Affidavit of service form, 19 Church Street, Oct 2001

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE

STATE OF NEW"FORK, COVN `Y 4F The undemi d being duly s% ens, deposes and says: -- ~ The depgpent is not a party to the action and is aver 18 years of age. That on 18_ at —_,A.M/P.M at deponent saved the within ORDER on the respondent named therein. 1. Individual personal service 0 by delivering a true copy to said respondent personally 2. Individual substitued service i by delivering a tale copy to a person of suitable age and discretion. Said premises is respondent's actual place ofbusiness-dwelling house or usual place of abode within the stale. 3. Corporatean y.~ t*by deliyming a true copy t0, r! :f , i jr 1 .r *y .► . r A r' / r- at said c elham) 4.. Delivery for k /ee at premises ti3At JtMJP Ag on / r I attempted to personally serve the herein ORDER on the respondent named herein but was unable to do because: 0 having attempted entry to the premises, I found the premises locked and no one responded to any bells, knocks, or calls the.premisles and having ice *tfiied myself, I was: having entered y D advised by r' ' :f that therespatde'a was not then present (Now) O unable to mom identi&c ation of the person(s) present; 0 advised by that no officer, director, msnagang agent or gee sal agent of the respondent w as presont; 0 service could not be made because

'Thereupon, I delivered a copy of the Resin ORDER to whom I believe to be an employee of responeent at the premises because: ~Fmployee so identified Eanploye was pig work DO(lier himselflbeeeolf consistent with being employed by the resporilent Description of individual - (this must be completed for all types of service except corporation) Deponent describes the individual as follows: 'Elmale white skin CIBIack hair 0 14 - 20 yrs 0 Under 5' CI Under 100 lbs female O black skin OBrown hair 0 21- 35 05'0'-5'3" 0101-130 O yellow skin O Blood hair 036-50 O 5'4"-5'8" 0131-160 0 brown skin 0 Red Bair 51.65 5"9" -6"0" X 161- 200 O red skin 1 .Gray hair D Over 65 0 Over 6' O Over 200 0 Whitebait O Belding Other identifying r istic:

5. Service by Mail OBy mauling a true copy to respondent by depositing or causing to be deposited the some, in a post paid wrapper, ins post office station regularly maintained by the U.S. Postal Service