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164 WILLIAM STREET; 1001282, 93/24

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000159136–000159138
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NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE STATE OF NEW YORK, COUNTY OF H&vV ______ The undersigned being duly swntns, deposes and says: /r '7*7 The deponent is not a party to the action atxl is over 18 years of age. That on AS deponent serv«H& within ORDER on the resporxlent'named ther^ 1. Individual personal service □ by delivering a true copy to said respondent personally

a person of suitable age and discretion. Said premises is re^»oodent’s actual placed business-dwelling house or usual place of abode within the state. 3. Corporation □ by delivering a true copy to_________________________________________________________ .at said ooporatioQ. (PodtiaD) 4. Delivery to employee at premises □At ANtZP.M. on .at I attempted to personally serve the herein ORDER on the 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, knocks, or calls; □ having entered the premises and having identified myself I was: □ advised by. .that the respondent was not then present (Name) □ unable to secure identification of the persoo(s) present; □ advised by that t» officer, director, managing (Name) agent or general agent of the respondent was present; □ service could not be made because__________________________________________

Thereupon, I delivered a copy trf the herein ORDER to_____________ whom I believe to be an employee of respoodeent at the premises because. □Employee so identified □Employee was performing work □Other himselfiherself consistent with being employed by the respondent Description of individual - (this must be completed for all types of service except corporation) Deponent describes the individual as follows: ^pfmale white skin □Blackhair □14-20yrs □ IfaderS' □ Under 100 lbs □ female □ black skin ^OBrown hair □21-35 □ S0'-53" □ 101 -130 □ yellow skin □ Bloodhair ^36-50 □ 131 -160 □ brown skin □ Redhair □SI-65 □ 5^"-6’0' J^61-200 □ redskin □ Gray hair □ Over 65 □ Overti' , □OverTOO □ White hair □ Balding Other identifying characteristic:. 5. Service by Mail □By mailing a true copy to respondent by depositing or causing to be dqxnited the same, in a post paid wrapper, in a post office station regularly maintained by the U.S. Postal Service.

SWORN TO BEFORE ME ON THE DAY OF 19_ PRINTNAME / /

DERTA - White RESPONDENT - Yellow LEGAL - Pink

NYC-WTC_000159137

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NYC-WTC_000159137Source: NYC Law Department, mirrored locally

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