Environmental record fragment, unidentified site

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE STATE OF NEW YORK, COUNI'YOF ~__.._........_...........__-

The undersigned being duly sworn. deposes and says. 19 at A.M./P.M. The deponent is not a party to the action and is over 18 years of age, that on deponent served the within order on the respondent named therein. at 1. Individual; persona service . ❑ by delivering a true copy to said respondent personally. 2. Individual; substituted sei'ice . ❑ -by-delivering a true copy to - , 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 mo tion) ai ❑ by deliveringa true copy to (name) said corporation. _ _ .. 4:Deliveiy1u employee of preini ses _ --• --at • I attempted to personally-serve the--- ❑ . .._ ,, - -.AM./PM. on .. .. _ hereinorder on the respondent na raid herein but was unable to do so because: . :... ragingz#ttempted entry to pet s I foundtbe.precruses1pciced espondent to any bells,,knac1s„. ;; or calls. 0 having entered the premises and, identified myselff:. I was: ❑ advised by (name) that the respondent was not then present;

❑ unable to secure identification of the person(s) present; ❑ advised by (name) drat no officer, director, managing agent or general agent of the respondent was present;

❑ Service could not be made because I believe to be an Thereupon, I delivered a copy of the herein order to ________________________________,whom employee of respondent at the premises because:

0 Employee so identified' 0 Employee was performing work consistent 0 Other himself/herself with being employed by respondent

Deponent describes the individual Description of Individual - (this must be completed for all types of service except corporation) served as follows: ❑ black hair ❑ 14-20 years 0 under 510" ❑ under. 100 lbs. ❑ male ❑ white skin ❑ brown hair ❑ 21-25 0 5'0-518" ❑ 101 -130 ❑ female 0 black skin ❑ blond hair ❑ 26-35 0 5'9-6'O ❑ 131 - 160 ❑ yellow skin ❑ ay-hair ❑ 36.50 0 over 6'0" ❑ 161-200 ❑ brown skin 0 white hair ❑ 51-65 ❑ over 200 ❑ redskin ❑ balding ❑ over 65

Other identifying. characteristics:

5.. Service by. Mail . • . . , same, in a post paid wrapper, in a post' 0 by mailing a true copy to respondent by depositing or causing to be deposited the office station regulatly maintained by the U. S. Postal Service, SWORN TO BEFORE ME ON THE Signature DAY OF , 19___ Printed Naine Etadc of EnvirmunenUt Contra) Boad -.white

NYC-WTC 000123745