HomeMy WebLinkAbout1278 ~ 4304Ei7 ~
IN 71t6 CZI~1lIZ` QOl1RT OF 11iE ~r[~ JUDICIIII. CIPCIIIT OF FIARIDA, IN AND FOR
ST. IIICIE UCTU[JPY
STATE OF FtORIpA
ST. LUCIE COUNTY 2 78-486 CA
THIS IS TO CERTIFY THAT THIS IS ~
A iRUE AND CORRZ~CT COPY Of `r ;
Mt1URICE E. }111DD0C-7C? THE ORIGINAL - rte-- :--•:*i
rn ~ .o
ROGER P i S, CtlRK ~ : , t -t }
3:?• i
Plaintiff, dY D I c :
.C. car: t~
- DATE ICE OF L~IIN FO}~~ Z~IIJSA ~ ~ .
vs. ~gnIC11I. BfNEF s or y -
osA'~ S}~RIF and sA~ti ABDEL oC~IAA, r~ AOCIDINT Tr _ Ir>I~I~r eD.:
_ e f' • to
Defendants. 1 ~.'ocn ~ ~
S
. ~~~~Jp.M. ~lV.~`q~ N
`~F CCUt~i~ • '
i
j
The H~1IrI'FOISD AOCIDL•NP & INDII~i1ITY CC[+1PANY, as a Workmen' s Oonpensatior>, i
carrier for Dickerson, Inc., by and through its undersigned attorneys and pursuant
to Florida Statute 440.39, hereby gives notice that MAURICE E. FUIDDOCiC, was in the {
o~urse and soape of his pcployn>ent with Dickerson, Inc.? when he was ~7w-~ in
s
an accident suUseq~yently resulting in his injury at the time and place alleged
'in the Plaintiff's Complaint, heretofore filed in this cause, and that Dickerson, Inc.
through its Wbrlrnicn' S Oompensation carrier, the }tA17r1•~OI2D AOCIDFNr AND INDL~~iITY
{
(x1t~'~ANY, has paid various sums in or on behalf of MA[I1tIC~ E. IUIDDOCdC, for Qatpensa-
tion and r.~edical benefits, and further gives notice that they have continued to
make such payments of oormensation and i:edical benefits, and ~,nll expect to make
further payments in accordance with the Florida t~Torkmen's ~~ensation Acct, Chapter
t
440, of the Florida Statutes. '
! Til[~I~FOItE, the IiATa`FORD IYJCIDIIJr AND ]NDEi-iVI'I'Y CJOt•'~I1NY, prays that -
~ '
this Notice be rL~aorded and the same constitute a lien upon any recovery by the
~ Plaintiff for the full amount of the }tenefits which have been paid in the past and
1 amount of the benefits which will be paid in the future pursuant to
for the ful
.
j
the Florida ~vor}am~t's Oatpensation Act.
1;
I HEREBY CERrIFY that a true and correct Dopy of the foregoing has been
furnis}ted by certified r•~il this 5th day of Deaember,1978, to: STIE'1iETl G. IIAYSKAR, ESQ• .
-
' Post Office Box 3779, Fort Pierce, Florida, 33450; and JgIN R. YO[l[,1G, E_`a:~•. Post
Office Box 324G, West Palm Beach, Florida, 33402.
~,II~ aFCORD~Q or•Frc~ OF FR71t~I: G. GIBUI,~1,
v - _ 1655 Palm Beach Fakes Blvd.
- `4:3046'7 suite 500 - Fonmi III : .
West Palm }3eac}t, I•lorida 33401
•84-33b0
'19 r`~„r ~ ~ PM 2 ~7 (305) C r
y~
~ , rzlawui u, cr~cirrr, BIZ. , rs~Jll~ _
.froa f%r ~i •i. ~ /fi,i a in iur a rv . ur/~ .iCn. /~.d/ . ri pt r~ir•.. .i. 3.Y.i('/
-
U p 3p1 t!
~12?3 ~ -
gr~r
- ~