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[PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
________________________
No. 15-12817
Non-Argument Calendar
________________________
D.C. Docket No. 8:14-cr-00123-CEH-MAP-1
UNITED STATES OF AMERICA,
Plaintiff-Appellee,
versus
JAMES LEE COBB, III,
Defendant-Appellant.
________________________
Appeal from the United States District Court
for the Middle District of Florida
________________________
(November 30, 2016)
Before HULL, MARCUS, and JULIE CARNES, Circuit Judges.
PER CURIAM:
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Defendant James Lee Cobb, III, appeals his 324-month sentence, imposed
after pleading guilty to conspiracy to commit wire and mail fraud, aggravated
identity theft, and possession of a firearm by a convicted felon. On appeal,
Defendant challenges his sentence on numerous grounds. He argues that: (1) the
district court clearly erred in estimating the loss amount and the number of victims
for sentencing enhancement purposes, and in calculating the amount of restitution;
(2) the district court erred by applying the vulnerable-victim enhancement, and
(3) the district court plainly erred by imposing an enhancement for production of
an unauthorized access device and by designating Defendant an armed career
criminal. After careful review, we affirm.
I. BACKGROUND
A. Factual Background1
Beginning in approximately 2011, and continuing until 2013, Defendant and
his wife Eneshia Carlyle, stole identities from patients at the Department of
Veterans’ Affairs (“VA”), ambulance services, hospitals, and clinics, to
electronically file fraudulent tax returns. Defendant and his wife used prepaid
debit cards to access the refunds produced by these fraudulent tax returns.
1
This background is taken from the facts Defendant admitted during the guilty plea colloquy
and those facts presented through witness testimony at the sentencing hearing. See United States
v. Shelton, 400 F.3d 1325, 1330 (11th Cir. 2005) (explaining that district court may support a
sentencing enhancement with facts defendant admitted at the guilty plea colloquy); United States
v. Bradley, 644 F.3d 1213, 1290 (11th Cir. 2011) (stating that the district court may rely on
evidence produced at trial, undisputed facts in the presentence investigation report, and
testimony presented at the sentencing hearing to support its loss determination).
2
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The investigation into Defendant began in August 2012, following a routine
traffic stop by the Tampa Police Department. Defendant consented to a search of
his vehicle, and officers found receipts and debit cards imprinted with names other
than Defendant’s.
Following a trash pull at Defendant’s residence—which revealed several
debit cards with various names on them, a sheet containing personal identifying
information, and a receipt for a cash-back transaction—officers executed a search
warrant at the residence. Officers found over 300 debit cards, as well as medical
records from the VA, ambulance services, and hospitals. These records contained
approximately 7,000 pieces of personal identifying information. The search also
revealed two firearms. In addition, officers found three keys to storage units inside
of Defendant’s wife’s purse. A subsequent search of those storage units revealed
trash bags filled with medical records containing personal identifying information,
prepaid debit cards, and a Mercedes.
B. Procedural History
A federal grand jury subsequently issued a superseding indictment against
Defendant, charging him with: (1) conspiracy to commit mail and wire fraud, in
violation of 18 U.S.C. § 1349 (“Count 1”); (2) wire fraud, in violation of 18 U.S.C.
§ 1343 (“Counts 2 through 5”); (3) aggravated identity theft, in violation of 18
U.S.C. § 1028A (“Counts 6 through 9”); and (4) being a felon in possession of a
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firearm, in violation of 18 U.S.C. § 922(g) (“Count 10”). Defendant initially
pleaded not guilty, but before trial was set to begin, he pled guilty to Counts 1
through 10.
Using the 2014 Sentencing Guidelines, the probation officer prepared a
Presentence Investigation Report (“PSR”). Pursuant to U.S.S.G. § 3D1.2(d), the
PSR grouped Counts 1 through 5 (mail and wire fraud offenses) and assigned
Defendant a base offense level of 7. Defendant received the following
enhancements: (1) an 18-level enhancement under U.S.S.G. § 2B1.1(b)(1)(J),
because the intended loss was more than $2,500,000; (2) a 6-level enhancement
under § 2B1.1(b)(2)(C), because the offense involved 250 or more victims; (3) a 2-
level enhancement under § 2B1.1(b)(10), because the offense involved
sophisticated means; (4) a 2-level enhancement under § 2B1.1(b)(11)(B), because
Defendant produced an unauthorized access device; (5) a 2-level enhancement
under § 3A1.1(b)(1), because Defendant knew or should have known that a victim
of the offense was a vulnerable victim; (6) a 4-level enhancement under U.S.S.G.
