Case Docket

Case Number: 618564  
Case Type: E  ESTATE
Case Subtype: 27  RELEASE DECEDENT'S MEDICAL RECORDS
Name : LEWIS, BEATRICE C.
AKA :


Date Code Description Reference Receipt Cost
07/26/22 01 Case Number (Daily Reporter) 10.00
07/26/22 02 Forms 10.00
07/26/22 03 Docketing & Index 15.00
07/26/22 04 Computerized Legal Research 3.00
07/26/22 05 Computer Fee 10.00
07/26/22 07 Legal Aid Trust Fund 26.00
07/26/22 08 Dispute Resolution Fund 15.00
07/26/22 16 Special Projects Fund 15.00
07/26/22 ead Deposit: (Entry Approving/Denying) 5.00
07/26/22 cc Certified Copy 1.00
07/26/22 dfe Deposit: (Final Entry) 5.00
07/26/22 cb COST BILL .00
07/26/22 asr Application Seeking Release of .00
Decedents Medical Records
07/26/22 wmr Waiver of Notice of Application Seeking .00
Release of Decedent's Medical Records
Willie Lewis
Charles Lewis/ Christine Lewis
07/26/22 asc Affidavit of Supplemental Contact .00
Information
Willie Lewis/ Charles Lewis
Christine Lewis
07/26/22 1.0 Surviving Spouse, Next of Kin, Legatee- no spouse .00
Devisee
07/26/22 misc Hipaa Compliant Authorization for the .00
release of patient information
07/26/22 dl Copy of Driver's License of: .00
Francine Lewis
07/26/22 dc Death Certificate .00
Beatrice christine lewis
07/26/22 egr Entry Granting Release of Decedents tas .00
Medical Records
07/26/22 cc Certified Copy 5.00
07/26/22 Receipt 593333 120.00
10/21/22 ci ANNUAL PHYSICAL/ELECTRONIC - 2022 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
11/01/23 ci ANNUAL PHYSICAL/ELECTRONIC - 2023 .00
CASE INVENTORY-as required by:
OH Rules of Superintendence
Rule 38
BALANCE DUE .00
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