 Pursuant to Ind.Appellate Rule 65(D),
 this Memorandum Decision shall not be
                                                                 FILED
                                                              Jan 25 2013, 9:38 am
 regarded as precedent or cited before any
 court except for the purpose of
 establishing the defense of res judicata,                            CLERK
                                                                    of the supreme court,

 collateral estoppel, or the law of the case.                       court of appeals and
                                                                           tax court




ATTORNEY FOR APPELLANT:                              ATTORNEYS FOR APPELLEE:

ERIC KOSELKE                                         GREGORY F. ZOELLER
Indianapolis, Indiana                                Attorney General of Indiana

                                                     IAN MCLEAN
                                                     Deputy Attorney General
                                                     Indianapolis, Indiana



                                IN THE
                      COURT OF APPEALS OF INDIANA

RICKY J. THURSTON,                                   )
                                                     )
       Appellant-Defendant,                          )
                                                     )
                vs.                                  )       No. 49A02-1204-CR-289
                                                     )
STATE OF INDIANA,                                    )
                                                     )
       Appellee-Plaintiff.                           )


                      APPEAL FROM THE MARION SUPERIOR COURT
                          The Honorable Kurt M. Eisgruber, Judge
                             Cause No. 49G01-1003-FA-14461


                                          January 25, 2013

                 MEMORANDUM DECISION - NOT FOR PUBLICATION

FRIEDLANDER, Judge
       Ricky J. Thurston appeals his conviction for Rape 1 as a class A felony and his

adjudication as a Habitual Offender. 2 Thurston presents the following restated issues for

review:

       1. Did the trial court abuse its discretion in admitting records of the victim’s
          sexual assault examination?

       2. Did the trial court abuse its discretion in admitting a photograph taken
          during the victim’s sexual assault examination?

       3. Did the trial court abuse its discretion during the habitual offender phase by
          taking judicial notice of a Chronological Case Summary (CCS) from one of
          Thurston’s predicate convictions?

       We affirm.

       On the evening of October 19, 2006, T.K. became involved in a heated argument with

her husband and her daughter. When T.K. realized she was out of cigarettes, she asked her

husband for the car keys so that she could drive to a nearby service station and buy more.

T.K.’s husband refused to give her the keys because T.K. had been drinking, and T.K. left the

house and began walking to the service station. T.K.’s husband followed her out of the

house and for some distance, trying to convince her to return. T.K. continued walking, and

her husband returned to the house. T.K. walked approximately four blocks to the service

station and purchased cigarettes.

       As T.K. was walking back home, she saw a silver car drive past her, stop, turn around,

and then drive back to her. The driver and sole occupant of the vehicle asked her if she



1
  Ind. Code Ann. § 35-42-4-1 (West, Westlaw current through 2012 2nd Reg. Sess.).
2
  Ind. Code Ann. § 35-50-2-8 (West, Westlaw current through 2012 2nd Reg. Sess.).

                                                   2
wanted a ride. T.K. responded affirmatively and got into the car. The man said his name was

Troy, that he was twenty-six years old, and that he worked in construction. T.K. and the man

drove around and talked for a while, smoking and drinking from a half-pint bottle of whiskey

T.K. had taken from her home. When they ran out of whiskey, the man drove to a nearby

house, which he told T.K. belonged to his employer, to get some beer. T.K. waited in the car

while the man entered the house and emerged with a six-pack of beer. He then drove T.K. to

a park and stopped the vehicle, where they continued to smoke, drink, and talk.

       At some point, T.K. became tired and wanted to go home. When T.K. turned to ask

the man to take her home, she saw that he had pulled his penis out of his pants and was

masturbating. T.K. immediately demanded to be taken home, and the man stated that he

wanted to have sex. T.K. said no and again asked to be taken home. The man then reached

across T.K. and pulled a semiautomatic handgun out of the glove compartment. The man

pressed the muzzle of the gun to the side of T.K.’s head and forced her to remove her clothes.

T.K., who was experiencing symptoms of premature menopause including heavy menstrual

bleeding, told the man that she was having menstrual problems in hopes that it would

discourage him from continuing. In response, the man ordered T.K. to remove her tampon

and throw it out of the vehicle. T.K. complied, and then climbed on top of the man and

submitted to vaginal intercourse while he continued to hold the gun to her head.

