*1

*2

*3 | Court: 3rd Judicial District Court | | | | Clerk's Record: | | :--: | :--: | :--: | :--: | :--: | | County: Anderson County | | | | Trial Court Clerk: $◻$ District $◻$ County | | Trial Court Docket Number (Cause no): 31077 | | | | Was clerk's record requested? $◻$ Yes $◻$ No | | Trial Court Judge (who tried or disposed of the case): | | | | If yes, date requested: Mar 16, 2015 | | | | | | If no, date it will be requested: | | First Name: Bascom | | | | Were payment arrangements made with clerk? | | Middle Name: W. | | | | $◻$ Yes $◻$ No $◻$ Indigent | | Last Name: Bentley | | | | | | Suffix: | | | | | | Address 1: 500 North Church Street | | | | | | Address 2: | | | | | | City: | Palestine | | | | | State: Texas | | Zip + 4: 75801 | | | | Telephone: | (903) 723-7415 | ext. | | | | Fax: (903) 723-7803 | | | | | | Email: tteetz@co.anderson.tx.us | | | | | | Reporter's or Recorder's Record: | | | | | | Is there a reporter's record? $◻$ Yes $◻$ No | | | | | | Was reporter's record requested? $◻$ Yes $◻$ No | | | | | | Was the reporter's record electronically recorded? $◻$ Yes $◻$ No | | | | | | If yes, date requested: Mar 16, 2015 | | | | | | Were payment arrangements made with the court reporter/court recorder? $◻$ Yes $◻$ No $◻$ Indigent | | | | | | $◻$ Court Reporter | | $◻$ Court Recorder | | | | $◻$ Official | | $◻$ Substitute | | | | | | | | | | First Name: Nancy | | | | | | Middle Name: | | | | | | Last Name: Adams | | | | | | Suffix: | | | | | | Address 1: Post Office Box 1602 | | | | | | Address 2: | | | | | | City: | Jacksonville | | | | | State: Texas | | Zip + 4: 75766 | | | | Telephone: | (903) 586-5651 | ext. | | | | Fax: | | | | | | Email: nadams5651@aol.com | | | | |

*4

IX. Related Matters

List any pending or past related appeals before this or any other Texas appellate court by court, docket number, and style. Docket Number: $◻$ Court: Style: Vs. State of Texas

X. Signature

Signature of counsel (or Pro Se Party) Date: April 20, 2015 State Bar No: 24027498 Printed Name: Electronic Signature: Name: Colin D. McFall (Optional) The undersigned counsel certifies that this docketing statement has been served on the following lead counsel for all parties to the trial court's order or judgment as follows on April 20, 2015

X1. Certificate of Service

The undersigned counsel certifies that this docketing statement has been served on the following lead counsel for all parties to the trial court's order or judgment as follows on April 20, 2015

X2.

Person Served:

Certificate of Service Requirements (TRAP 9.5(e)): A certificate of service must be signed by the person who made the service and must state: (1) the date and manner of service; (2) the name and address of each person served, and (3) if the person served is a party's attorney, the name of the party represented by that attorney

*5 Please enter the following for each person served: Date Served: April 20, 2015 Manner Served: Email First Name: Scott Middle Name: Cecil Last Name: Holden Suffix: $◻$ Law Firm Name: Anderson County Criminal District Attorney Address 1: $500$ North Church Street Address 2: $◻$ City: Palestine State $$ Texas Zip+4: 75801 Telephone: $903-723-7400$ ext. Fax: $(903)723-7818$ Email: sholden@co.anderson.fs.us