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IN THB CIRCUIT COURT OF THE NINETEENTH
JUDICIAL CIRCUIT OF FLORIDAr IN AND
- FOR SAINT LUCIE COUNTY.
CASE NO. .74-821 - CA
DAVID MAROWSKI, et al, )
Plaintiffs, - )
vs. )
PRE-STRESSED SYSTEMS, INC. )
Defendant/Third Party )
Plaintiff, ,
vs.
) -
P.C.J. CORPORATION,
Third-Party Defendant.
' SATISFACTION OF WORKMEN'S COMPENSATION LIEN -
This will acknowledge the receipt of the sum of $360.00
in full and complete settlement of the workmen's compensation lien
for benefits paid to or on behalf of the plaintiff, DAVID MAKOWSKI,
in the above captioned matter.
AUTO-OWNERS INSURANCE COMPANY
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By.
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Sworn to and subscribed -
before me on this ~/5 ~'~'day
_ -1`~t~~/ r-1
of November, 1978. ~ ' ~
Vii, 1`/. ~ ~ - ~ _ LV ~ _ _ r L .
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~1 .UBLI ~=STATE OF FLORIDA ~ ` 3 ~ ~ ~ Z Q _ ~ ~ y B
My~~~co~niYssid,~ .~xpir~btary Pa~:'~;, - _ - .
- ;,,,t My Comm~ssan G~r+3f8S ~::.r, . r' r. i_~ ~ _ _ .T _ . .
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BOOK 300 PACE 39T-
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