Affidavit of service regarding DEP order, May 2002

NYC 9/11 Public Portal Document AFFIDAVIT OF SERVICE STATE OF NEW YORK, COUNTY OF_NEW ORK The undersigned being duly sworns, deposes and says: •e deeM aa Cotag ie ma ie 2 yem of age. That on_ 5-28 _002 604.- deponent served the within ORDER on the respondent named therein. 1. Individual personal service • by delivering a true copy to said respondent personally 2. Individual substitued service Iby delivering a true copy to DOLORES KOZACK a person of suitable age and discretion. Said premises is respondent's actual place of business-dwelling bouse or usual place of abode within the state. 3. Corporation O by delivering a true copy to at said coporation. (Position) 4. Delivery to employee at premises Iattempted 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 baving 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 porson(s) present, D advised by _ that no officer, director, managing agent or general agent of the respondent was present; • service could not be made because • male Afemale Thereupon, I delivered a copy of the horein ORDER to _ whom I believe to be an employee of respondeent at the premises because: DEmployee so identified himself/herself DEmployee was performing work dOther 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: Es white skin J&Black hair • black skin •Brown hair • yellow skin D Blond hair • brown skin • Red bair D red skin • Gray hair • 14-20 yTS X21-35 • 36- 50 • 51 -65 • Over 65 • Under 5 • 50°-53" $54'-58" •59" 6"0" DOver 6 O Under 100 ibs • 101 - 130 X131-160 • 161 - 200 • Over 200 • White hair OBalding Other identifying characteristic: 5. Service by Mail OlBy 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 _DAY OF : 19_ Довлв. Beneck AFENECK PRINT NAME DERTA - White LEGAL - Pink NYC-WTC_000118047