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IN THE CIRCUIT COURT OF TH8 19TH
. ~UDICIAI, DISTRICT, IN AND FOR ~
ST. LUCIE COUNTY, FLORIDA '
CAS$ NO: 83-577CA11
DOROTHY DAWN TVANS and ; ~ ~
MICHAEL EVANS, husband and ;
wife, ; f
Plaintiffs, , •
v. •
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CENZDI~Y ELEVATOR COMPANY, : NOTICS~AND CLAIM OF•LIEN
a corporation, ~
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Defendants.
TARE NOTE that UND$RWRITERS ADJUSTING COMPLDiY, on behalf
of IDEAL MUTUAL INSURANCE COI~ANY, workers' compensation
carrier for the LAWNWOOD MEDICAL CBNTER, employer of the
above noted Plaintiff,:DOROTHY DAWN hVANS, has paid compensation
and medical benefits under Florida Workers' Compensation
Law as a result of the accident involved in the above styled
cause.
NOTICE IS HEREBY GIVEN as required by Florida Statutes
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and Claim of Lien is hereby asserted aqainst any settlement
or judgment that may result in this case for.payments previously
made or that may hereafter be made to or in behalf of the
.
Plaintiff, DOROTAY DAWN EVANS, by UNDSRWRITERS ADJUSTING
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i COMPANY for IDEAL MUTUAL INSURANCE COMPANY, as a result of
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~ the workers' compensation claim.
~ I HEREBY CERTIFY that a copy of the foreqoinq Notice ~
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' and Claim of Lien has been mailed this ~ day of March,
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{ 1984 to C. R. MCDONALD, JR., ESQDIRE, Attorney for Plaintiffs,
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~ 1600 S. Federal Hwy, Suite 200, Ft. Pierce, FL 33450 and
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~ to CHARLES T. RESSLER, ESQUIRE, Attorney for Defendants,
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~ 707 SE 3rd Avenue, Ft. Lauderdale, FL ~3316.
o s~~
~ ~ N~ 26 5 BEISLER ~ BEISLER -
` ~ ~ Attorneys for Underwriters
~ ~'-EC 4k[ 4~~:+F~ Adiustinq Company
° s'.~urrrcc~:x•Y~~a 250 Eighth St.
~ ~~ficuitcci,~j West Palm Beach, FL 33401
~ •:r'~r'';',•: ~:F+= n. ~ (305) 659-7117
~ SUBSCRIBED and SW(SP!~~' to ~
~ before me this /
~ day of March, 1989. ~
~ by ~
~ ALTER E. BEISLER, ESQUIRE
t lic B~K~~ PAGE ~S
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