Affidavit of Service, World Trade Center matter, undated

NYC 9/11 Public Portal Document

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AFFIDAVIT OF SERVICE

•' ~ STATE OF NEW YORK, COUNTY OF iSLE W ) a lh The undersigned being duly sworn, deposes and says: The deponent is not a party to the action and is over 18 years of age. That on 23 19P 2 at ~ly AM,/P.Mat 4LL .7r)NN S; , if<1iJP C.tI RIJIL7)IA/6 / ) deponent served'tli within ORDER on the respondent named therein" 1. Individual personal service 0 by delivering a true copy to said respondent personally 2. Individual substitued service ) tby delivering a true copy to V r 34M E$ MC C RAW 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 toasty bells, knocks, or calls; ❑ having entered the premises and having identified myself, I was: ❑ advised by that the respondent was not then present (Na) ❑ unable to secure identification of the person(s) present; ❑ advised by that no officer, director, managing (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 whem I believe to be an employee of respondeeat 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: ;(P male ) &white skin ❑Black hair 014-20 yrs 0 Under 5 0 Under 100 lbs 0 female 0 black skin OBrown hair 021-35 0 5'0"-5'3" 0101-130 ❑ yellow skin ❑ Blond hair 036-50 0 5'4"-5'8" 0131-160 ❑ brown skin ❑ Red hair -4 51 -65 ~31' 5'9" -6"0" 0161-200 ❑ red skin Gray hair ❑ Over 65 ❑ Over 6 Over 200 ❑ White hair ❑ 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 ' 2L4?)1, 7!L' SIGNATURE U kT FF~/6GI•G DAY OF 19_ PRINT NAME

DERTA — White LEGAL — Pink

NYC-WTC000092988