164 WILLIAM STREET; 1001282, 93/24

NYC 9/11 Public Portal Document

AFFIDAVIT OF SERVICE STATE OF NEW YORK, COUNTY OF ______ The undersigned being duly swans, deposes and says: * ir The deponent is not a party to,the action and is over 18 years of age. Thaton_0_^^5 19^2. at AM?P.M at _________ deponent served ffie within ORDER on the respondent named therein. 1. Individual personal service □ by delivering a true copy to said respondent personally 2. Individual substitued service .. • ^tl.by delivering a true copy to y a person of suitable age and discretion. Said premises is res^tondent’s actual place of business-dwelling house or usual place of abode within the state. 3. Corporation □ by deliveiing a true copy to__________________________________________________________ at said oopocatioa (Potitioo) 4. Delivery to employee at premises □At AM./P.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 ai^r 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 persoii(s) present; □ advised by that no officer, director, managing (Name) 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 lespondeent at the premises because: □Employee so identified □Employee was performing work aOther 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: ^male ^wdiiteskin □Black hair □ 14-20 yrs □ Under 5' □ UhderlOOlbs □ female □ black skin ^□Brownhair □ 21 - 35 □ 5D"-53" □ 101 -130 □ yellow skin □ Blond hair ;O,36-50 □ 131 - 160 □ brown skin □ Red hair □ 51-65 □ ;:ai6i-2oo □ redskin □ Gray hair □ Over 65 □ Overe- □Over200 □ White hair □ Balding Other tying characteristic:. 5. Service by Mail □By mailing a true copy to respondent by depositing or causing to be deposited 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 SIGNATURE I DAY OF .19_ PRINT NAME

DERTA - White LEGAL - Pink

NYC-WTC_000159138