Télécharger Gratuit Legal Settlement Statement

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FIRM EXPENSES: Smith, Smith and Johnson 04/04/2004 04/11/2004 04/26/2004 05/07/2004 05/10/2004 05/11/2004 06/02/2004 Postage for discovery (FedEx) 71.54 Copies of Discovery (Kinkos) 117.48 Postage (FedEx) 21.35 File Copies for Sam Robinson (Kinkos) 63.21 Expert Witness fee (Sam Robinson - Tire Expert) (Sam 1,100.00 Robinson) Postage (FedEx) 17.14 Filing fees (Circuit Court) 250.00 - 1,640.72 LESS FIRM EXPENSES PAID: 524,584.28 Subtotal: MEDICAL EXPENSES: Dr. Don Brown Dr. Charles Peek Griffin Anesthesiology Jenkins Rehabilitation Center Discount negotiated by your attorney: Johnson Radiology Clinic Lawrence Christopher - St. John s Hospital Tad s Pharmacy UTMS Hospital Claimant specifically requests Do Not Pay for this medical provider and accepts full responsibility for any remaining amount due (claimant initial here): ABC Ambulance Service Blackwell and Finch Physical Therapy Douglas Anesthesiology 733.03 1,333.00 256.98 3,375.00 50 ) 1,687.50 90.00 3,879.63 120.00 2,654.02 973.50 960.00 256.98 Show your client how you worked with their Medical Providers to arrange discounts and put more in the client s pocket..

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Legal Settlement Statement

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How to draft a Legal Settlement Statement? Download this Legal Settlement Statement template now!

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