       When he finished, the man put the gun back into the glove compartment and got out of

the vehicle to urinate. When the man walked out of T.K.’s line of sight, she ran from the

vehicle and climbed a fence into the backyard of a nearby house, where she hid behind a


                                              3
picnic table. T.K. watched as the man returned to the vehicle and called her name, and then

drove away. T.K. then went to the house and knocked on the door. When the homeowner

answered the door, T.K. asked her to call 911 because she had been raped. Police responded

and an ambulance took T.K. to the hospital.

       T.K. was eventually brought to the Center for Hope, a unit of Community Hospital

that treats victims of sexual assault. Linda Young, a registered nurse who had been trained in

the Center’s procedures, conducted an interview and examination of T.K. and recorded her

findings and observations on the appropriate forms. T.K. was subsequently interviewed by

Indianapolis Police Department Detective Richard Burkhardt. T.K. returned to the scene of

the rape with Detective Burkhardt, where crime scene investigators recovered beer cans,

cigarette butts, and a soiled tampon. T.K. also tried to show Detective Burkhardt the other

places the man had taken her prior to the rape, but she was unable to identify the house where

the man had stopped to get beer.

       Forensic analysis of the samples taken from T.K.’s body and clothing did not disclose

the presence of seminal material, and the case went dormant for approximately four years.

Eventually, however, DNA analysis was performed on the cigarette butts recovered from the

scene, and they were determined to contain T.K.’s and Thurston’s DNA. Subsequent

investigation revealed that Thurston owned a semiautomatic handgun around the time of the

rape, that he had used the name “Troy” to identify himself, and that his former employer

lived near the area where T.K. said that her rapist obtained beer the night of the rape.




                                              4
Thurston’s former employer told investigators that Thurston had lived nearby and would stop

by to obtain money or beer, and that he drove a grey Ford Thunderbird at that time.

       On March 2, 2011, the State charged Thurston with class A felony rape and class B

felony criminal confinement. The State also alleged that Thurston was a habitual offender.

A two-day jury trial commenced on February 13, 2012, and Thurston was found guilty as

charged. 3 Thurston waived his right to a trial by jury on the habitual offender allegation and

was found to be a habitual offender by the trial court. Thurston now appeals.

                                                  1.

       Thurston first argues that the trial court abused its discretion in admitting the record of

T.K.’s sexual assault examination prepared by Nurse Young. The decision to admit or

exclude evidence lies within the trial court’s sound discretion. Filice v. State, 886 N.E.2d 24

(Ind. Ct. App. 2008), trans. denied. An abuse of discretion occurs when the trial court’s

decision is against the logic and effect of the facts and circumstances before it. Dixon v.

State, 967 N.E.2d 1090 (Ind. Ct. App. 2012). We will not reverse absent a showing of

manifest abuse of discretion resulting in the denial of a fair trial. Johnson v. State, 831

N.E.2d 163 (Ind. Ct. App. 2005), trans. denied. “Even when a decision on the admissibility

of evidence is an abuse of discretion, we will not reverse a judgment where that error is

harmless, that is, where the error did not affect the substantial rights of a party.” Dixon v.

State, 967 N.E.2d at 1092.



3
 During the sentencing hearing, the trial court merged the criminal confinement conviction into the rape
conviction.

                                                   5
       Thurston argues that the admission of the medical record prepared by Nurse Young

violated his Sixth Amendment right to confront and cross-examine witnesses against him

because Nurse Young did not testify at trial. The medical record contained Nurse Young’s

record of T.K.’s description of the attack, as well as Nurse Young’s observations of T.K.’s

physical condition and mood, including descriptions of scratches and bruises on T.K.’s body.

By the time of Thurston’s trial, Nurse Young no longer worked at the Center for Hope and

could not be located. The State introduced the record through the testimony of Nurse Pamela

Jahnke, the coordinator for the Center of Hope and Nurse Young’s supervisor at the time of

T.K.’s sexual assault examination.

