atef, Alireza Zafarmand, M.D Robert Begert Defendant Carter, Cynthia, RN Brenda J. Damuth Defendant Delgadillo, Ray J Brenda J. Damuth Defendant Handley, Anne W Brenda J. Damuth Defendant Medical Center of Piano Brenda J. Damuth Defendant Waheed, Salman, M.D. Robert Begert Plaintiff Fisher, Gurie Wells, Jr. Pro Se Plaintiff Fisher, Susan Ann Pro Se Case Events Cancelled Date Event Type Comments Time Judge Reason 03/17/2014 Plaintiff's Original Petition (OCA) $283.00 and Request for Disclosures 03/17/2014 Request for Citation $8.00 x7 03/17/2014 Constable Service Fee #3, $75.00 x7 03/18/2014 Citation 04/10/2014 Request for Copies $ 04/10/2014 Request for Copies $ xl5 Defendants Medical Center of Piano, Anne W. Handley, R.N., and Ray J. Delgadillo, R.T.'s 04/11/2014 Motion Motion to Abate, Special Exceptions, and Answer to Plaintiff's Original Petition 04/28/2014 Out of County Service Fee Dallas County Pet. 5 05/02/2014 Out of County Service Fee httD://apps.collincountytx.gov/cccasesearch/Search.aspx 2/12/2015 Search Page 2 of 12 Original Answer of Defendants 05/14/2014 Original Answer Alireza Zafarmand Atef, M.D. and Salman Waheed, M.D. 06/23/2014 Request for Citation $8.00 xl 06/24/2014 Request for Citation $8.00 to Pet. 1 06/24/2014 Constable Service Fee #1, $75.00 06/24/2014 Citation 06/24/2014 Citation Plaintiff's Motion to Compel 06/25/2014 Motion Defendants to Respond to Request for Disclosures Defendant Cynthia Carter, R.N.'s Motion to Abate, Special 07/11/2014 Original Answer Exceptions, and Answer to Plaintiff's Original Petition 07/14/2014 Request for Copies $ 07/14/2014 Mailed Copies with money order in the amount of $77.00 for a fee on her Motion 07/22/2014 Letter to Compel. We do not need this fee, so returned her money order. Plaintiff's Motion to Compel Defendants to Resjpond to 07/22/2014 Supplemental Request for Disclosures (Supplement to Original Motion filed on 05/22/2014) 07/28/2014 Motion to Dismiss Defendants' Motion to Dismiss 08/12/2014 Correspondence Received by Court fax/e-mail received by the court & Mtn. Dismiss 9:00 AM 08/13/2014 Motion To Compel 08/13/2014 General Docket Entry M/Compel. DENIED. OTBFC. Plaintiff's Response and Objections to Defendants' Motion 08/15/2014 Response to Dismiss, Special Exceptions and Motion for Summary Judgment 08/20/2014 Letter Order Denying Plaintiff's Motion 08/22/2014 Order to Compel Defendants to Respond to Request for Disclosures >ittn//annscn11incount^tx.sov/cccasesearch/Search.aspx 2/12/2015 i««««jfe»i»*«'«aaSft^^fti««s>5»** Search Page 3 of 12 Defendants Alireza Zafarmand 09/12/2014 Motion to Dismiss Atef, MD and Salman Waheed, MD's Motion to Dismiss Letter to Clerk regarding Notice 09/12/2014 Letter of Hearing 09/15/2014 Private Process Service Return 09/19/2014 Letter to Clerk Michael Allen, MD's Original 09/25/2014 Original Answer Answer and Verified Denial to Plaintiff's Original Petition Michael Allen, MD's Motion to 09/26/2014 Motion to Quash Quash Service of Process Plaintiff's Motion to Retain and 10/13/2014 Motion Response and Objections to Defendants' Motion to Dismiss 10/13/2014 Request for Copies $ Mtn. from Def. Waheed &Atef 9:00 AM 10/14/2014 Dismissal Hearing 10/14/2014 Request for Copies $ 10/14/2014 General Docket Entry M/Dismiss. Granted. OTBFC. 