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S~~?~~~ IN THE C._r2CUIT COURT OF THF
. NINETEENTH JUDICIAL CIRCUIT
IN AND FOR ST. LUCIE COi3NTY
FLORIDA
CASE NO.: 78-512- CA
FAVIAN LEE PICANO and
JOHN PICANO, her husband,
Plaintiffs,
vs.
THE HON COMPANY, Murphy- ,
Miller Division, a foreign
corporation; KROEHLER 546193 ~
MANUFACTURING COMPANY, a
foreign corporation; PLASTIC
~ INDUSTRIES , INC and HALSEY - ~ ~I 23 2~
AND GRIFFITH, INC., a Florida
~orporation, • z'~ ~ ~
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` ~ . - . ~ .
Defendants. ~ -
/ • • . ~ .
RELEASE OF LIEN
AETNA CASUALTY & SURETY INSURANCE COMP~NY herewith releases
its lien in the above cause,~ said lien being offered by AETNA
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r CASUALTY & SURETY INSURANCE COMPANY and its hereinabove filed
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Notice of a ment of Com ensation and Medical Benefits. That
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o said lien has been amicably adjusted, and the parties are herewith
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; released from the effect of filing said Notice of Payment of
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F Comganesation and r:edical Benefits.
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} AETNA CASUALTY & SURETY INSURANCE C~MPANY acknowledges payment '
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~ r for"the satisfaction o~~its Workers' Compensation Lien for benefits
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! o made to or in behalf of the Plaintiff in the above styled cause.
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, It7 WITNESS~WHEREOF, I have hereunto set my and and seal
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( this /S~day of d , 1981. I
.
~ • ~ AETNA CASIJALTY & SURv'TY
C~~/Ci~ .
~ .
~
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~ a~.., ~ y :
~ ~ as i ' tness
~ ~ STATE OF FLORIDA .
~ COUNTY OF , Q~~~
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~ SWORN TO AND SUBSC IBED BEFORE ME this ~~o day:`g~~~ y,.. ,
1981. ,%"``~%.•'~;~J:t;L~!/j ,~'`r• ~
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. _ _ - . ' ~ t• ~ .
' tary P 1 i ~ , ~
_J ; . S/ ••~'r. ,:.1\~: y
' M c mmi , . `Yf',~~:°•~-
y o ssion expires :~,~;~~t,'',, ~ i t ; . .
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~ annK~~ PaGE 94~ ~ ~ .