       The Sixth Amendment’s Confrontation Clause provides that “[i]n all criminal

prosecutions, the accused shall enjoy the right . . . to be confronted with the witnesses against

him[.]” In Crawford v. Washington, the United States Supreme Court held that, even where a

statement is deemed admissible under the rules of evidence, if the statement is testimonial in

nature, then the Sixth Amendment bars its admission unless the declarant is unavailable to

testify and the adverse party has had an opportunity for cross-examination. 541 U.S. 36

(2004). Although the Court declined to set forth a comprehensive definition of “testimonial”

statements in Crawford, it identified “various formulations” of the “core class of

‘testimonial’ statements,” including ex parte in-court testimony or its functional equivalent,

formalized extrajudicial statements such as affidavits and depositions, and “statements that

were made under circumstances which would lead an objective witness reasonably to believe

that the statement would be available for use at a later trial[.]” Id. at 52. In Davis v.


                                               6
Washington, the Court clarified the distinction between testimonial and nontestimonial

statements as follows:

       Statements are nontestimonial when made in the course of police interrogation
       under circumstances objectively indicating that the primary purpose of the
       interrogation is to enable police assistance to meet an ongoing emergency.
       They are testimonial when the circumstances objectively indicate that there is
       no such ongoing emergency, and that the primary purpose of the interrogation
       is to establish or prove past events potentially relevant to later criminal
       prosecution.

547 U.S. 813, 822 (2006). In order to determine whether the primary purpose of an

interrogation is to address an ongoing emergency so as to render the resulting statements

nontestimonial, we must objectively evaluate the circumstances in which the encounter

occurs—e.g., at or near the scene of the crime versus a police station, during an ongoing

emergency or afterwards—and the statements and actions of the parties. Michigan v. Bryant,

131 S.Ct. 1143 (2011).

       This court addressed the issue of testimonial statements in the context of sexual

assault examinations in Perry v. State, 956 N.E.2d 41 (Ind. Ct. App. 2011). In Perry v. State,

we noted that the U.S. Supreme Court had not resolved whether and to what extent its

holdings in Davis v. Washington and Michigan v. Bryant applied beyond the context of

police interrogation, but lower courts had employed the primary purpose inquiry beyond the

realm of explicit police questioning. Perry v. State, 956 N.E.2d 41. Thus, in determining

whether statements made by the victim during a sexual assault examination were testimonial,

the court asked “what, objectively speaking, was the primary purpose of [the nurse’s]

examination and [the victim’s] statements incident thereto?” Id. at 53.


                                              7
       After surveying case law from a number of other jurisdictions, this court concluded

that the totality of the circumstances objectively indicated that the primary purpose of the

examination and the victim’s statements was to furnish and receive emergency medical and

psychological care. Perry v. State, 956 N.E.2d 41. The court noted that the victim had

endured an unprotected sexual assault which resulted in physical injuries to her neck, ears,

and back, and she was transported to the hospital shortly thereafter to receive medical

treatment and psychological assessment. At the hospital, the victim was tested for pregnancy

and sexually transmitted diseases and was given medication to reduce the risk of infections.

The court acknowledged the victim was transported to the hospital by the police and the

examination had an “investigative component” in that the nurse took photos and collected

evidence for forensic testing. Id. at 56. Nevertheless, the court concluded that

       evaluating the encounter objectively and in light of all relevant factors, we still
       cannot say that the “primary purpose” of the exam from either the patient’s or
       caretaker’s perspective was to prove past facts with an eye toward trial. To
       echo the Ohio Supreme Court, that function was at best secondary to the
       principal objective of providing and receiving medical attention.

Id. Thus, the court concluded that the victim’s statements to the sexual assault examination

nurse were nontestimonial and their admission did not violate Perry’s Sixth Amendment right

to confront and cross-examine witnesses. Perry v. State, 956 N.E.2d 41. See also Palilonis

v. State, 970 N.E.2d 713 (Ind. Ct. App. 2012) (holding that rape victim’s statements to sexual

assault nurse were nontestimonial because their primary purpose was to furnish and receive

emergency medical and psychological care), trans. denied.




