NYC-WTC_000166105

NYC 9/11 Public Portal Document

:U l • 1 I I ~ rrl4a+ aims 1. ^°. AFFIDAVIT OF SE

.:e of New York. County of ► as: ;:: L: ! ..

o tlto etdbn slid b war 1Blye~ra d ale; Thal •on d 14_L_L at AM/PM -he undersigned being du ' sn sey'a~~Th^at depo lit is not a pa depO,s~Bg{ 7M 1 t r Notice of Violation end deponent served the witnln

Bring on the respondent named herein. I • I Individual; Personal Servlu LL . ±L'.. 'Ii { i - -

❑ by delivering a true copy to said respondent personally. i . i---! Ll ;_.l . ' ,i.l ' -- ..rYO:_ t._ _ . I 1__..., _..

Individual; Substituted Service i t r L -. ❑ by delivering a true copy to .. a person of suitable age and discretion. Said premises is respondent's

actual place of business, dwelling house or usual place of abode within the Sts*

Corporation ... _ ❑ by delivering a true copy to . .. ,•...,. . .. at said corporation.

' -.: " `"~`.., `., ^...•. .. .,,.. . •a - . Delivery to Employee at Premises by delivering a true copy to respondent's employee at the above location: (answer A and B) A. I attempted to personally serve the herein Notice of Violation on the respondent named herein but was unable to do so because, having entered the premises and having Identified .. .. .. . . myself. I was: - —

1. Q advised by that the respondent was not then present, and premises is neither respondent's actual place at business nor dwelling house.

2. ❑ unable to secure Identification of the person(s) present; . . .. . . .. - . .. .. _ __.

a ❑ advised by that no Ccpr, direrto managi g agent or agent of reesporWenl_not~retbn was present. ~wr B. Thereupon, t delivered a copy of the herein Notice of Violation to t ) Q. e4A whom I believe to be an employee of respondent at the premises because: (check 1. 2 or 3) ~ 1. ❑ Employee so identified him/herself;

2. ❑ Employee was performing work consistent with being employed by the respondent; or 3 ❑ Other. - -.

.scrlption of Individual. (This must be completed for all types of service except corporate. Number 111, above.)- , iponent describes the individual served as follows: r. Male ~Whlte Skin El Black Hair ^ ' O 14.20 O Under 5' O Under 100 lbs Female Black Skin rown Hair '- • — 35 D 5'0x6'3' ❑ 100.130 D Yellow Skin ' Blond Hair 'r., /D 38•fii0 :;t . .: ❑ Q'4'5'8' O1131-160 D Bnnvn Skin ❑ Gray Hair .: •i 1.. I. O5165, ;~ . ._.( ~s . O)'Q'6'0 _ . . ~. . . )Q_t61.200 ❑ Red Skin ❑ Red Hair ., . ❑ Over 55 Over 6' ❑_Over 200 D White Halr ((( D Balding - ..

,her Identifying characteristics: - _ r

L6. Q5M 7fl)( Swornto before me on

It not swam, this statement shelf constitute a c."ficale of

v: .. •lio ......-:.: snae._y r i - },.:Gia i.

NYC-WTC 000166236