NYC 9111 Public Portal Document
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AFFIDAVIT OF SERVICE
STATE OF NEW YORK, COUNTY OF T R'.K
The undersigned being duly swarns, deposes and says: '
wee 18
deponent
a/
within ORDER an the respondent
1. Individual personal service
therein. j 2-
b by delivering a true copy to said respondent personally
,~.~~'y delivering a true copy to
a person of suitable age and disc retim. Said premises is 's actual place of buss s-dolling
fuse or usual place of abode within the state.
• 3. Corporation
❑ by delivering a true copy to
at said coporation.
4. Delivery to employee at premises
DAt AM/P.M on 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 am responded to any
bells, knocks, or calls;
D having entered the premises and having identified myself, I was:
O advised by that the respondent was not then present
(Name)
O unable to secure identification of the persce s) present;
O advised by that no officer, director, managing
(N~)
agent or general agent of the respondent was present;
❑ service could not be made bemuse
Thereupon, I delivered a copy of the herein ORDER to
whom I believe to be an employee of respondeent at the premises because:
OFsnployee so identified OBmployee was performing vwrk CtOther
himselDherself caosistent with being employed
bytherespcmdent
Desariptim of individual - (this must be Meted far all types of service except corporation)
Deponent describes the individual as follows:
Kmale ,white skin I', lack hair ❑ 14.20 yrs ❑ Under 5' D Under 100 lbs
0 female 0 black skin DBrown hair 0 21- 35 0 5'0"-5'3" 0 101 -130
D yellow skin D Blond hair 1 6-50 ❑ 5'4"-5'8" Dpi- 160
❑ brown skin 0 Red lair 051-65 G '9" -6"0 46l- 200
0 red skin 0 Gray hair D Over 65 D Over 6' ❑ Over 200
0 White hair
0 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 mairdained by the U.S. Postal Service.
SWORN TO BEFORE ME ON THE
s~
DAY OF 19_- *
R NA
DERTA - White RESPONDENT -Yellow LEGAL - Pink
NYC-WTC 000116515
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