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Court of Appeals Twelfth Court of Appeals District at Tyler BILL OF COSTS Court of Appeals No. 12-13-00005-CV Trial Court No. 2012-876-A The Good Shepherd Hospital, Inc.

Vs.

Ronald Masten, et al

DOCUMENTS FILED AMOUNT FEE PAID BY

Motion fee $15.00 David W Dodge

Motion fee $10.00 David W Dodge

Motion fee $10.00 McCathern, PLLC

Motion fee $10.00 McCathern, PLLC

Motion fee $10.00 Ted B. Lyons & Associates

Motion fee $10.00 McCathern Mooty

Motion fee $10.00 McCathern Mooty

Reporter's record $200.00 McCathern Mooty Grinke

Clerk's record $855.00 David W. Dodge

Filing $100.00 McCathern Mooty

Supreme Court chapter 51 fee $50.00 McCathern Mooty

Indigent $25.00 McCathern Mooty

TOTAL: $1,305.00

I, Pam Estes, Clerk of the Court of Appeals, Twelfth Court of Appeals District at Tyler, Texas,

certify that the above copy of the Bill of Costs is true and correct. GIVEN UNDER MY HAND

AND SEAL OF SAID COURT, at Tyler, this 28th day of September 2015, A.D.

PAM ESTES, CLERK By:_____________________________ Katrina McClenny, Chief Deputy Clerk