D'Amico v. Montoya

UNITED STATES DISTRICT COURT

MIDDLE DISTRICT OF FLORIDA

JACKSONVILLE DIVISION

STEVEN F. D’AMICO,

Plaintiffs,

v. Case No. 3:20-cv-920-BJD-PDB

VERNON MONTOYA,

Defendant.

________________________________

ORDER

I. Status

Plaintiff Steven D’Amico, an inmate of the Florida penal system, is

proceeding on a civil rights complaint (Doc. 1; Compl.) against an oncologist

under contract with the Florida Department of Corrections, Dr. Vernon

Montoya, with whom Plaintiff treated for chronic lymphocytic leukemia (CLL)

when he was housed at the Reception and Medical Center (RMC). See Compl.

at 5-6.1 Plaintiff’s claims against the other named Defendant, Nurse Barnett,

have been dismissed. See Order (Doc. 35).

1 Plaintiff filed exhibits with his complaint: a sick-call request and

grievance records (Docs. 1-1 through 1-8; Pl. Exs. A-H).

Plaintiff contends that, in April 2019, Dr. Montoya ordered that he

receive “Retuxin maintenance treatments” every two months for eighteen

months for his CLL. See Compl. at 9. Plaintiff had to refuse his June 24, 2019

quarterly examination and treatment because he was experiencing diarrhea.

Id. at 6, 8. The appointment was not immediately rescheduled, and Plaintiff

did not see Dr. Montoya again until September 5, 2019, at which time he had

not had his required maintenance treatments for nearly five months. Id. at 6-

7. Plaintiff asserts the delay in treatment “allow[ed] his cancer to progress.”

Id. at 8-9. He further alleges Dr. Montoya wrongfully discontinued the Retuxin

treatments and put him on a three-month follow-up schedule, which “paved

[the] way for [him] to be transferred [out of] RMC.” Id. at 10-11.

Plaintiff contends Dr. Montoya changed his treatment protocol in

reprisal for him having filed a civil rights complaint against Dr. Montoya.2 Id.

at 10-12. He further alleges Dr. Montoya and Nurse Barnett “conspire[ed] to

terminate [his] Retuxin maintenance treatments for CLL to facilitate [his]

transfer.” Id. at 13. He acknowledges having seen Dr. Montoya again on

January 9, 2019, but alleges that, as of the time he filed his complaint in

August 2020, he had not “received any form of medical care for CLL since

2 Plaintiff filed a civil rights action against Dr. Montoya in 2015 in the

United States District Court for the Northern District of Florida. See Case No.

4:15-cv-127-MW/CAS.

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[then].” Id. at 13-14. He claims Dr. Montoya violated his rights under the First

and Eighth Amendments, the Americans with Disabilities Act (ADA), and the

Universal Declaration of Human Rights (UDHR). Id. at 15. As relief, he seeks

“[p]roper oncological care for CLL” and damages. Id.

Dr. Montoya moves for summary judgment (Doc. 63; Def. Mot.), arguing

as to the deliberate indifference claim that Plaintiff did not have a serious

medical need between April 2019 and September 2019; the evidence shows

Plaintiff received constitutionally appropriate medical care for his CLL, and

any failure of care did not cause an injury; and Dr. Montoya was not

responsible for the delay in rescheduling Plaintiff’s missed June 24, 2019

appointment. See Def. Mot. at 13-17. With his motion, Dr. Montoya provides

the following evidence: progress notes (Doc. 64; Def. Ex. A); the affidavit of

Arnold S. Blaustein, M.D., FACP (Doc. 65; Def. Ex. B); and his own affidavit

with supporting documentation, much of which is duplicative of other filings

(Doc. 66; Def. Ex. C).

Dr. Montoya also argues Plaintiff points to no evidence supporting his

claims under the First Amendment or the ADA, and Plaintiff has no cognizable

claim under the UDHR. Id. at 18-21. It does not appear Plaintiff intended to

state a claim under the ADA and UDHR against Dr. Montoya. He contends in

his complaint that the “improper termination of approved [maintenance

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treatments] by Dr. Montoya on September 5, 2019, is [the] main issue of [his]

complaint.” See Compl. at 10. To the extent he intended to pursue claims under

the ADA or UDHR against Dr. Montoya, for the reasons stated in the Court’s

Order on Defendants’ motions to dismiss, the ADA claim is not plausible as

alleged and the UDHR claim is not cognizable. See Order (Doc. 35). The First

Amendment retaliation claim will be addressed below.

