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                         TENNESSEE BUREAU OF WORKERS’ COMPENSATION
                           WORKERS’ COMPENSATION APPEALS BOARD

Jeffrey D. Wallis                                            )   Docket No. 2017-08-0772
                                                             )
v.                                                           )    State File No. 2656-2017
                                                             )
Baptist Memorial Hospital, et al.                            )
                                                             )
                                                             )
Appeal from the Court of Workers’                            )
Compensation Claims                                          )
Allen Phillips, Judge                                        )

                                       CERTIFICATE OF SERVICE

I hereby certify that a true and correct copy of the Appeals Board’s decision in the
referenced case was sent to the following recipients by the following methods of service
on this the 20th day of June, 2018.
 Name                      Certified   First   Class   Via   Fax       Via     Sent to:
                           Mail        Mail            Fax   Number    Email

 Jeffrey D. Wallis                                                       X     ljeffwallis@att.net
 J. Matthew Kirby                                                        X     mkirby@harrisshelton.com
 Pablo Varela                                                            X     pvarela@harrisshelton.com
 Allen Phillips, Judge                                                   X     Via Electronic Mail
 Kenneth M. Switzer,                                                     X     Via Electronic Mail
 Chief Judge
 Penny Shrum, Clerk,                                                     X     Penny.Patterson-Shrum@tn.gov
 Court of Workers’
 Compensation Claims




JJeanette
  eanette Baird
 D
 Deputy Cl   k Workers’
         Clerk, W k ’C  Compensation Appeals Board
 220 French Landing Dr., Ste. 1-B
 Nashville, TN 37243
 Telephone: 615-253-0064
 Electronic Mail: WCAppeals.Clerk@tn.gov