10/17/2014 Order Defendants' First Amended 10/20/2014 Amended Motion Motion to Dismiss Plaintiff, Susan Ann Fisher's 10/22/2014 Motion for Continuance Motion for Continuance 10/22/2014 Request for Copies $ 10/23/2014 Letter for Response 10/23/2014 Response Background and facts 10/27/2014 Appeals - Notice Of Appeal Plaintiff's notice of appeal 10/28/2014 Affidavit of Indigency/Inability to Pay 10/29/2014 Indigency Flow Sheet Defendants' Response to 11/04/2014 Response Plaintiff's Motion for Continuance Cover letter regarding Order 11/05/2014 Letter Granting Second Amended Motion to Dismiss Vitrn//«nnscn11incoimtv1x.eov/cccasesearch/Search.aspx 2/12/2015 Search Page 4 of 12 Cover letter regarding Order 11/05/2014 Letter Denying Motion for Continuance Defendant Medical Center of Piano, Cynthia Carter, R.N. Anne 11/05/2014 Amended Motion W. Handely, R.S., and Ray J. Degadillo, R.T.'s Second Amended Motion to Dismiss Order Granting Defendants Medical Center of Piano, Cynthia Carter, R.N., Anne W. Handley, 11/05/2014 Proposed Order R.N., and Ray J. Degadillo, R.T.'s Second Amended Motion to Dismiss 9:00 AM 11/06/2014 Motion Continuance M/Continuance on M/Dismiss. 11/06/2014 General Docket Entry DENIED. Plaintiff, Susan Ann Fishers' 11/06/2014 Amended Motion Motion for Continuance, Amended 11/06/2014 Request for Copies $ e-filed NOA with the 5th COA & e 11/06/2014 Appeals - Correspondence -mailed to Court Reporter Notifying of Physical Home 11/06/2014 Letter Address Plaintiff's Response to Defendant's Motion to Dismiss 11/06/2014 Response Suit, Motion to Retain Case and Reinstate, and Motion for Bond In Lieu of Expert Reports 11/06/2014 Correspondence 11/06/2014 Request for Copies $ 11/07/2014 Appeals - Correspondence 05-14-01441-CV Order Denying Plaintiff's Motion 11/07/2014 Order Denied for Continuance Plantiff's Motion For A Rehearing 11/07/2014 Motion Of Motion To Continue Defendant Cynthia Carter, R.N.'s Objections to the Chapter 74 11/07/2014 Objection Report of Gary Glen Clinton, R.N. and Motion to Dismiss and Motion for Attorneys' Fees Cover Letter 11/07/2014 Letter 11/10/2014 Appeals - Late Notice Post Card no payment for Clerk's Record rittn-//anns.co11incountvtx.eov/cccasesearch/Search.aspx 2/12/2015 Search Page 5 of 12 letter of non payment for Clerk's 11/10/2014 Appeals - Correspondence Record: e-filed with the 5th COA & mailed to pro se appellant letter of costs for Clerk's Record: 11/10/2014 Appeals - Correspondence mailed to pro se appellant Cover Letter re Second Amended 11/10/2014 Letter Motion to Dismiss Mtn. to dismiss, mtn. for atty 9:00 AM 11/12/2014 Dismissal Hearing fees, obj. to chap. 74 Plaintiff, Susan Ann Fisher's, Response and Motion to Retain and Motion for Extention of Time and Objections to Defendant 11/12/2014 Response Cynthia Carter RN's Objections to the Chapter 74 Report of Gary Glen Clinton, RN, and Motion to Dismiss and Motion for Attorney's Fees 11/12/2014 General Docket Entry M/Dismiss. Granted. OTBFC. Letter forwarding Agreed Order 11/12/2014 Letter Granting Michael Allen, MD's Mtn to Quash Service of Process Order Granting Defendant Cynthia Carter, RN's Objections to 11/14/2014 Order Granted Plaintiff's Chapter 74 Expert Report and Motion to Dismiss and Motion for Attorneys' Fees Order Granting Michael Allen 11/14/2014 Order Granted M.D.'s Motion to Quash Service of Process 11/14/2014 Order of Dismissal - PARTIAL 11/17/2014 Appeals - Clerk's Record Paid $ 11/17/2014 Request