§ 3B1.1(a), because Defendant was an organizer or leader of the conspiracy; and
(7) a 2-level enhancement under § 3C1.1, for obstruction of justice. Defendant’s
resulting adjusted offense level was 43.
As to Count 10 (possession of a firearm by a convicted felon offense), the
PSR assigned Defendant a base offense level of 26, pursuant to U.S.S.G. § 2K2.1.
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The PSR also noted that Defendant faced a mandatory minimum of 24 months’
imprisonment for Counts 6 through 9 (aggravated identity theft offenses). Because
Defendant’s offense level of 43 was greater than 26, the PSR determined that
Defendant’s combined total offense level was 43.
The PSR also determined that Defendant qualified as an armed career
criminal for purposes of U.S.S.G. § 4B1.4, based on his three prior Florida
convictions for serious drug offenses: (1) a 2008 conviction for trafficking in
cocaine; (2) a 2008 conviction for possession of cocaine with intent to sell/deliver;
and (3) a 2008 conviction for attempted possession with intent to distribute and to
possess with intent to distribute less than 50 kilograms of marijuana within 1,000
feet of a school. Nevertheless, Defendant’s offense level remained at 43, as it was
greater than his offense level pursuant to the armed-career-criminal enhancement.
With a two-level reduction for acceptance of responsibility, Defendant’s
total offense was 41. Based on a total offense level of 41 and a criminal history
category of VI, Defendant’s guideline range was 360 months to life imprisonment.
In addition, Defendant faced a mandatory minimum of 24 months’ imprisonment
for Counts 6 through 9, to be imposed consecutively to any other sentence. The
PSR also noted that Defendant owed restitution in the amount of $1,820,759.
Of relevance to this appeal, Defendant objected to the PSR’s calculation of
restitution, as well as the enhancements corresponding to the loss amount and the
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number of victims. He further objected to the imposition of the vulnerable-victim
enhancement, the production-of-an-unauthorized-access-device enhancement, and
the armed-career-criminal enhancement.
At the sentencing hearing, Defendant withdrew his objections to the
enhancements for production of an unauthorized access device, as well as to his
designation as an armed career criminal. In light of Defendant’s numerous factual
objections to the PSR, the Government called several witnesses to testify about the
traffic stop and the trash pull.
Tampa Police Department Detective Sharla Canfield testified that she
examined the evidence recovered from the trash pull and the search of Defendant’s
residence. She stated that approximately 7,000 means of identification were found
in Defendant’s residence, some of which were taken from patient medical records.
The records included handwritten notations, such as “not good” or “zero.” Based
on her experience investigating tax fraud, Detective Canfield interpreted these
notations to mean that an attempt to do a fraudulent tax return was unsuccessful.
She stated that Defendant used the means of identification in these records to file
fraudulent tax returns for individuals between the ages of 28 days and 108 years
old. Defendant knew the ages, and in some cases serious medical conditions, of
the individuals whose identities he was stealing.
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The Government also called Glenn Hayag, an Internal Revenue Service
(“IRS”) Special Agent, to testify about a spreadsheet he prepared for purposes of
calculating the loss amount, the number of victims, and the amount of restitution
owed. Special Agent Hayag explained that officers recovered more than 7,000
pieces of personal identifying information from the search warrant executed at
Defendant’s residence. The investigation revealed that a total of 5,811 tax returns
were fraudulently filed based on that personal identifying information during the
years 2010, 2011, and 2012. The IRS paid out $12,407,679 in refunds based on
those 5,811 tax returns.
