License agreement clarification regarding cleanup reimbursement, 2002

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE STATE OF NEW YORK. COUNTY -OF _ ---- _ I

1 lie 'iiuiei: igned being duly swot u. deposes and says. at A.M.iP.M. The deponent is not a party to the action and is over 18 years of age. that on , 19 deponent served the within order on the respondent named therein. at 1. Individual; personal service ❑ by delivering a true copy to said respondent personally. • 2. Individual; sulistituted• scrvice ❑ . v-.delivering a true copy to - , 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 , (position) at ~❑ by delivering-a true copy to (name) said corporation. 4. Deliverylo employee at premises -_ _. I attempted to personally serve the. - ❑ At - - --A.M./P:M. on . ... .. ..-at herein order on the respondent .na ►ed herein but was unable to do so because: :: responded. to any bells, Mock ., ;having,attempted. entry to u pcise I5ou&t .premis 1Qciced andpoon or calls. . ❑ having entered the premises and. identified myself, I was: ❑ advised by (name) that the respondent was not then present;

❑ unable to secure identification of the person(s).present-, ❑ advised by (name) that no officer, director, managing agent or general agent of the respondent was present; - .

❑ Service could not be made because

, whom I believe to be an Thereupon, I delivered a copy of the herein order to employee of respondent at the premises because:

0 Employee was performing work consistent ❑ Other 0 Employee so identified himself/herself with being employed by respondent

corporation) Deponent describes the individual Description of individual - (this must be completed for all types of service except served as follows:

❑ black hair ❑ 14 - 20 years ❑ under 5'0" ❑ under 100 lbs. ❑ male ❑ white skin 0 brown hair ❑ 21-25 ❑ .5'0" - 5'8" 0 101 - 130 ❑ female ❑ black skin 0 blond hair ❑ 26-35 0 5'9" - 60" 0 131 - 160 ❑ yellow skin ❑ gray , hair ❑ 36- 50 0 over 6'0" 0 161 -200 ❑ brown skin 0 51 -65 0 over 200 ❑ red skin ❑ white hair ❑ balding 0 over 65

Other identifying. characteristics: .

5.. Sen'ice by. Mail be deposited the same, in a post paid wrapper, in a post' • 0 by mailing a true copy to respondent by depositing or causing to ollice station regulatly maintained by the U. S. Postal Service.

SWORN TO BEFORE ME ON THE Signature DAY OF - , 19_ Printed Name Back of Eaviroium ntat Control Board - White

NYC-WTC 000112066