Affidavit of Service, World Trade Center matter, undated

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE

STATE OF NEW YORK, COUNTY OF ' 4E. W The undersigned being duly sworn, deposes and says: The rs a party to on and is over 18 years of age. ton s' 2 ®Z ` /) deponent within OR]) on the respondent named therein. 1. Individual personal service ❑ by delivering a true copy to said respondent personally 2. Individual substitued service ,(by delivering a true copy to ~ i JAMES A C GMW a person of suitable age and discretion. Said premises is respondent's actual place of business-dwelling house or usual place of abode within the state. 3. Corporation ❑ by delivering a true copy to at said coporation_ (Position) 4. Delivery to employee at premises ❑At AM/P.M on at I attempted to personally serve the herein ORDER on the respondent named herein but was unable to do because: ❑ having attempted entry to the premises, I found the premises locked and no one responded to any bells, knocks, or calls; ❑ having entered the premises and having identified myself, I was: ❑ advised by that the respondent was not then present (Name) ❑ unable to secaae identification of the persons) present; ❑ advised by that no officer, director, am ne° (Name) agent or general agent of the respondent was present; ❑ service could not be made because

Thereupon, I delivered a copy of the herein ORDER to whom I believe to be an employee of responeent at the premises because: ❑Employee so identified ❑Employee was performing work ❑Other himself/herself consistent with being employed by the respondent

Description of individual - (this must be completed for all types of service except corporation) Deponent describes the individual as follows: 'male P<wbite skin OBlack hair O14-20 yrs O Under 5' ❑ Under 100 lbs 0 female ❑ black skin DBrown hair O21-35 ❑ 5'0'-5'3" O101-130 ❑ yellow skin O Blond hair O36-50 0 5'4"-5'8" O131-160 ❑ brown skin ❑ Red hair ' X51 - 65 %5'9"-6"0" O161-200 ❑ red skin Gray hair D Over 65 ❑ Over 6' Over 200 O White hair 0 Balding Other identifying characteristic:

5. Service by Mail ❑By mailing a true copy to respondent by depositing or causing to be deposited the same, in a post paid wrapper, in a post office station regularly maintained by the U.S. Postal Service.

SWORN TO BEFORE ME ON THE SI jZt-i5biL TURF 4- DAY OF 19_ PRINT NAME

DERTA - White LEGAL - Pink

NYC-WTC 000092986