Affidavit of service form regarding 114 Liberty Street

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE

STATE OF NEW YORK, COUNTY OF NEW &&s< The undersigned being duly swoms, deposes and says: The d is party to the action aid is aveeF,~$ age Ste* S .7 14'O

d t served within ORDER on the respondent named therein. 1. Individual personal service ❑ by delivering a true copy to said respondent personally 2. Individual substitued service 44y delivering a true copy to CV RT /S <- 4..- 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 secure identification of the person(s) present; ❑ advised by that no officer, director, managing (Name) agent or general agent of the respondent was present; 0 service could not be made because

Thereupon, I delivered a copy of the herein ORDER to whom I believe to be an employee of respondeent 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: )iZmaie 0 white skin Flack hair 014-20 yrs ❑ Under 5' 0 Under 100 lbs 0 female lack skin ❑Brown hair P41 - 35 ❑ 5'0"-5'3" ❑ 101 - 130 ❑ yellow skin 0 Blond hair 036-50 0 5'4"-5'8" ❑ 131 - 160 ❑ brown skin 0 Red hair 051-65 X5'9" -6"0" 61 - 200 ❑ red skin ❑ Gray hair 0 Over 65 ❑ Over 6' 0 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 j, SIG ATURE DAY OF 19_ V PRINT NAME

DERTA — White RESPONDENT — Yellow LEGAL — Pink

NYC-WTC 000100841