Court of Appeals First District of Texas BILL OF COSTS No. 01-14-00291-CV Methodist Health Centers d/b/a Houston Methodist Sugar Land Hospital v. Patty Crawford and Harry Smith, Individually and as heirs of Jeanette Smith NO. 13-DCV-208281 IN THE 434TH DISTRICT COURT OF FORT BEND COUNTY

TYPE OF FEE CHARGES PAID/DUE STATUS PAID BY RPT RECORD $186.00 04/24/2014 PAID ANT MT FEE $10.00 04/17/2014 E-PAID ANT STATEWIDE EFILING $20.00 04/09/2014 E-PAID ANT FILING $175.00 04/09/2014 E-PAID ANT The costs incurred on appeal to the First Court of Appeals Houston, Texas are $391.00.

Court costs in this case have been taxed in this Court’s judgment I, Christopher A. Prine, Clerk of the Court of Appeals for the First District of Texas, do hereby certify that this is a true statement of the costs of appeal in this case.

IN TESTIMONY WHEREOF, witness my hand and the seal of the Court of Appeals for the First District of Texas, this January 23, 2015.