Fire Safety Plan, 7 World Trade Center, April 1988

NYC 9/11 Public Portal Document

AFFIDAVIT (CERTIFICATE-) OF SERVICE

State of H3w 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 owre Tusr It deponent served the within Notice of Violation and LOCATION

Hearing on the respondent named herein.

I. Individual; Personal Servics Q by delivering a true copy to said respondent personally.

II. Individual; Substituted Service [3 by delivering a true copy to a person of suitable age and discretion. Said premises is respondent’s NAME

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

III. Corporation Q by delivoring a true copy to. at said corporation. NAME posmoN

IV, Delivery to Employee at Premises Q by delivering a true copy to respondent's employee at the above location: (answer A and B) A. lattempted to persoriallyserve the heroin Notice Of Violation on the respondent named herein but was unable to do so because, having entered the premises and haying Jdentified myself, l was: 1. □ advisedby that the respondent was not then present, and premises is neither respondent's actual place of business nor dwelling house. NAME 2. [~] 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. NAhE

B. Thereupon, | a pppy^ the herein Notice of Violation to NAME posmoN whom I believe to be an emplciyee of respondent at the premises because: (check 1, 2 or 3) 1. I I Employee so Identifiod him/herself;

2. Q 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 □ Btaok Hair □ 14-20 □ Under 6’ □ Under 100 lbs □ Female □ Black Skin QiSitiwn Hair □ 21-36 □ S'0’^’3'’ □ 100-130 □ 'miiowSkin □ Blond Hair □ 36-60 □ 131-160 □ Brown Skin □ Gray Hair □ 61-66 □ 5'9'6'0'’ □ 161-200 □ RedSkln □ Red Hair □ Over 66 □ Over 6' □ Over 200 □ White Hair □ Balding

Other Identifying characteristics:

rWNT NAUE

Ax ii£dlsnir huMBEF Sworn to before W on 19.

MMMUM W dlWIFHiU uTHUI

* If not i^m, this statement shall constitute a certificate r^^^ryice.,,,. sr;

NYC-WTC_000168924