Affidavit of service, 21 Ann Street, June 2002

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE

STATE OF NEW YORK, COUNTY OF NEW' ) IZK The undersigned being duly sworn, deposes and a rs a patty Io tke a on A1is over I s says:~e, 6 ,3 Li /~~/VlY ~-- s within ORDER on the respondent therein. I. Individual personal service b by delivering a true copy to said respondent personally 2. Individual substitued service '~rn~t~ by delivering a true copy to C.l.'l~ 7 (me Qe M I t(/ aJ a person of suitable age and discretion. Said premises is 's actual place of fling house or usual place of abode within the state. 3. Corporation ❑ by delivering a true copy to at said coporaticn. (P~ ) 4. Delivery to employee at premises ❑At AM./P.M an at I attempted to personally serve the herein ORDER on the respondent named herein but was unable to do because: O having attempted entry to the premises, I found the premises locked and no one responded to any bells, knocks, or calls; O having entered the premises and having identified myself I was: ❑ advised by that the respondent was not then present (Name) O 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 wham I believe to be an employee of respoodeent at the premises because: OEmployee so identified OEmployee was performing work DOther himseltlherself 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: $( finale 'white skin lack hair 014-20 yrs O Under 5' 0 Under 100 lbs ❑ female 0 black skin OBrown hair 021-35 0 5"0"-5'3" 0101-130 ❑ yellow skin ❑ Blood hair }(36 -50 O 94"-5'8" 0)31 - 160 ❑ brown skin ❑ Red lair 051 - 65 .. '9"6'0' x161- 200 ❑ red skin 0 Gray hair 0 Over 65 0 Over 6 O Over 200 O White hair O Balding Other identifying characteristic-

5. Service by Mail OBy 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 man%taiaod by the U.S. Postal Service.

SWORN TO BEFORE ME ON THE --~ DAY OF 19_ R T FZiJE 'S PRM NAME

DERTA — White LEGAL — Pink

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NYC-WTC 000116514