                                       Third Court of Appeals


                                                                                                  RECEIVED
                                      RECEIPT FOR CHECK-OUT RECORD
                                                (CLOSED CASES)                                     MAR 0 2 2015
         This is to acknowledge that Ihave taken receipt ofthe following items ofthis record. Iir^dbtf^fi^m|fl^n/ully
responsible for the care and custody of these items. These items will be returned no later than the-due BSnS Snown
below. These items were received by me in good condition, properly bound and certified by the appropriate Clerk or Court
Reporter if applicable.

 Cause Number:     03-12-00072-CV                           Retention Center No.:


 Name of Cause:    Chris Tavior et al v Oakview Healthcare Residence Ltd

 Items Checked out:
 1 volume of administrative record (1 black binder)




 Date Items Cheeked Out:                                    Dale Items are due:     PERMANENT


 Requested By:

 Attorney:   Melissatftiuarez




 Firm/Agency:     Administrative Law Division
 Address:    P.O. Box 12548

 Phone Number:    5 12-475-3209
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 Approved By: Jeff Kyle
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 Dates Items Returned:   PERMANENT
