Affidavit of service regarding DEP order, May 2002

NYC 9/11 Public Portal Document STATE OF NEW YORK, COUNTY OF The undersigned being duly sworrs, deposes and says: AFFIDAVIT OF SERVICE NEW JORK _1902 deponent served the within ORDER on the respondent ramed therein. 1. Individual personal service O by delivering a true copy to said respondent personally 2. Individual substitued service D by delivertng a true copy to DOLORES KOZACK a person of suitable age and discretion. Said premises is respondemts actual place of business dwelling house or usral place of abode within the state. 3. Corporation D 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: D having attempted entry to the premises, I found the premises locked and no one responded to any O baving entered the premises and having identified myself, I was: Dadvised by_ _that the respondent was not then present (Namze) • unable to secure identification of the person(s) present, D advised by. that no ofticer, directos, mamaging agent or general agent of the respondent was present, • service could not be made because. O male X female Thereupon, I delivered a copy of the herein ORDER to whom I believe to be an employee af respondecat at the premises because: DEmployee so identified DEmployee was performing work DOther himself/herself 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: I white skin EBlack bair • 14 -20 yrs • Under 5 • black skin •Brown bair A21-35 050ª-53" O yellow skiz D Blond haix • 36-50 E54-58" • brown skin • Red hair • 51 - 65 059*-6°0 • red skin • Gray hair • Over 65 D Over 6 • Under 100 Ibs • 101 - 130 X 131 - 160 •161-200 • Over 200 • White hair DBalding Other identifying characteristic: 5. Service by Mail •By 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_ bhet. Aener EYTTEENECK PRINT NAME DERTA - White LEGAL - Pink NYC-WTC_000118049