Plaintiff opposes the motion (Doc. 74; Pl. Resp.) with a supporting

affidavit (Doc. 74; Pl. Aff.), arguing Dr. Montoya has “ultimate responsibility

to provide [him] with adequate medical care,” including ensuring that his

appointments are timely scheduled for his maintenance treatments, which

were to occur every two months. See Pl. Resp. at 3. He also argues Dr. Montoya

“abandoned [him] and neglected to provide all medical care [for him]” by

canceling an appointment Plaintiff had scheduled for the second week of

August, which was intended to be the “make-up” appointment for the one

Plaintiff missed on June 24, 2019. Id. Plaintiff maintains that Dr. Montoya,

knowing Plaintiff had already missed one appointment (on June 24, 2019),

conspired with his nurses to force Plaintiff to “miss” a second appointment—

one that had been scheduled for the second week of August—by unilaterally

canceling it, so that Plaintiff, per “protocol” would be “terminated” from the

oncology consult. Id. at 3-4. See also Compl. at 11. Plaintiff says that each time

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Dr. Montoya “abandoned and neglected” his medical needs, his “lymph nodes

grew enlarged and . . . [his] white blood cell count” (WBC) spiked. See Pl. Resp.

at 5-6. See also Pl. Aff. ¶ 6.3

II. Summary Judgment Standard

Under Rule 56 of the Federal Rules of Civil Procedure, “[t]he court shall

grant summary judgment if the movant shows that there is no genuine

dispute as to any material fact and the movant is entitled to judgment as a

matter of law.” Fed. R. Civ. P. 56(a). An issue is genuine when the evidence

is such that a reasonable jury could return a verdict in favor of the

nonmovant. Mize v. Jefferson City Bd. of Educ., 93 F.3d 739, 742 (11th Cir.

1996) (quoting Hairston v. Gainesville Sun Publ’g Co., 9 F.3d 913, 919 (11th

Cir. 1993)). “[A] mere scintilla of evidence in support of the non-moving

party’s position is insufficient to defeat a motion for summary judgment.”

Kesinger ex rel. Estate of Kesinger v. Herrington, 381 F.3d 1243, 1247 (11th

Cir. 2004) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252 (1986)).

The party seeking summary judgment bears the initial burden of

demonstrating to the court, by reference to the record, that there are no

genuine issues of material fact to be determined at trial. See Clark v. Coats &

3 Dr. Montoya filed a reply (Doc. 76), in which he merely disputes, in

repetitive fashion, Plaintiff’s contentions.

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Clark, Inc., 929 F.2d 604, 608 (11th Cir. 1991). The record to be considered on

a motion for summary judgment may include “depositions, documents,

electronically stored information, affidavits or declarations, stipulations

(including those made for purposes of the motion only), admissions,

interrogatory answers, or other materials.” Fed. R. Civ. P. 56(c)(1)(A).

When the moving party has discharged its burden, the non-moving

party must point to evidence in the record to demonstrate a genuine dispute

of material fact. Id. Substantive law determines the materiality of facts, and

“[o]nly disputes over facts that might affect the outcome of the suit under the

governing law will properly preclude the entry of summary judgment.”

Anderson, 477 U.S. at 248. In determining whether summary judgment is

appropriate, a court “must view all evidence and make all reasonable

inferences in favor of the party opposing [the motion].” Haves v. City of Miami,

52 F.3d 918, 921 (11th Cir. 1995) (citing Dibrell Bros. Int’l, S.A. v. Banca

Nazionale Del Lavoro, 38 F.3d 1571, 1578 (11th Cir. 1994)). Additionally, a

court should accept as true a pro se plaintiff’s assertions in his verified

complaint and sworn affidavit attached to his response. See Sears v. Roberts,

922 F.3d 1199, 1206 (11th Cir. 2019).

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III. Facts

The parties’ dispute centers around Plaintiff’s medical treatment for a

narrow period: between June 2019 and September 2019. It is undisputed that,

at that time, Plaintiff had “a history of CLL/low grade lymphoma,” for which

he had been treating with Dr. Montoya for years. See Def. Ex. A at 3; Def. Ex.

