Fire Safety Plan, 7 World Trade Center, April 1988

NYC 9/11 Public Portal Document

AFFIDAVIT (CERTIFICATE") OF SERVICE

State of New York, County of .} ss:

The undersigned being duly sworn" deposes and says: That deponent is not a party to the action and is over 18 years of age; That on 19. at AM/PM DATE TBS

at deponent served the within Notice of Violation and LOCATION

Hearing on the respondent named herein.

I. Individual; Personal Service [3 by delivering a true copy to said respondent personally.

II. Individual: Substituted Service I I by delivering a true copy to a person of suitable age and discretion. Said premises is respondent's NAME

actual place of business, dwelling house or usual place of abode within the State.

III. Oirporation Q by delivering a true copy to. at said corporation. NAME ■pSBW

IV. Delivery to Employee at Premises I I 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, Twas; 1. □ advised by that the respondent was not then present, and premises is neither respondent's actual place of business nor dwelling house. NAME

2. Q unable to secure identification of the person(s) present; 3. □ advised by that no officer, director, managing agent or agent of respondent corporation was present. NAME

B. Thereupon, I delivered a copy of the herein Notice of Violation to whom I believe to be an employee of respondent at the premises because: (check 1, 2 or 3) 1. I I Employee so identified him/herself;

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

Description of Individual. (This must be completed for all types of service except corporate. Number III, above.) Deponent describes the individual served as follows:

□ Male □ White Skin □ Black Hair □ 14-20 □ Under 5' □ Under 100 lbs □ Female □ Black Skin □ Brown Hair □ 21-36 □ 5'O«6'3' □ 100-130 □ Yellow Skin □ Blond Hair □ 36-50 □ □ 131-160 □ Brown Skin □ Gray Hair □ 51-65 □ 5'9'’-6'0" □ 161-200 - □ Red Skin □ Red Hair □ Over 65 □ Over 6' □ Over 200 □ White Hair □ Balding

Other identifying characteristics:.

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vintBBiffnaiBBBr Sworn to before me on 19.

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* If notsworrr, this slatsmertt ahaii conatitDte-a cartificats of -servico.

NYC-WTC_000168897