Environmental record fragment, unidentified site

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE STATE OF NEW YORK,COUNTY OF .__-_ ...._...._..__--

The undersigned being duly sworn. deposes and says. The deponent is not a party to the action and is over 18 years of age, that on , 19 at A.M./P.M. at 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; sulistitutedseivice

❑ 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. Corporatloa >❑ -- by delivering a true copy to (name) , (position) at said corporation. _. 4:DelivcryIu of empluyeo prenihs -

❑. . At -A.M./P}vi on — at -- .iattemptedtopersonallyservethe- ' herein order on the respondent awned herein but was unable to do so because: ❑ ,Having., tteixtgteti entry 1© th f_cmises I found the premises. isrcked and nc>,op responded. to any bells,:tmock , or calls. 0 having entered the premises and identified myself, I was: ❑ advised by (name) that the respondent was not then present; ❑ unable to secure identification of the person(s) present; ❑ advised by (name) that no officer, director, managing 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:

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

describes the individual Description of Individual - (this must be completed for all types of service except corporation) Deponent served as follows:

❑ male . ❑ white skin . ❑ black hair ❑ 14-20 years 0 under 510" 0 under 100 lbs. ❑ black skin ❑ brown hair 0 21- 25 0 .5'0" - 5'8" 0 101 - 130 ❑ female ❑ yellow skin 0 blond hair ❑ 26-35 0 5'9" - 6'0" ❑ 131-160 ❑ brown skin 0 gray hair 0 36-50 0 over 6'0" 0 161 - 200 ❑ red skin 0 white hair 0 51 - 65 0 over 200 ❑ balding 0 over 65 Other identifying.characteristics:

5,Service by. Mail wrapper, in a post' ❑ by mailing a true copy to respondent by depositing or causing to be deposited the same, in a post paid office station regulatly maintained by the U. S. Postal Service. .SWORN TO BEFORE ME ON THE Signature .. _ _. ....._ . . . - - DAY OF , 19_ Printed Name . Back of Environmental Control Board - White

NYC-WTC 000123746