While reviewing the evidence collected during the investigation of
Defendant and his wife, Special Agent Hayag noticed a pattern of similar
addresses, e-mail addresses, Internet Protocol (“IP”) addresses, and characteristics
on the tax returns, related to interest income, dividend income, withholdings, and
wages. He examined the 5,811 filings, looking for the factors he found common to
Defendant’s scheme, and narrowed the filings to 805 victims. In doing so, he
excluded any refunds that went to a regular bank or were prepared by paid tax
preparers, given that Defendant’s scheme involved refunds deposited to debit
cards. Based on the claimed and paid amounts for only those 805 tax returns,
Special Agent Hayag calculated an intended loss amount of $5,613,514 and an
actual loss amount of $1,822,759. He admitted that only about 60 or 70
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electronically-filed tax returns were linked to the wireless hot spot device
recovered from Defendant’s residence on the day of the search. However, the hot
spot device was dynamic, meaning that the device assigns a new IP address each
time it signs off the internet. Stated another way, all 5,811 of the tax returns could
have come from the same device.
Following Special Agent Hayag’s testimony, the district court overruled
Defendant’s objections to the calculation of the loss amount and the number of
victims, concluding that ample evidence, including Special Agent Hayag’s
testimony, showed that there were more than 250 victims who had their personal
identifying information stolen and that $5,613,549 was a reasonable estimate of the
intended loss. The district court also overruled Defendant’s objection to the PSR’s
calculation of restitution, concluding that Defendant owed restitution in the amount
of $1,820,759, as this was the amount actually paid out by the IRS on the 805 tax
returns attributed to Defendant.
As to the vulnerable-victim enhancement, the district court stated that:
The provision does provide if the defendant knew or should have
known the victim of the offense was vulnerable as a result of the
medical records. It’s clear from a review of the medical records that a
number of them were vulnerable individuals just by virtue of the
information and the source of the medical records.
Based on the district court’s determination regarding two enhancements not
relevant to this appeal, the district court concluded that Defendant’s total offense
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level was 35, resulting in a guideline range of 292 to 365 months’ imprisonment.
After considering the 18 U.S.C. § 3553(a) factors, the district court sentenced
Defendant to a total of 324 months’ imprisonment. The district court also ordered
Defendant to pay restitution in the amount of $1,820,759. This appeal followed.
II. DISCUSSION
A. Loss determination, calculation of the number of victims, and the
amount of restitution
Defendant argues that the district court clearly erred by adopting Special
Agent Hayag’s actual- and intended-loss determination and the calculation of the
number of victims. In particular, Defendant argues that Special Agent Hayag’s
calculations were speculative and did not reflect a reasonable estimate of the loss
or the number of victims.
We review the district court’s loss determination, calculation of the number
of victims, and the factual finding regarding the amount of restitution for clear
error. United States v. Rodriguez, 732 F.3d 1299, 1305 (11th Cir. 2013) (number-
of-victims calculation); United States v. Foley, 508 F.3d 627, 632 (11th Cir. 2007)
(restitution); United States v. Hernandez, 160 F.3d 661, 667–68 (11th Cir. 1998)
(loss determination). “Although review for clear error is deferential, a finding of
fact must be supported by substantial evidence.” United States v. Robertson, 493
F.3d 1322, 1330 (11th Cir. 2007).
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1. Loss Amount
Defendant first challenges the district court’s imposition of an 18-level
enhancement based on its determination that the loss exceeded $2,500,000.
Section 2B1.1(b)(1)(J) of the Sentencing Guidelines provides that a
defendant is subject to an 18-level enhancement if the loss attributable to the
defendant is more than $2,500,000. U.S.S.G. § 2B1.1(b)(1)(J) (2014). The
commentary states that “loss is the greater of actual or intended loss.” Id. § 2B1.1,
comment. (n.3(A)). More specifically, “actual loss” is the “reasonably foreseeable
pecuniary harm that resulted from the offense” and “intended loss” is the
“pecuniary harm that was intended to result from the offense.” Id. § 2B1.1,
comment. (n.3(A)(i)-(ii)).
The district court is only required to make a reasonable estimate of the loss,
and we defer appropriately to its determination. See id. § 2B1.1, comment.
(n.3(C)). To make the loss determination, the district court is permitted to use
evidence from trial, undisputed PSR facts, and evidence from the sentencing
hearing. United States v. Bradley, 644 F.3d 1213, 1290 (11th Cir. 2011).
Although reasonable estimates are permissible, speculation is not. Id. The
Government must establish the facts by a preponderance of the evidence and
support the loss calculation with reliable and specific evidence. Id.
