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Court of Appeals Twelfth Court of Appeals District at Tyler BILL OF COSTS Court of Appeals No. 12-15-00014-CV Trial Court No. 13-0984-A East Texas Medical Center d/b/a East Texas Medical Center Emergency

Medical Services

Vs.

Jody Delaune Individually and as Personal Representative of the Estate of

Crystal Delaune, Deceased and as Next Friend of D. D., D. D. and D. A. D.,

Minors

DOCUMENTS FILED AMOUNT FEE PAID BY

Motion fee $10.00 Bridget Miciotto

Reporter's record $6,933.75 Mr. Stanley Thiebaud

Clerk's record $1,147.10 Unknown

Supreme Court chapter 51 fee $50.00 Bridget Miciotto

Filing $100.00 Bridget Miciotto

Indigent $25.00 Bridget Miciotto

Required Texas.gov efiling fee $20.00 Bridget Miciotto

TOTAL: $8,285.85

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 1st day of December 2017, A.D.

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