ACCEPTED 06-15-00069-CR SIXTH COURT OF APPEALS TEXARKANA, TEXAS 5/22/2015 2:59:14 PM DEBBIE AUTREY CLERK

FILED IN 6th COURT OF APPEALS TEXARKANA, TEXAS 5/22/2015 2:59:14 PM DEBBIE AUTREY Clerk

Page I of5 List any pending or past related appeals befrrre this or any other Texas appellate court by court, docket number, and style.

Docket Number : #,ffiffffi,']ffi iE

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Silgnature of counsel (or Pro Se Party) pu,.' $$ *a**ffil Li':f ftliiiiiiiiiiiiiiiiiiii;;l;ll|rrlffiiii

State Bar No: ?#d$ffiliiiii:;*i\W#1Xffi Printed Name:

E|ectronicSignature:#-BHt.,#..,lfi#5i1iiiiiililiiiiiil1#f*:rll.lltlilllli,iiName:$pfi$iif$f,fll (Optional)

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The undersigned counsel certifies that this docketing statement has been served on the following lead counsel for all parties to the trial court's orde' or judgm*nt as follows "" l"('i'rr. L lliffiiiffiilillii i;iilll-

s'c**r" .r**r(o, pro se party) Electronic Signature: #{#.$.f.f #aam ffii'l!itiiitfi utfir,,iiilllff "f (OPtional)

Stare Bal No.: *#,$9991'd. |lil{*ffi)i|| at Person Served: Ce,rtificate of Service Requirements (TRAP 9.5(e)): A certificate of service must be signed by the person who made the service and must stare: (l) the date and manner of service; (2) the name arnd address ofeach person served, and (3) ifthe person served is a party's attorney, the name ofthe party represented by that attorney

Page 4 of 5 Please enter the following for each person served: DateServed:ffi MannerServed:W First Name: Middle Name: Last Name: Suffix: ffiffiffi Law Firm Nu-*t Address l: Address 2: City: State ffiZip*+'ffi Telephone: ffiffi.*r. W Fax: W

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