                                               8
       On appeal, Thurston attempts to distinguish Perry v. State by noting that in that case,

the unavailable victim’s statements were deemed nontestimonial, whereas here, the records

prepared by the unavailable sexual assault nurse were deemed nontestimonial. Thurston

seizes on language from Perry v. State addressing the admissibility of the victim’s medical

record from the sexual assault examination, of which the nurse was the declarant. The court

concluded that even if the record was testimonial, the Sixth Amendment did not bar its

admission because the nurse appeared at trial and was subject to cross-examination. Perry v.

State, 956 N.E.2d 41 (citing Crawford v. Washington, 541 U.S at 59 n.9 (holding that “when

the declarant appears for cross-examination at trial, the Confrontation Clause places no

constraints at all on the use of his prior testimonial statements”). Thurston argues that we

should simply assume that the record prepared by Nurse Young is testimonial because this

court did so in Perry v. State. Thurston misunderstands the import of this court’s statement

in Perry v. State. The court did not hold that the medical record was testimonial; rather, it

chose not to address the issue of whether the record was testimonial because even if it was, it

was still admissible because the declarant testified at trial.

       Moreover, although the facts of this case differ from those in Perry v. State in that

here, it was the victim who testified and the sexual assault nurse who was absent from trial,

we conclude that under the facts of this case, this is a distinction without a difference. As in

Perry v. State, the primary purpose of Nurse Young’s interview and examination of T.K. was

to assess her physical and psychological condition and provide her with the appropriate care.

Indeed, Nurse Jahnke testified that patients who arrive at the Center for Hope are given


                                               9
“prophylactic testing and medication to prevent STDs, for emergency contraception, if the

patient desires that,” and then given “referrals on for counseling services . . . and also for

physical follow-up” and, upon request, provided with other information on “domestic

violence, housing, that sort of thing.” Transcript at 174. Nurse Jahnke testified further that

during the interview and examination process, a nurse also assesses the victim’s

psychological state, “because women, or anyone. . . going through a traumatic event can be

affected by that psychologically, mentally, emotionally . . . as a nurse, we do a holistic

evaluation or assessment of our patients in order to provide care and diagnosis of that

patient.” Id. at 179. We acknowledge that the examination also served an investigative

purpose, but we “cannot say that the ‘primary purpose’ of the exam from either the patient’s

or caretaker’s perspective was to prove past facts with an eye toward trial.” Perry v. State,

956 N.E.2d at 57 (emphasis supplied). Accordingly, we conclude that the record of T.K.’s

sexual assault examination prepared by Nurse Young was nontestimonial and consequently

did not implicate Thurston’s Sixth Amendment right to confront and cross-examine

witnesses. 4

                                                      2.

        Next, Thurston argues that the trial court abused its discretion by admitting into

evidence a photograph taken during T.K.’s sexual assault examination, which depicted T.K.’s

cervix with menstrual blood pooling beneath it, because the photograph was not properly


4
  To the extent Thurston argues that the admission of T.K.’s statements to Nurse Young violated his
confrontation rights, this argument also fails because T.K. testified and was subject to cross-examination. See
Crawford v. Washington, 541 U.S 36.

                                                      10
authenticated. Specifically, he argues that Nurse Jahnke could not testify that the photograph

was a true and accurate depiction of the condition of T.K.’s body on the date of the exam

because Nurse Jahnke did not conduct the exam or take the picture.

       Assuming without deciding that the photograph was improperly admitted, reversal is

not warranted because the error was harmless. Thurston claims that he was harmed by the

admission of the photograph because it established that T.K. was menstruating at the time of

the rape, which was in turn used to explain why no seminal material was discovered during

the sexual assault examination. There was, however, ample evidence aside from the

photograph establishing that T.K. was menstruating. T.K. testified that she was experiencing

symptoms of premature menopause, including heavy menstrual bleeding at the time of the

rape. She testified further that she was wearing a tampon on the night of the rape, and that

Thurston ordered her to remove it and throw it out of the car. Police later recovered a soiled

tampon from the scene of the rape, and forensic testing revealed the presence of blood on the

crotch area of the underwear and sweatpants T.K. was wearing on the night of the rape.

