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IN THE CIRCUIT COURT OF THE FIFTEENTH
JUDICIAL CIRCUIT, IN AND FOR PALM
BEACH COUNTY, FLORIDA.
CASE NO: 50 2011 CA 020550 MB AF
ELISA H. KLINGLER,
_QSED
ring. 2 By Judge
Plaintiff,
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STATE FARM MUTUAL AUTOMOBILE =
INSURANCE COMPANY,
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Defendant. SSB 3 Ty
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STIPULATION FOR DISMISSAL WITH PREJUDICE A200 a
AND ORDER FOR DISMISSAL WITH PREJUDICE 2°08 2 Mm
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IT IS HEREBY STIPULATED AND AGREED by and between the undensigiied 5. o
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attorneys that all claims that have been raised and all claims that could have been raiged in |
this civil action by the Plaintiff, ELISA H. KLINGLER, against the Defendant] STATE
FARM MUTUAL AUTOMOBILE INSURANCE COMPANY (“STATE FARM”), have
been amicably settled, and therefore, this civil action shall be dismissed with prejudice, with
the Plaintiff, ELISA H. KLINGLER, and.the Defendant, STATE FARM, each to bear their
|
“own.attorneys’ fees and costs.
If IS FURTHER STIPULATED AND AGREED that the Plaintiff shall, as a
consideration of this settlement, satisfy all applicable liens and subrogated claims or
‘interests, whether disclosed or undisclosed, including but not limited to any; liens or
subrogated interests on the Florida Automobile Reparations Act, any and all subrogated
claims or interest of collateral source payors as defined by Florida Statutes, federal|and State
tax liens, Workers’ Compensation liens, hospital liens, federal or State statutory or common
Oct 3 0 2012
CFN 20120447799, OR BK 25581 PG 515,RECORDED 11/07/2012 16:25:07
Sharon R. Bock,CLERK & COMPTROLLER, Palm Beach County, NUM OF PAGES 2, out of the proceeds of this settlement.
2012.
- Zerl Wal
Fla. Bar No. 525006 fa. Bar No S@6@H 33206
2586 Forest Hill Boulevard 3399 PGA Blvd. — Ste. 300
West Palm Beach, FL 33406 Palm Beach Gardens, FL 3410
(561) 964-7501 (561) 683-2300
Attorney for Defendant Attorney for Plaintiff
ORDER FOR DISMISSAL WITH PREJUDICE
THIS MATTER. having come before the Court upon the Stipulation for Dismiseal
with Prejudice between the Plaintiff, ELISA H. KLINGLER, and the Defendant, STATE
FARM, and the Court being otherwise fully advised in the premises, it is
ORDERED AND ADJUDGED that all claims raised in this civil action by the
Plaintiff, ELISA H. KLINGLER, against the Defendant, STATE FARM, are: hereby
dismissed with prejudice. The Plaintiff, ELISA H. KLINGLER, and the Defendant, STATE
FARM, shall each bear their own attorneys' fees and costs, and the Plaintiff shall satisfy all
applicable liens and subrogated claims or interests, whether disclosed or undisclosed,
including but not limited to any liens or subrogated interests under the Florida Automobile
Reparations Act, any subrogated claims or interest of collateral source payors as defined by
Florida Statutes, federal and State tax liens, Workers' Compensation liens. hospitai liens.
federal or Statutory or common law liens and/or other subrogated interests in this action, out
of the proceeds of this settlement.
DONE AND ORDE in Chambers at West Palm Beach, Palm Beach County,
Florida this 5 __ dayof Movers, 2012.
cai) Busters Se
CIRCUIT COURT JUDGE
Copies furnished counsel:
Nicholas Maniotis, Esq., 2586 Forest Hill Boulevard, West Palm Beach, FL 33406
Michael A. Motto, Esq., 3399 PGA Boulevard - Suite 300, Palm Beach Gardens, FL
33410
CFN 20120447799 BOOK 25681 PAGE 516, 20F 2