C ¶¶ 2, 7. At the two appointments Plaintiff had with Dr. Montoya immediately

before the missed June 24, 2019 appointment—in February and April 2019—

Dr. Montoya noted Plaintiff was “stable,” and the plan was to continue the

maintenance therapy (Rituximab/Hycela) for one more year as of February 7,

2019.4 See Def. Ex. A at 3-4. It is also undisputed that Plaintiff missed the June

24, 2019 appointment because he was having gastrointestinal distress, and he

signed—whether voluntarily or not—a refusal-of-treatment form. See Pl.

Compl. at 6; Def. Ex. C ¶ 9.

The parties also do not materially dispute that Dr. Montoya was not

responsible for scheduling patient appointments or ensuring missed

appointments were timely rescheduled. See Def. Ex. C ¶ 6; Compl. at 6-7; Pl.

Resp. at 3. See also Def. Ex. B ¶¶ 11-12. Dr. Montoya avers that Centurion

4 Plaintiff had been receiving maintenance treatments since January

2018. See Def. Ex. A at 5.

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handled scheduling.5 See Def. Ex. C ¶¶ 10-11. Finally, there is no dispute that

Plaintiff did not see Dr. Montoya during the months of June, July, and August

2019, and when Plaintiff saw Dr. Montoya again in September 2019, Dr.

Montoya concluded Plaintiff had to be “restage[d] . . . to determine if . . . the

same treatment [maintenance therapy]” was indicated given Plaintiff’s last

treatment was in April. See Pl. Ex. A; Def. Ex. C ¶¶ 8-12; Def. Ex. A at 3-5.

According to an August 19, 2019 grievance response, the “[o]ncologist

discontinued [Plaintiff’s] chemotherapy treatment” because he “refus[ed] a

follow up appointment.” See Pl. Ex. B at 2.

The parties dispute whether Plaintiff had an appointment scheduled for

the second week of August and whether Dr. Montoya justifiably discontinued

Plaintiff’s maintenance treatments after he missed only one appointment. As

to the former dispute, Dr. Montoya acknowledges Plaintiff has a copy of a sick-

call request dated July 18, 2019, in which he complained that his June

appointment had not yet been rescheduled, and that includes the following

unsigned, uninitialed note: “Has appointment 2nd week of August to see

oncologist.” See Pl. Ex. A at 1; Def. Ex. C ¶ 11. Dr. Montoya avers he does not

5 Centurion is a “private healthcare entity, which at [the time], was

under contract with the State of Florida to provide health care to inmates.” See

Def. Ex. C ¶ 2.

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know who wrote the note, nor does he know whether Plaintiff did have an

appointment scheduled for the second week of August. See Def. Ex. C ¶ 11.

As to the latter dispute, Dr. Montoya’s September 5, 2019 progress note

states as follows:

[Plaintiff] was on maintenance therapy with Hycela

every two months, starting January of 2018. The last

time he was treated was in April of 2019. He was put

in confinement and refused follow up with the

physician. . . . [He] now presents for follow up and

demanding to be re-started on treatments.

See Def. Ex. A at 5. At the appointment, Dr. Montoya concluded Plaintiff had

to be restaged because he had gone without treatment for over five months. Id.

Dr. Montoya ordered a PET/CT scan, noting the request was “urgent.” Id. At

the next appointment, on October 10, 2019, Dr. Montoya concluded

maintenance therapy was not clinically indicated because Plaintiff’s PET/CT

scan showed “no active disease.” Id. at 6. Dr. Montoya noted, “With this

disease, we often don’t treat until the patient develops bully adenopathy or

markedly elevated [WBC] and [Plaintiff] has neither.” Id. See also Def. Ex. C

¶13. Dr. Montoya avers, “[Plaintiff’s] CLL had remained stable and had not

progressed since at least April 10, 2019[, and therefore he] would not have

received any benefit from any treatment therapies or pharmacologic

intervention.” See Def. Ex. C. ¶ 16.

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Plaintiff had follow-up appointments with Dr. Montoya on the following

dates: January 9, 2020; December 3, 2020; January 7, 2021; February 4, 2021,

March 4, 2021, and April 1, 2021. See Def. Ex. A at 7-9, 16-18. See also Def. Ex.

