NYC-WTC_000166105

NYC 9/11 Public Portal Document

AFFIDAVIT (CERTIFICQE'Z OF SEAMICI~•,:!t. I 1 _ 1 i , .sa _ •`_ . .. -

'Slate d New lbrk. County a ) as:

I The undersigned being dul wom deposes and says: That deponent is not a party to the edion uidle' ovw 18 years.ape: Thai on __ 19 I1 .MlPl -ice 1 at .ponem sense n;e wlwn Nouw a vk7Wlon ea

Hewing on the respondent named herein.

L Individual; personal Senke ... 3.i _1 _':') ' _.:, _.r • .. i . . I. ( •..Ivy

❑ ty deliverng a true copy to saw respondent personally. I .i__ i _L' L. .1 _ _ _ 1 t - ^>•

II. Individual; Substituted $.nice ( i ' c ± ❑ by delivering s true copy to • palatltrd at18eDN age and OlsttaUon..SaN premises resportdw,h

(. actual pica d ,ush,J dlveiyng house or usual place of abode wade the Shia. ! 1

U1. Corporation

o by delivering a tru. copy to add

. .... .... ...... .- i - ~. . .. IV. o. at Pnws ml ~ ..,_ _ ~d..vvr~lng ue copy to respondent's employee at the above location: (answer A ant B) A. I attempted to personal serve the herein Notice Of Violation on the respondent named herein bill was unable to do so because, having entered the premises and having Ideraiatl nyse8, I S . .- . 1 advised by A414 / IA ~f~ that the respondent was not then pusses. and prertisee • to neither reeportdrr's actual place d business nor dwelling house 2. ❑ unable re Were] cation ol the person(s) present; ... '- - ---- - -

advised by fir" ' that no officer,, dtredor, managing agers or agent d ralbn was present -

B. Thereupon, 1delivered a copy d the harem Notice d Viola tion to _ •S_/• ~o - whom 1 believe employee d respondent at the premises because: (check 1, 2 or 3) 1. so Identified himinersell;

2. ❑ Employee was pertonning work consistent with being employed by the reaponderd: or . !.'. . S❑ OBter: _ .

Desclptlon Of Irtdhldud. (This must be completed for a0 types of service except corporete. Numbes Ill, shove) ., Deepp—MM ct16 the individual served as follows:

t1J Msb ❑ ck Hair ❑ 1I, . .. . ❑ Under 5' D Under t00 bs 0 Female Skin ❑ Brown Halt D 5'Ot5'3' D /0D130 ❑ 'Iklbw Skin 0 Blond Hair ❑ ,36-fib'-` . _ .. ❑ Brown Skin ❑ Gray Hair ❑ 51-85 ._.. . ❑ 5'8'k80' . - _ . 0181-200 ❑ Red Skin ❑ Red Hair ❑ Over 65 ❑ Over a, ::0 Over 200 ❑ White Hair _ ., .. . _.. . O Belding ..

Olho IdmtOying d+uacehetics:

i

Sworn to balers me an v tl 18~/ //

OQ6'8i)M1

U not tvlum, this pelsrttril dull con tints a certifieale of service

.. ...:Ili --I•.. :1t►1L8.. 1 f;. e.e.n .......AI f:. .. ......:lt: C `.e:On •{K.:. .. . .

_r. .._b..._ 5kG .._I. .y to (rte; , r.. .. .. . u.. S III riti aI .Ie.,::

NYC-WTC 000166238