for CD Copy $20.00 11/17/2014 Motion - New Trial - Civil $65.00 Rehearing 11/18/2014 Letter Letter to the Judge 11/20/2014 Letter e-filed with the 5th COA & 11/20/2014 Appeals-Clerk's Record mailed cd copy to pro se appellant 11/21/2014 Order of Dismissal - PARTIAL Plaintiff's Request for Preparation 11/26/2014 Request of Court Reporter's Record htrn://annsxollincountvtx.gov/cccasesearch/Search.aspx 2/12/2015 Search Page 6 of 12 Plaintiff's Request to Court 11/26/2014 Request Reporter to Make a Full Record and Preserve All Notes Plaintiff's Response to Dismissal 12/01/2014 Response and Amendment to the Plaintiff's Motion for a Rehearing/New Trial 12/02/2014 Correspondence Received by Court fax/e-mail received by the court Plaintiff's Amendment to Notice 12/03/2014 Appeals - Notice Of Appeal of Appeal 12/03/2014 Certificate Of Service 12/03/2014 Request for Copies $ e-filed Amended Notice of Appeal 12/04/2014 Appeals - Correspondence with the 5th COA Plaintiff's Response to Dismissal 12/15/2014 Response and Amendment to the Plaintiff's Motion for a Rehearing/New Trial 12/15/2014 Request for Copies $ 12/19/2014 Appeals - Notice Of Appeal (no Date of Appearance; No 12/19/2014 Request for Subpoena $8.00 Time of Appearance--notified Ms. Fisher) 12/19/2014 Constable Service Fee #3, $75.00 12/19/2014 Request for Copies $ e-filed NOA with the 5th COA & e 12/19/2014 Appeals - Correspondence -mailed to Court Reporter Defendants, Alireza Zafarmand Atef, M.D. and Salman Wadeed, 12/19/2014 Response M.D.'s Response to Plaintiff's Motion for a Rehearing/New Trial and Request for Attorney's Fees *.,,-, nr. (need nature of suit and name of 12/23/2014 Request for Citation by Publication $83.00 whQ we gre serving) 12/23/2014 Request for Copies $ 12/23/2014 Request for Copies $ 12/23/2014 Affidavit for Citation by Publication 12/29/2014 Appeals - Correspondence 05-14-01585-CV Appeal Dismissed-5th COA 05-14 01/07/2015 Appeals - Judgment And Opinion -01441-CV http://apps.collincountytx.gov/cccasesearch/Search.aspx 2/12/2015 Search Page 7 of 12 01/07/2015 Appeals - Cover Letter 01/09/2015 Letter Corrected Subpoena Request 01/09/2015 Correspondence Form from front counter. No fee. Corrected request for Citation by 01/09/2015 Correspondence Publication. No fee. 01/13/2015 Citation Citation by Publication 01/13/2015 Subpoena 01/20/2015 Request for Copies $ 01/20/2015 Letter Letter requesting copies 01/20/2015 Request for Copies $ Authorization to Obtain Health 01/20/2015 Correspondence Care Information to Medical Center of Piano Defendant Medical Center of 01/21/2015 Motion Piano's Motion for Sanctions no designation or payment for 01/22/2015 Appeals - Late Notice Post Card Clerk's Record letter of non payment for Clerk's 01/22/2015 Appeals - Correspondence Record: e-filed with the 5th COA & e-mailed to pro se appellant 01/23/2015 Motion Plaintiff's Motion to Retain 01/23/2015 Appeals - Request for Clerk's Record Plaintiff's Request for Court 01/23/2015 Appeals - Req for Reporter's Record Reporters' Record cover letter with request to 01/23/2015 Appeals - Correspondence Court Reporter letter with requests and filings 01/23/2015 Appeals - Correspondence pertaining to Clerk's Record and Reporter's Record e-mailed requests to Court 01/23/2015 Appeals - Correspondence Reporter letter of costs for Clerk's Record: 01/26/2015 Appeals - Correspondence