C ¶¶ 14-15, 18. On January 7, 2021, Plaintiff’s PET/CT scan “showed enlarged

lymph nodes,” which indicated the disease had become “active” again. See Def.

Ex. C ¶ 18. Thus, Dr. Montoya started him on maintenance therapy once again.

Id. See also Def. Ex. A at 17. Dr. Arnold S. Blaustein, a board-certified

hematologist/oncologist, offers an affidavit on Dr. Montoya’s behalf, opining

that, in treating Plaintiff, Dr. Montoya “met or exceeded the applicable

standard of care” under Florida law. See Def. Ex. B ¶¶ 1, 9, 13.

IV. Analysis

A. Deliberate Indifference

Deliberate indifference to an inmate’s serious medical needs constitutes

the unnecessary and wanton infliction of pain, which the Eighth Amendment

proscribes. Estelle v. Gamble, 429 U.S. 97, 104 (1976). See also Ancata v. Prison

Health Servs., Inc., 769 F.2d 700, 704 (11th Cir. 1985) (“The knowledge of the

need for medical care and intentional refusal to provide that care has

consistently been held to surpass negligence and constitute deliberate

indifference.”).

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However, disputes regarding the adequacy of medical care a prisoner has

received, including diagnostic testing and treatment protocols, sound in tort

law. Hamm v. DeKalb Cnty., 774 F.2d 1567, 1575 (11th Cir. 1985) (quoting

Westlake v. Lucas, 537 F.2d 857, 860 n.5 (1st Cir. 1981)) (“[F]ederal courts are

generally reluctant to second guess medical judgments.”). In other words,

“whether governmental actors should have employed additional diagnostic

techniques or forms of treatment ‘is a classic example of a matter for medical

judgment’ and therefore not an appropriate basis for grounding liability under

the Eighth Amendment.” Adams v. Poag, 61 F.3d 1537, 1545 (11th Cir. 1995)

(quoting Estelle, 429 U.S. at 107).

The Eleventh Circuit has identified limited circumstances in which a

prisoner may demonstrate deliberate indifference to his serious medical needs

when he has received some treatment: when medical treatment is “so grossly

incompetent, inadequate, or excessive as to shock the conscience or to be

intolerable to fundamental fairness”; when a medical provider “take[s] an

easier and less efficacious course of treatment”; or when medical care “is so

cursory as to amount to no treatment at all.” Id. at 1544. Additionally, delaying

necessary medical care can amount to deliberate indifference, but “the reason

for the delay and the nature of the medical need is relevant in determining

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what type of delay is constitutionally intolerable.” McElligott v. Foley, 182 F.3d

1248, 1255 (11th Cir. 1999).

When a prison outsources its medical care to a private company or

doctor, the contract medical provider is obligated to provide constitutionally

adequate medical care in accordance with Eighth Amendment principles.

Ancata, 769 F.2d at 703. However, a claim under § 1983 must be based on

something more than a theory of respondeat superior. Craig v. Floyd Cnty.,

Ga., 643 F.3d 1306, 1310 (11th Cir. 2011) (quoting Grech v. Clayton Cnty., Ga.,

335 F.3d 1326, 1329 (11th Cir. 2003)).

Despite Dr. Montoya’s assertion to the contrary, the Court accepts that

Plaintiff had a serious medical need: he was actively undergoing treatment for

and monitoring of CLL. See Farrow v. West, 320 F.3d 1235, 1243 (11th Cir.

2003) (“[A] serious medical need is considered ‘one that has been diagnosed by

a physician as mandating treatment . . . .’”). Plaintiff alleges in his complaint

that Dr. Montoya was deliberately indifferent in two ways: (1) by failing to

ensure his July 2019 appointment was promptly rescheduled, so that he would

not have a lapse in maintenance treatments; and (2) by terminating his

maintenance treatments for having missed only one appointment, which

caused his cancer to progress. See Compl. at 8-9.

