Court of Appeals First District of Texas BILL OF COSTS No. 01-14-00984-CV Tiffany Thomas v. T. Jayakumar, First Street Hospital, and First Surgical Partners, LLC NO. 2014-22071 IN THE 334TH DISTRICT COURT OF HARRIS COUNTY

TYPE OF FEE CHARGES PAID/DUE STATUS PAID BY SUPP CLK RECORD $34.00 03/05/2015 PAID UNK MT FEE $10.00 01/30/2015 E-PAID APE CLK RECORD $189.00 01/20/2015 PAID ANT STATEWIDE EFILING $20.00 01/08/2015 PAID ANT FILING $175.00 01/08/2015 PAID ANT MT FEE $10.00 12/17/2014 E-PAID ANT

The costs incurred on appeal to the First Court of Appeals Houston, Texas are $438.00.

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 April 22, 2016.