~­ FOURTEENTH COURT OF APPEALS FILED IN 14th COURT OF APPEALS HOUSTON, TEXAS INFORMATION SHEET BY TRIAL COURT CLERK 1/28/2015 4:24:47 PM CHRISTOPHER Note to trial court clerk: You are expected to file tile clerk's record by tile original dueA.date.

PRINEIf Clerk you camwt, you should advise tile Clerk of tire Fourtee11tlr Court of Appeals immediately in writing, stating tile reason and tile date by wllicll tile record will be filed. Generally speaking, for good cause shown, tile Court will grmtt 110 more than hYo extensio11s from tlte original due date, each extension not to exceed 30 days.

Appellate Case Number 1'-f-1*- DI 0 llf:'-0\/ - ·~ ,·Trial Court Number a11d CoullfJ'.

Trial Court Case Nm11ber iJ.OID.Jlj)3 ~-fJ... ~-

Information from Trial Court Clerk The clerk's record will be completed and filed with the appellate court clerk by the original due date, subject to payment arrangements being made.

__ Appellant has made payment arrangements.

/ 7 The clerk's record will not be filed by tJ\o_origiljal time to file .the clerk's record by ~ · o.c<..:r- J ~date. r request an extension of

Appellant has not made payment arrangements and has been notified that the clerk's record is ready as of: - - - - - - - - - - - - - - - - - - -·

Clerk's Signature, Full Address, and Phone Number:

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