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 Ni ' yoIc The undazigned being duly , deposes aixisa —~ The deoemnt is party to the astai and is a 18 ogage. That an at at L within ORDEk on respondent nanied them. 1. Individual personal service D by delivering a true copyto said reap xksat p ally 2. Iudhidu d stfin hued service pK6y delivering a tnre cagy to J404/S 0MW i C ) pO4cST a person of suitable age and disaretion. Said premises is respondent's actual place of business-dwelling house or usual place ofabode within the state. 3. Corporation ❑ by delivering a true copy to at said coporatian. 4. Delivery to employee at premises ❑At M e at I attempted to personally serve the herein ORDER en tire 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, , or cails', 0 having entered the preanises and having identified myself I was: 0 advised by that tie respondent was not then present (Nano) ❑ unable to secure identification of the parser(s) p esent; 0 advised by that no officer, director, nisnaging agent cc general agent ofthe respondent was present; ❑ service wild not be made because_________________________________

Thereupon, I delivered a copy oftl a herein ORDER to wham I believe to be an employee ofrespandeent at the premises because: doyen so identified ❑Bsnployae was pa foonng work oOtll himseMera if consistent with being eployed by the respondent

Description of individual- (this meat be completed for all types of service except won) Deponent desc ribes the individual as follows: ❑ a1e ❑ white skin lack hair 014-20 yrs 0 Under S UUnder 100lbs ,,❑ female 0 black skin ❑Brown hair *21-35 ❑ SW-53" X,101-130 yellow skin ❑ Blond hair 036-50 54"-5' 0131- 160 ❑ brown skin 0 Red hair 051-65 0 5'9" .6"0 0161-200 ❑ red skin ❑ Gray hair 0 Over 65 ❑ Over 6' ❑ Over 200 ❑ White hair 0 Balding Other identifying eristia 5. Service by Mail ❑By mauling attire copy torespamdent by depositing or m..fltO be deposited the same, in a postpaid wrapper, in a post office station r dar1yn ..m.d by tire US. Postal Service.

SWORN TO BEFORE ME ON THE _ ATt7RE DAY OF 19 Rz:r / Ji( PRD NAWE

DERTA — White RESPONDENT — Yellow LEGAL — Pink

NYC-WTC 000127479