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Court of Appeals Twelfth Court of Appeals District at Tyler BILL OF COSTS Court of Appeals No. 12-14-00256-CV Trial Court No. 2014-933-CCL2 Troy W. Simmons, D.D.S., P.C. and Troy W. Simmons, D.D.S.

Vs. Texas Health and Human Services Commission DOCUMENTS FILED AMOUNT FEE PAID BY Motion fee $15.00 Joseph R Willie, II Motion fee $10.00 Joseph R Willie, II Reporter's record $260.00 Mr. Joseph R. Willie, II Clerk's record $133.00 JOSEPH R. WILLIE, II, D.D.S., J.D.

Required Texas.gov efiling fee $20.00 Joseph R Willie, II Filing $100.00 Joseph R Willie, II Indigent $25.00 Joseph R Willie, II Supreme Court chapter 51 fee $50.00 Joseph R Willie, II TOTAL: $613.00 I, Cathy S. Lusk, 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 24th day of August 2015, A.D.

CATHY LUSK, CLERK

By:_____________________________ Katrina McClenny, Chief Deputy Clerk