Affidavit of service form, 52 Beekman Street area, 2002

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE

STATE OF NEW YORK, COUNTY OF N2Wk) 1z< The undersigned being duly swnms, deposes and says: Tha znt is a party to the action is 18 yearsof age That on > - E%L at A at de t ~ within OlgER on the respondent named therein. 1. Individual personal service ❑ by delivering a true copy to said respondent personally 2. Individual substitued service ]_ _ , delivering a true copy to <b [,MY f?) — 14337 Z-4 a person of suitable age and discretion. Said premises is respondent's actual place of business-dwelling house or usual place of abode within the state. 3. Capacation ❑ by delivering a true copy to at said ooporation. (Position) 4. Delivery to employee at premises ❑At A.M/P.M on at I attempted to personally serve the herein ORDER on the respondent named herein but was unable to do because: ❑ having attempted entry to the premises, I found the premises locked and no one responded to any bells, knocks, or calls; ❑ having 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 persoo(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 whom I believe to be an employee of respondent at the premises because: DEmployee so identified ❑Employee was performing work ❑Other 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: male white skin ❑Black hair ❑ 14 - 20 yrs ❑ Under 5' ❑ Under 1001bs 0 female ❑ black skin rown hair l-35 ❑ 5'0"-5'3" 0101-130 ❑ yellow skin 0 Blond hair U 36-50 ❑ 5'4"-5'8" .0131-160 ~/ ❑ brown skin 0 Red hair ❑ 51 -65 5'9" -6"0" X%61 - 200 ❑ red skin 0 Gray hair ❑ Over 65 ❑ Over 6 0 Over 200 0 White hair ❑ Balding 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 i L..• SI ATURE Ii DAY OF 19_ _ PRINT NAME

DERTA — White LEGAL — Pink

NYC-WTC 000118865