COUNTY OF SHELBY
KIMBERLY HARRISON SWORN, DEPOSES THAT IS EMPLOYED BY

METHODIST HEALTHCARE AND THAT IS AUTHORIZED
TO MAKE THIS AFFIDAVIT, THAT THE AMOUNT OF THE ACCOUNT IS TAKEN

FROM THE ORIGINAL BOOKS OF ENTRY OF THE CORPORATION AND THAT

UPON INFORMATION AND BELIEF THE BALANCE OF
DEBT REMAINING

CLIENT NAME SERVICED AMOUNT BALANSE
ER08961088 03/15/04 100.00 100.

METHODIST HEALTHCARE SOUTH 12019 00
METHODIST HEALTHCARE UNIVERSITY IP38387691 07/02/07 12019-oo 

TOTAL DUE 12119.00

SHOWN DUE IS TRUE AND CORRECT, THAT THE SAID BALANCE WITH INTEREST
THEREON IS JUSTLY DUE AND OWING TO METHODIST HEALTHCARE FROM

CARRIE BARRETT AND THAT NO PAYMENTS HAVE


BEEN EXCEPT THOSE PRIOR TO THIS AFFIDAVIT .

., 
STATE

(3F

 

 

AFFIANT if A
SUB CR BED AND SWORN TO BEFORE ME THIS (2 22) DAY OF TENNESSEE 
QC ,0/1 ,2009. E, NOTARY ,5
4, .
- 

I 8 ..00000..
0/7 11% ZBYCOJ 
. - 
MY COMMISSION .

OMMISSION EXPIRES:
March 17, 2010