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Plaintiff’s assertions are belied by the evidence. First, in his complaint,

Plaintiff alleges Nurse Barnett was the reason his June appointment was not

promptly rescheduled; he does not directly blame Dr. Montoya for the delay or

lapse in maintenance treatments. See Compl. at 6-7, 10-11. Regardless, it is

undisputed Dr. Montoya was not responsible for scheduling or rescheduling

appointments. See Pl. Resp. at 3 (acknowledging appointments were scheduled

by nurses under the “supervision of Dr. Montoya”). Even if Dr. Montoya had

supervisory responsibilities over employees responsible for ensuring Plaintiff’s

appointment was timely rescheduled, Dr. Montoya cannot be held liable under

§ 1983 for an employee’s negligence or dilatory conduct. See Craig, 643 F.3d at

1310; see also Brown v. Crawford, 906 F.2d 667, 671 (11th Cir. 1990) (“It is

axiomatic, in [§] 1983 actions, that liability must be based on something more

than a theory of respondeat superior.”).

With respect to the maintenance treatments, even if Dr. Montoya should

not have discontinued Plaintiff’s maintenance treatments for having missed—

not refused—one appointment, the evidence shows those treatments were no

longer medically indicated when Dr. Montoya evaluated Plaintiff in September

2019. Plaintiff’s disease had not progressed during the five-month lapse in

treatment, but rather, his scans—which Dr. Montoya ordered on an “urgent”

basis—showed he had “no active disease” at that time. See Def. Ex. A at 5-6.

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Plaintiff points to no evidence supporting his speculative assertion to the

contrary. See Solliday v. Fed. Officers, 413 F. App’x 206, 207 (11th Cir. 2011)

(“Conclusory, uncorroborated allegations by a plaintiff in an affidavit or

deposition will not create an issue of fact for trial sufficient to defeat a well

supported summary judgment motion.”).

Plaintiff suggests in his response that he lacks evidence because Dr.

Montoya failed to comply with discovery requests. See Pl. Resp. at 4-5. To the

extent Plaintiff is attempting to invoke relief available under Rule 56(d), even

if such a request were properly before the Court, no such relief is warranted

here. See Fed. R. Civ. P. 56(d) (permitting a court to defer consideration of a

Rule 56 motion or allow time for discovery if a party opposing the motion

demonstrates he “cannot present facts essential to justify [his] opposition”).

Plaintiff was afforded an opportunity to conduct discovery, and the docket

shows he in fact did receive some discovery from Dr. Montoya. See Docs. 51-54.

Plaintiff sought to compel better or more complete responses to some of his

discovery requests (Docs. 51, 52), but the Court denied his motions for his

failure to first confer with opposing counsel. See Order (Doc. 59). In the same

Order, the Court extended the deadline for completing discovery and filing

motions to compel. See id. Plaintiff did not thereafter seek relief from the Court

related to discovery.

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In his response to the motion for summary judgment, Plaintiff claims Dr.

Montoya failed to produce “protocols for cancer patients,” but he does not say

how the lack of such evidence prevents him from successfully opposing Dr.

Montoya’s motion. See Pl. Resp. at 4-5. And any relevant “protocol” related to

treatment for CLL appears to be referenced in some respect in Plaintiff’s

medical chart. See Def. Ex. A at 6 (“With this disease, we often don’t treat until

the patient develops bully adenopathy or markedly elevated [WBC] and

[Plaintiff] has neither.”). Dr. Montoya’s expert similarly avers, “CLL is not

treated unless the patient’s blood [sic] [WBC] . . . is markedly elevated . . . or

[he] has significant/bulky lymphadenopathy . . . or has systemic symptoms.”

See Def. Ex. B ¶ 10.

Even if Dr. Montoya unjustifiably (or in contravention of “protocol”)

discontinued Plaintiff’s maintenance treatments for having missed one

appointment, when Plaintiff saw Dr. Montoya in September 2019, Dr. Montoya

evaluated him and ordered appropriate tests to inform treatment decisions. At

most, Plaintiff disagrees with Dr. Montoya’s medical judgment or accuses Dr.

Montoya of breaching protocol. Even if Dr. Montoya’s treatment decisions were

“wrong” or could have been better, or even if he breached protocol, his conduct

would not amount to deliberate indifference but rather would constitute

negligence. See Hamm, 774 F.2d at 1575. See also Hoffer v. Sec’y, Fla. Dep’t of

15

Corr., 973 F.3d 1263, 1271 (11th Cir. 2020) (quoting Harris v. Thigpen, 941

F.2d 1495, 1510 (11th Cir. 1991) (“With respect to prisoners’ medical care, in

particular . . . the Eighth Amendment doesn’t require it to be ‘perfect, the best

obtainable, or even very good.’”).

