Affidavit of service form, legal proceedings, 2002

NYC 9/11 Public Portal Document

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AFFIDAVIT OF SERVICE

STATE OF NEW YORK, COUNTY OF NEW '/® The wed being duly swats, deposes and says: ... The derxment is a party to the aicu and is 18 of age That on at within ORD on um rest named therein. 1. hndividual persmel service O by delivering a true copy to said respondent personally 2. Individual substitued service

a person ofasuitable age and discretion. Said premises is respondent's business-dmelling horse artacal place ofabode withinthe state. 3. Corporraticn D by delivering a true copy to at said ooporatic®. tom) 4. Delivery to employee at premises OAt AM1P.M on at I attempted to personally serve the herein ORDER on the respondent named herein but was unable to do bey D having attempted entry to the prises. I found the premises locked affil no one responded to any bells, knocks, or calls; O having entered the promises and having identified thyself I was: O advised by that the respondent was not then present

D uoeble to secure identificaticn of tine person(s) present; D advised by that no officer, director, managing ( ) agexfl or gerisral agent oft respondent was present; ❑ service could not be made because

Th eupox I delivered a copy of the herein ORDER to when I believe to be an employee thvspoerleerzt at the premises because. 0Employee so identified OFmtployee was pericantng weak OOther• himselghe rself consistent with being employed bytherespcndect Description of individual -(this must be cornpleted for all typos of service except oaeporation) Deponent describes the individual as follows: O male O white skin Jladt bait• O 14 - 20 yrs ❑ Under• 5' 0 ider1001bs ~fanale 0 black skin DBrownhair ,~q21- 35 O 5D"-53" 101-130 yellow skin O Blond bait• 036-50 5'4"-5'S" 0131-160 D brown skin ❑ Red hair 051-65 05'9".60' ❑ 161-200 ❑ red skin 0 Gray hair ❑ Over 65 D Over G D Over 200 0 White Bair 0 Balding Other identifying characteristic: 5. Service by Mail DBymailing a true copyto respondent by depositing err cau sing to be deposited the same, in a post paid wrapper, in a post office station regularly ined by the US. Postal Service.

SWORN TO BEFORE ME ON TBE si TURE DAY OF 19_ AJ irCX PRDIT NAME

DERTA — White LEGAL — Pink

NYC-WTC 000127478