Thus, the photograph was merely cumulative of other, properly admitted evidence, and

therefore harmless. See Bryant v. State, 802 N.E.2d 486 (Ind. Ct. App. 2004) (noting that

erroneously admitted evidence that is merely cumulative of other evidence in the record is

harmless and not grounds for reversal), trans. denied.

                                              3.

       Finally, Thurston argues that the trial court abused its discretion during the habitual

offender phase of the trial by taking judicial notice of a CCS from one of Thurston’s previous


                                             11
convictions. We need not address this argument because even assuming that the trial court

improperly took judicial notice of the CCS, reversal is not warranted because the alleged

error was harmless.

       Pursuant to I.C. § 35-50-2-8(a), a person is a habitual offender if the finder of fact

determines the State has proven beyond a reasonable doubt that the defendant has

accumulated two prior unrelated felony convictions. A person has accumulated two prior

unrelated felony convictions only if the second prior unrelated felony was committed after

sentencing for the first prior unrelated felony, and the offense for which the State seeks to

have the person sentenced as a habitual offender was committed after sentencing for the

second prior unrelated felony. I.C § 35-50-2-8(c).

       In order to prove Thurston’s habitual offender status, the State introduced

documentary and fingerprint evidence to establish that Thurston had previous convictions for

class C felony carrying a handgun without a license and class C felony escape. To establish

the required sequence, the State introduced as State’s Exhibit 1 a charging information and

probable cause affidavit indicating that Thurston committed the handgun offense on June 29,

1998, as well as an abstract of judgment indicating that Thurston was sentenced for that

offense on October 14, 1998. The abstract of judgment also indicated that Thurston’s

sentence was modified on January 13, 1999, and it was signed and file-stamped on that date.

With respect to the second predicate offense, the State presented as State’s Exhibit 2 a

charging information and abstract of judgment indicating that Thurston committed escape on

November 25, 1998 and was sentenced for that offense on May 12, 1999.


                                             12
       During the habitual offender phase of Thurston’s trial, defense counsel pointed out

that the abstract of judgment in State’s Exhibit 1 was signed on January 13, 2009, more than

a month after the commission date for his second predicate felony, and argued that the

abstract was insufficient to establish the required sequence. The State responded by

providing the court with a printout of the CCS from the handgun offense and asking the court

to take judicial notice of the record. Thurston objected, arguing that the court could not take

judicial notice of another court’s file and, in any event, that the printout was not part of a

court file. The trial court concluded that it could take judicial notice of the CCS.

       Assuming that the trial court improperly took judicial notice of the CCS, the error is

harmless for two reasons. First, at least with respect to the evidence relevant to the habitual

offender allegation, i.e., the date of Thurston’s sentencing on the handgun offense, the CCS

was merely cumulative of State’s Exhibit 1. The abstract of judgment contained in State’s

Exhibit 1 clearly indicates that Thurston was sentenced on October 14, 1998, over a month

before he committed the second predicate offense, and that Thurston’s sentence was

modified on January 13, 1999. Because the CCS was merely cumulative of these facts, any

error was harmless.

       Second, the trial court found Thurston to be a habitual offender without relying on the

CCS. Specifically, the trial court stated:

       I will find that the State has met their burden and I am basin[g] it on that
       State’s exhibit 1 which reflects a sentencing modification date but it also
       reflects on that same abstract that the date of sentencing was October 14th
       1998, therefore I find that it was the requisite filing/conviction,
       filing/conviction in this case so I do believe the State has met their burden on
       the habitual enhancement.

                                              13
Transcript at 476. Because the trial court specifically indicated that it relied on State’s

Exhibit 1 in finding that the State had established the required sequence to support a habitual

offender finding, any error in taking judicial notice of the CCS was harmless. 5

        Judgment affirmed.

NAJAM, J., and BRADFORD, J., concur.




5
  Contrary to Thurston’s arguments on appeal, State’s Exhibit 1 was sufficient to prove that Thurston was
sentenced for the handgun offense prior to committing escape. Thurston argues because the abstract of
judgment also indicates that Thurston’s sentence was modified on January 13, 1999, and the abstract was
signed and file-stamped on that date, it is somehow insufficient to establish that he was sentenced on October
14, 1998. Thuston’s argument is meritless.

                                                     14