e-mailed to pro se appellant 02/04/2015 Letter Response to Proposed Final 02/09/2015 Response Order of Dismissal Vittn-//nnnsnnl1incountvtx.eov/cccasesearch/Search.aspx 2/12/2015 Search Page 8 of 12 Letter to Clerk Re Response to 02/09/2015 Letter Proposed Final Order of Dismissal 03/27/2015 Motion for Sanctions 9:00 AM Financial Summary Defendant Charges : $34.00 Payments: $34.00 Balance : $0.00 Defendant Charges : $12.00 Payments: $12.00 Balance : $0.00 Defendant Charges : $8.00 Payments: $8.00 Balance : $0.00 Defendant Charges : $10.00 Payments: $10.00 Balance : $0.00 Plaintiff Charges : $1,627.00 Payments: $1,627.00 Balance : $0.00 Transactions Payor Receipt Date Description Amount 03/17/2014 Transaction Assessment $283.00 03/17/2014 Transaction Assessment $56.00 03/17/2014 Transaction Assessment $525.00 Fisher, Susan Ann Receipt # DC-19589-2014 03/17/2014 Payment ($864.00) 04/10/2014 Transaction Assessment $16.00 04/10/2014 Transaction Assessment $15.00 httn://aoDs.collincountvtx.gov/cccasesearch/Search.aspx 2/12/2015 Search Page 9 of 12 Fisher, Susan Ann Receipt # DC-26977-2014 04/10/2014 Payment ($32.00) 04/11/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-27158-2014 04/11/2014 Payment ($2.00) 05/14/2014 Transaction Assessment $2.00 Atef, Alireza Zafarmand Receipt # DC-37401-2014 05/14/2014 Payment ($2.00) 06/23/2014 Transaction Assessment $8.00 Fisher, Susan Ann Receipt # DC-49877-2014 06/23/2014 Payment ($8.00) 06/24/2014 Transaction Assessment $8.00 06/24/2014 Transaction Assessment $75.00 Fisher, Susan Ann Receipt # DC-50030-2014 06/24/2014 Payment ($83.00) 07/11/2014 Transaction Assessment $2.00 Carter, Cynthia Receipt # DC-54476-2014 07/11/2014 Payment ($2.00) 07/14/2014 Transaction Assessment $2.00 Fisher, Susan Ann Receipt # DC-54914-2014 07/14/2014 Payment ($2.00) 07/28/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-59071-2014 07/28/2014 Payment ($2.00) 08/20/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-65733-2014 08/20/2014 Payment ($2.00) 08/22/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-66507-2014 08/22/2014 Payment ($2.00) 09/12/2014 Transaction Assessment $2.00 Atef, Alireza Zafarmand Receipt # DC-71810-2014 09/12/2014 Payment ($2.00) 09/12/2014 Transaction Assessment $2.00 Atef, Alireza Zafarmand Receipt # DC-72046-2014 09/12/2014 Payment ($2.00) 09/23/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-74805-2014 09/23/2014 Payment ($2.00) 09/25/2014 Transaction Assessment $2.00 V»++rW/armc nc\ llinr.niintvtx.eov/cccasesearch/Search.aspx 2/12/2015 Search Page 10 of 12 Allen, Michael Receipt # DC-75647-2014 09/25/2014 Payment ($2.00) 09/26/2014 Transaction Assessment $2.00 Allen, Michael Receipt # DC-75830-2014 09/26/2014 Payment ($2.00) 10/14/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-81234-2014 10/14/2014 Payment ($1.00) 10/20/2014 Transaction Assessment $2.00 Atef, Alireza Zafarmand Receipt # DC-83171-2014 10/20/2014 Payment ($2.00) 10/20/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-83614-2014 10/20/2014 Payment ($2.00) 10/22/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-84491-2014 10/22/2014 Payment ($1.00) 11/05/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-88440-2014 11/05/2014 Payment ($2.00) 11/06/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-88742-2014 11/06/2014 Payment ($2.00) 11/06/2014 Transaction Assessment $2.00 Medical Center ofPiano Receipt # DC-88743-2014 11/06/2014 Payment ($2.00) 11/06/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-88901-2014 11/06/2014 Payment ($2.00) 11/06/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-89010-2014 11/06/2014 Payment ($1-00) 11/06/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-89302-2014 11/06/2014 Payment ($1.00) 11/07/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-89969-2014 11/07/2014 Payment ($2.00) 11/10/2014 Transaction Assessment $2.00 Carter, Cynthia Receipt # DC-90129-2014 11/10/2014 Payment ($2.00) httn://anDs.collincountvtx.gov/cccasesearch/Search.aspx 2/12/2015 Search Page 11 of 12 « * a „ m. 11/10/2014 Transaction Assessment $2.00 Carter, Cynthia Receipt # DC-90170-2014 11/10/2014 Payment ($2.00) 11/10/2014 Transaction Assessment $2.00 Allen, Michael Receipt # DC-90250-2014 11/10/2014 Payment ($2.00) 11/10/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-90382-2014 11/10/2014 Payment ($2.00) 11/12/2014 Transaction Assessment $2.00 Allen, Michael Receipt # DC-91360-2014 11/12/2014 Payment ($2.00) 11/14/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-92504-2014 11/14/2014 Payment ($2.00) 11/14/2014 Transaction Assessment $2.00 Carter, Cynthia Receipt # DC-92505-2014 11/14/2014 Payment ($2.00) 11/14/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-92506-2014 11/14/2014 Payment ($2.00) 11/14/2014 Transaction Assessment $2.00 Allen, Michael Receipt # DC-92510-2014 11/14/2014 Payment ($2.00) 11/17/2014 Transaction Assessment $2.00 Atef, Alireza Zafarmand Receipt # DC-92923-2014 11/17/2014 Payment ($2.00) 11/17/2014 Transaction Assessment $376.00 11/17/2014 Transaction Assessment $20.00 Fisher, Susan Ann Receipt # DC-93058-2014 11/17/2014 Payment ($395.00) Fisher, Susan Ann Receipt # DC-93059-2014 11/17/2014 Payment ($1.00) 11/17/2014 Transaction Assessment $65.00 11/18/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-93248-2014 11/18/2014 Payment ($2.00) 11/20/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-94109-2014 11/20/2014 Payment ($2.00) htrn://anns.collincountvtx.gov/cccasesearch/Search.aspx 2/12/2015 Search Page 12 of 12 < •'%,+- 11/24/2014 Transaction Assessment $2.00 Medical Center of Piano Receipt # DC-94920-2014 11/24/2014 Payment ($2.00) Fisher, Susan Ann Receipt # DC-96828-2014 12/01/2014 Payment ($65.00) 12/03/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-97668-2014 12/03/2014 Payment ($1.00) 12/15/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-101778-2014 12/15/2014 Payment ($1.00) 12/19/2014 Transaction Assessment $8.00 12/19/2014 Transaction Assessment $75.00 12/19/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-103834-2014 12/19/2014 Payment ($84.00) 12/22/2014 Transaction Assessment $2.00 Atef, Alireza Zafarmand Receipt # DC-103851-2014 12/22/2014 Payment ($2.00) 12/23/2014 Transaction Assessment $83.00 12/23/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-104767-2014 12/23/2014 Payment ($84.00) 12/23/2014 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-104774-2014 12/23/2014 Payment ($1-00) 01/20/2015 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-02833-2015 01/20/2015 Payment ($1-00) 01/20/2015 Transaction Assessment $1.00 Fisher, Susan Ann Receipt # DC-02890-2015 01/20/2015 Payment ($1-00) httrv/^nnc rollincountvtx.gov/cccasesearch/Search.aspx 2/12/2015