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Here, the district court did not clearly err in finding that the Government
proved by a preponderance of the evidence that the intended loss was more than
$2,500,000. The Government provided reliable and specific evidence of the loss
calculation and the district court made a reasonable estimate after reviewing the
spreadsheet prepared by Special Agent Hayag and hearing his testimony at the
sentencing hearing. See United States v. Medina, 485 F.3d 1291, 1304 (11th Cir.
2007) (“A reasonable estimate of the loss amount is appropriate because often the
amount of loss caused by fraud is difficult to determine accurately.” (quotations
omitted)).
Special Agent Hayag explained that the IRS determined that the 7,000
pieces of personal identifying information found during the execution of the search
warrant were used to file 5,811 fraudulent tax returns during the three-year period
between 2010 and 2012. While reviewing the evidence obtained during the
investigation of Defendant’s tax-fraud scheme, Special Agent Hayag noticed a
pattern of common addresses, IP addresses, and e-mail addresses, as well as
similarities on the returns related to wages, interest income, and dividends. Based
on the patterns associated with Defendant’s tax-fraud scheme, Special Agent
Hayag attributed 805 of the 5,811 tax returns to Defendant. In arriving at this
number, Special Agent Hayag also excluded any tax returns that were filed by a tax
preparer, as well as returns that had a refund distributed to a bank, not a debit card.
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The intended loss (or amounts claimed) on those 805 tax returns was $5,613,549.
Based on this testimony, the district court reasonably estimated the intended loss in
the amount of $5,613,549. Cf. Rodriguez, 732 F.3d at 1304–05 (concluding that
the Government did not support the sentencing enhancement with reliable and
specific evidence because no witness testified to authenticate the summaries of
evidence presented at sentencing).
Defendant’s contention that Special Agent Hayag’s analysis was flawed
because it used the 7,000 pieces of personal identifying information as a starting
point misses the mark. Special Agent Hayag testified that the IRS determined that
the 7,000 pieces of personal identifying information were associated with 5,811
fraudulent tax returns filed from 2010 to 2012. While Special Agent Hayag used
those 5,811 tax returns as a starting point, he only attributed 805 of those returns to
Defendant based on the patterns he uncovered during his investigation of
Defendant’s scheme. Defendant’s argument that it was unreasonable for Special
Agent Hayag to use these common characteristics to attribute fraudulent tax returns
to Defendant is without merit. See United States v. Ford, 784 F.3d 1386, 1396–97
(11th Cir. 2015) (affirming district court’s loss calculation based on an IRS agent’s
testimony that he narrowed the total number of tax returns attributable to the
defendant using certain addresses linked to the defendant). Further, although
Defendant asserts that Special Agent Hayag did not provide sufficient explanation
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regarding certain aspects of his analysis, Defendant had the opportunity to cross-
examine Special Agent Hayag on these points at the sentencing hearing.
We are also not persuaded by Defendant’s argument that he should only be
held accountable for the loss amounts associated with the 60 to 70 tax returns
linked to the IP address recovered from the hot spot device at his residence. As
Special Agent Hayag testified, the hot spot device recovered from Defendant’s
residence was dynamic, meaning that it generated a new IP address each time that
it disconnected from the internet. In other words, the fact that the IP address could
only be linked to 60 or 70 tax returns does not mean that the device was not used to
file other tax returns.
Finally, we reject Defendant’s argument that the Government failed to
establish that he had the ability to “rapid-file” tax returns, as he has pointed to no
authority requiring the Government to submit proof that he had the ability to
“rapid-file” tax returns. And indeed, the evidence put forth at the sentencing
hearing showed that Defendant possessed 7,000 pieces of personal identifying
information, in addition to over 300 debit cards. Because the Government
presented reliable and specific evidence establishing by a preponderance of the
evidence that the intended loss exceeded $2,500,000, the district court did not err
in applying the 18-level enhancement under § 2B1.1(b)(1)(J).
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2. Number of Victims
Defendant further asserts that the district court’s finding that the offense
involved more than 250 victims was speculative and unreasonable.
We do not agree. A defendant is subject to a 6-level enhancement when an
offense involves 250 or more victims. U.S.S.G. § 2B1.1(b)(2)(C) (2014). A
victim is defined as “any person who sustained any part of the actual loss” of the
scheme or “any individual whose means of identification was used unlawfully or
without authority.” Id. § 2B1.1, comment. (n.1 & n.4(E)).