In short, the evidence does not permit the reasonable inference that the

care Plaintiff received was “so grossly incompetent, inadequate, or excessive as

to shock the conscience or to be intolerable to fundamental fairness.” See

Harris, 941 F.2d at 1505. On the contrary, Dr. Montoya offers the affidavit of

another oncologist, who opines his treatment of Plaintiff “met or exceeded the

applicable standard of care.” See Def. Ex. B ¶ 9. The Court finds Dr. Montoya

demonstrates by reference to the record that there are no genuine issues of

material fact to be determined at trial. See Clark, 929 F.2d at 608. Plaintiff

fails to point to evidence in the record that demonstrates a genuine dispute of

material fact exists.6 As such, Dr. Montoya is entitled to summary judgment

on Plaintiff’s deliberate indifference claim.7

6 Any unpublished decisions cited in this Order are deemed persuasive

authority on the relevant point of law. See McNamara v. Gov’t Emps. Ins. Co.,

30 F.4th 1055, 1061 (11th Cir. 2022).

7 In his response, Plaintiff also argues Dr. Montoya was deliberately

indifferent to his serious medical needs by canceling an appointment that

supposedly was scheduled for the second week of August 2019, and by failing

to refer him to a mental health care specialist. See Pl. Resp. at 3, 4. Plaintiff

does not allege in his complaint that he is proceeding against Dr. Montoya for

such conduct. See generally Compl. He may not raise new substantive facts or

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B. Retaliation

To establish a First Amendment violation, a plaintiff must demonstrate

the following:

(1) his speech was constitutionally protected; (2) [he]

suffered adverse action such that the [official’s]

allegedly retaliatory conduct would likely deter a

person of ordinary firmness from engaging in such

speech; and (3) there is a causal relationship between

the retaliatory action . . . and the protected speech ….

O’Bryant v. Finch, 637 F.3d 1207, 1212 (11th Cir. 2011) (second alteration in

original).

Accepting that Plaintiff engaged in constitutionally protected speech of

which Dr. Montoya knew (complaints or grievances), Plaintiff fails to point to

evidence showing or permitting the reasonable inference Dr. Montoya

retaliated against him for doing so. Plaintiff alleges Dr. Montoya withdrew his

maintenance treatments in September 2019 “in reprisal for complaints made

against [Dr. Montoya].” See Compl. at 9-10. But the medical records

a new theory of liability in his response to Dr. Montoya’s motion for summary

judgment. See Gilmour v. Gates, McDonald & Co., 382 F.3d 1312, 1315 (11th

Cir. 2004) (“A plaintiff may not amend [his] complaint through argument in a

brief opposing summary judgment.”). Regardless, as discussed, it is undisputed

that Dr. Montoya was not involved in scheduling appointments. And it is not

clear Plaintiff even had an appointment scheduled for the second week of

August or, if he did, why it was canceled or changed. Moreover, no evidence

indicates Dr. Montoya knew Plaintiff required mental health treatment but

refused to make a referral for such treatment.

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demonstrate Dr. Montoya’s decision to suspend the maintenance treatments

in September 2019 was based on objective medical evidence—not personal

animus—and when Plaintiff’s scans and lab results showed a recurrence in the

disease in January 2021, Dr. Montoya ordered the maintenance treatments to

resume. See Def. Ex. A at 5-6, 17. Plaintiff offers or points to no evidence

substantiating his speculative assertion that Dr. Montoya retaliated against

him. Indeed, Plaintiff does not address the First Amendment claim at all in his

response, suggesting he abandons it. See generally Pl. Resp. Accordingly, Dr.

Montoya is entitled to summary judgment on Plaintiff’s First Amendment

claim.

V. Conclusion

Finding Dr. Montoya demonstrates there are no genuine issues of

material fact to be determined at trial, it is now

ORDERED:

1. Defendant Dr. Vernon Montoya’s motion for summary judgment

(Doc. 63) is GRANTED.

2. The Clerk is directed to enter judgment in favor of Defendant Dr.

Montoya, terminate any motions, and close the file.

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DONE AND ORDERED at Jacksonville, Florida, this 3rd day of August

2023.

af 7 / \ .

/ P Maeaale ( Jj b“avn—

BRIAN. DAVIS

United States District Judge

Jax-6

Steven F. D’Amico

Counsel of Record

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