Notice: - OF LIEN FOR PAYMENT OF WORKER'S COMPENSATION DISABILITY MEDICAL BENEFITS Due Date: Complete Date:

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                          Filing # 70888015 E-Filed 04/18/2018 01:07:51 PM

IN THE CIRCUIT COURT OF THE

11t® JUDICIAL CIRCUIT IN AND

FOR MIAMI-DADE COUNTY, FLORIDA

Case No. 2017-CA-014536-CA-01
Alexander Grijak,

Plaintiff,
vs.

Met II Hotel, LLC, d/b/a Marriott
Marquis Miami,

Defendants

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NOTICE OF LIEN FOR PAYMENT OF WORKERS’ COMPENSATION
DISABILITY MEDICAL BENEFITS

 

 

The PSAV Audio Visual Services, and its Servicing Agent,
ESIS/RSI, by and through undersigned counsel, state that the
Plaintiff, Alexander Grijak, has claimed that he was injured by
an accident arising out of and in the course of employment at
the time and place alleged in the Complaint filed in this cause.
The Employer, PSAV Audio Visual Services, and the Servicing
Agent, ESIS/RSI, hereby give notice that various sums of money
for workers' compensation benefits have been and may be payable
to or on behalf of the Plaintiff, Alexander Grijak,

WHEREFORE, the PSAVY Audio Visual Services and ESIS/RSI,
claim a lien pursuant to Section 44…