The district court did not clearly err when it determined that Defendant’s
offense involved more than 250 victims. The district court based its determination
on Special Agent Hayag’s testimony that 805 fraudulently-filed tax returns could
be attributed to Defendant. For the same reasons explained above, the Government
provided specific and reliable evidence to support the finding that the offense
involved more than 250 victims, and thus warranted the six-level enhancement
under § 2B1.1(b)(2)(C).
3. Restitution
Defendant likewise challenges the district court’s calculation of restitution in
the amount of $1,820,759.
“The amount of restitution must be based on the amount of loss actually
caused by the defendant’s conduct.” United States v. Baldwin, 774 F.3d 711, 728
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(11th Cir. 2014) (quotations omitted). The Government must establish the amount
of restitution by a preponderance of the evidence. Id. “Because the determination
of the restitution amount is by nature an inexact science, where difficulties arise, a
district court may accept a reasonable estimate of the loss based on the evidence
presented.” Id. (citation and quotations omitted).
The district court did not clearly err in determining that Defendant owed
restitution in the amount of $1,820,759. Again, the Government established by a
preponderance of the evidence that Defendant was accountable for 805
fraudulently-filed tax returns. The actual loss, or amount paid out by the IRS, on
those 805 tax returns was $1,820,759. See id., 774 F.3d at 728. To the extent
Defendant also challenges the forfeiture money judgment in the amount of
$1,820,759, he does so for the first time on appeal. But regardless, for the reasons
already explained, the forfeiture money judgment was based on the actual loss to
the IRS as a result of the 805 fraudulently-filed tax returns attributed to Defendant.
B. Vulnerable-Victim Enhancement
Defendant next argues that the district court erred by applying the two-level
vulnerable-victim enhancement under U.S.S.G. § 3A1.1(b)(1).
While the application of U.S.S.G. § 3A1.1(b) is a mixed question of law and
fact that we review de novo, the district court’s determination that a victim is
vulnerable is a factual finding to which we accord “due deference.” United States
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v. Frank, 247 F.3d 1257, 1259 (11th Cir. 2001). We will reverse this factual
finding only if we conclude that it is clearly erroneous. Id.
Section 3A1.1(b)(1) of the Sentencing Guidelines provides for a two-level
increase in a defendant’s offense level if “the defendant knew or should have
known that a victim of the offense was a vulnerable victim.” U.S.S.G.
§ 3A1.1(b)(1). The term “‘vulnerable victim’ means a person . . . who is unusually
vulnerable due to age, physical or mental condition, or who is otherwise
particularly susceptible to the criminal conduct.” Id. § 3A1.1, comment. (n.2).
Defendant argues that the Government did not establish that he targeted his
victims based on their vulnerability. However, we recently determined that
§ 3A1.1(b)(1) does not require a defendant to have targeted his victims based on
their vulnerability, as it requires only that the defendant knew or should have
known that a victim of the offense was vulnerable. See United States v. Birge, 830
F.3d 1229, 1232–34 (11th Cir. 2016) (referring to language in our previous
decisions stating that § 3A1.1 requires “targeting” a vulnerable victim as dicta).
The district court found that Defendant knew or should have known that at least
one of the victims of the offense was vulnerable, and Defendant does not appear to
challenge that finding on appeal.
Instead, Defendant argues that the district court applied the vulnerable-
victim enhancement based on the mere possession of medical records, but did not
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require proof that any personal identifying information from those records had
actually been used. Because Defendant raises this argument for the first time on
appeal, our review is for plain error. 2 See United States v. Massey, 443 F.3d 814,
819 (11th Cir. 2006) (explaining that a defendant fails to preserve an objection
where he asserts the factual basis for the objection before the district court but
asserts a different legal theory on appeal). Regardless, Defendant has failed to
show error, plainly or otherwise, because Defendant admitted at the guilty plea
colloquy that he had used the information in the medical records to file fraudulent
tax returns.
C. Production-of Unauthorized-Access-Device Enhancement
Defendant argues that the district court plainly erred by imposing a two-level
enhancement for the production of an unauthorized access device under U.S.S.G.
§ 2B1.1(b)(11)(B)(i). In particular, he asserts that the use of personal identifying
information to file fraudulent tax returns does not constitute production of an
unauthorized access device.
