Work Order — Track #1194

Case #1105 • John Doe v. Lone Star Freight, LLC Received, Order in Progress
Order Summary
Location: 21st Century Optical Fashions
51 NY-111
Smithtown, NY 11787
Phone: 631-724-4545
Fax: (631) 724-4575
Email: 1
RingCentral
Request sent.
Assigned: -
Ordered: 2025-12-03
Due: -
Action Date: -
Records Requested:
Medical and Billing

Case & Patient
Attorney: Steve Ballmer
Law Office: Recupera Law
185 Great Neck Rd
Great Neck , NY 11021
Ordered By: joeperri89@gmail.com
Case: John Doe v. Lone Star Freight, LLC
Cause #: 2025-CV-015234
Claim #: CLM-874563
Docket #: DC-25-12345
Internal File #: -
Patient: Kendrick Lamar
AKA: AKA_SQ
SSN: XXX-XX-7069
DOB: 1990-04-13
Address: 9890 Jefferson Ave
City/State/Zip: Fort Lauderdale , CO 85919
Request Packets
Created File
No packets.
Facility Invoices
Received Amount Status Actions
No facility invoices.
Payments
Date Amount Method Status Invoice
No payments.
Records Received
Received Pages Type File
No records received.
Records Requested
Type Requested Status Fulfilled #
Billing 2025-12-03 Pending - -
Medical 2025-12-03 Pending - -
Tracking Step Log
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Received Order, In Progress 12/3/2025 10:47 AM
By: System Client Visible