Affidavit of service form, 52 Beekman Street area, 2002

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE

STATE OF NEW YORK, COUNTY OF NE` u1/ k j< The undersigned being duly swceas, deposes and says: aThe is a party to the action }s 18 years of age. That on 1{~ a .c~

within ORISER on the respondent named therein. 1. Individual personal service ❑ by delivering a tine copy to said respondent personally 2. Individual substitued service l'y delivering a true copy to 1` L4,4 FQBF! r ` e 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. Corporation ❑ by delivering a true copy to at said coporation. (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 1' ) ❑ 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 whom I believe to be an employee of respondeent at the premises because: ❑Employee 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: tamale l Cwhite skin ❑Black hair 014-20 yrs 0 Under 5' ❑ Under 100 lbs 0 female 0 black skin Drown hair tl - 35 0 5'0"-5'3" ❑ 101 - 130 ❑ yellow skin ❑ Blond hair 036-50 ❑ '4"-5'8" 0131-160 ❑ brown skin 0 Red hair ❑ 51 -65 )5'9" -6"0" 161 - 200 ❑ red skin ❑ Gray hair ❑ Over 65 ❑ Over 6' 0 Over 200 ❑ 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.

F SWORN TO BEFORE ME ON THE a-c•C , sI A'NRE~ DAY OF 19_ PRINT NAME

DERTA — White RESPONDENT — Yellow LEGAL — Pink

NYC-WTC 000118866