Under § 2B1.1(b)(11)(B)(i), a defendant is subject to a two-level increase in
his offense level if the offense involved the production of an unauthorized access
device. U.S.S.G. § 2B1.1(b)(11)(B)(i). The commentary defines “production” to
2
We will only notice plain error if “(1) there is an error in the district court’s determination;
(2) the error is plain or obvious; (3) the error affects the defendant’s substantial rights in that it
was prejudicial and not harmless; and (4) the error seriously affects the fairness, integrity, or
public reputation of judicial proceedings.” United States v. Clark, 274 F.3d 1325, 1326 (11th
Cir. 2001).
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mean “manufacture, design, alteration, authentication, duplication, or assembly.”
Id. § 2B1.1, comment. (n.10(A)).
Defendant initially objected to the PSR’s application of this enhancement,
but subsequently withdrew the objection at the beginning of the sentencing
hearing. As a result, the Government contends that the doctrine of invited error
precludes appellate review of Defendant’s argument challenging this enhancement.
“The doctrine of invited error is implicated when a party induces or invites the
district court into making an error. Where invited error exists, it precludes a court
from invoking the plain error rule and reversing.” United States v. Silvestri, 409
F.3d 1311, 1327–28 (11th Cir. 2005) (citation and quotations omitted). In a similar
vein, we have held that a defendant waives a sentencing objection where he
expressly withdraws the objection before the district court. See United States v.
Horsfall, 552 F.3d 1275, 1283–84 (11th Cir. 2008); see also United States v.
Masters, 118 F.3d 1524, 1526 (11th Cir. 1997) (concluding that plain-error review
did not apply where a defendant withdrew his objection, despite knowing that the
district court would commit error).
Based on the record before us, we conclude that Defendant waived any
argument he may have had challenging the district court’s imposition of the two-
level enhancement under § 2B1.1(b)(11)(B)(i). See Horsfall, 552 F.3d at 1283–84;
Masters, 118 F.3d at 1526. Because Defendant expressly withdrew his objection
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to the enhancement at the sentencing hearing, we are precluded from addressing
his arguments challenging the enhancement on appeal. See Horsfall, 552 F.3d at
1283–84.
In any event, even if Defendant had not waived this argument, it would still
fail under plain-error review. Defendant has not pointed to any on-point precedent,
in which our Court or the Supreme Court has concluded that duplicating stolen
Social Security numbers on tax returns for the purpose of obtaining fraudulent
refunds loaded onto debit cards does not qualify as production of unauthorized
access devices. See United States v. Lejarde-Rada, 319 F.3d 1288, 1291 (11th Cir.
2003) (“It is the law of this circuit that, at least where the explicit language of a
statute or rule does not specifically resolve an issue, there can be no plain error
where there is no precedent from the Supreme Court or this Court directly
resolving it.”).
D. Armed-Career-Criminal Enhancement
Finally, Defendant asserts that his 2008 Florida conviction for possession of
cocaine with intent to sell or deliver does not qualify as a serious drug offense for
purposes of the armed-career-criminal enhancement.
At the sentencing hearing, Defendant withdrew his objection to the armed-
career-criminal enhancement. Defense counsel stated that he had reviewed
Defendant’s underlying convictions and believed the enhancement applied. When
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the district court asked Defendant to confirm that he did not contest his designation
as an armed career criminal, Defendant responded: “That’s what the record states,
yes.”
Based on Defendant’s express and voluntary withdrawal of his objection to
the armed-career-criminal enhancement, Defendant has waived any challenge he
may have had to this enhancement. See Horsfall, 552 F.3d at 1283–84. But even
if we determined that Defendant had not waived this challenge, his argument
would likewise fail under plain-error review. As Defendant readily concedes, his
argument that his conviction for possession of cocaine with intent to sell or deliver
under Florida Statute § 893.13(1) does not qualify as a serious drug offense is
foreclosed by United States v. Smith, 775 F.3d 1262, 1264–68 (11th Cir. 2014).
III. CONCLUSION
For all of the above reasons, Defendant’s 324-month sentence is
AFFIRMED.
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United States v. James Lee Cobb, III
Court: Court of Appeals for the Eleventh Circuit
Date filed: 2016-11-30
Citations: 842 F.3d 1213, 2016 U.S. App. LEXIS 21391, 2016 WL 6994208
Copy CitationsCombined Opinion