Affidavit of Service, 205 Pearl Street, 2002

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE STATE OF NEW YORK, COUNTYOF

The undersigned being duly sworn. deposes and says. at A.M./P.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 I.'Individual, personal service ❑ by delivering a true copy to said respondent personally. 2. Inilli~lduid; subst11tutedservice . O -by-'delivering a true copy to , a person of suitable age and discretion. Said the state. respondent's actual place of business-dwelling house or usual place of abode within premises is_._ .. 3. Corpoiiitton D-. by delivering-a true copy to (name) (position) at said corporation. .: _ _ ..... 4. Delivciy ii emplapee at prretnises_ ❑. ._ Wit. .. - _-t~.i~ A on ..._ - ...-at _ i -attempted to personallyserve the- n on responded{patrted herein but was unable to do so because: ❑ eta , lQc~Ced anti s rr nded to any try1 or calls. ❑ having entered the premises an4 identified myself, I was: ❑ advised by (name) that the respondent was not' then present;"

0 , 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,!l delivered a copy of the herein order to employee of respondent at the premises because: 0 Employee was performing work consistent 0 Other 0 Employee so identified ' himself/herself with being employed by respondent

except corporation) Deponent describes the individual Description of Individual - (this must be completed for all types of service served as follows: ❑ black hair ❑ 14 - 20 years ❑ under 5'0" ❑ under. 100 lbs. ❑ mate ❑ white skin ❑ 21-25 ❑ .5'0" - 5'S" 0 101-130 ❑ female ❑ black skin ❑ brown hair 0 blond hair ❑ 26-35 ❑ 5'9' - 6'0" ❑ 131 - 160 ❑ yellow skin 0 ay-hair 0 36-50 0 over 6'0' ❑ 161- 200 ❑ brown skin 0 white hair ❑ 51-65 65 ❑ over 200 ❑ red skin - . ❑ balding ❑ over 65

Qther identifying.charpcterisdcs:

.. S, Setrs+;lce by. Mall . . . . . ..., to be deposited the same, in a post paid wrapper, in a post' ❑ by mailing a true copy to respondent by depositing or causing office station regulatty maintained by the U. S. Postal Service. . 'W(RNT4BEFOREWONTHE Signature . .. >. ... 19__ Printed Name . - . . .._ .... . . ....OF Back of Envirmuue ntat control Board white

NYC-WTC 000115171