On July 11, 2022 a
Party Statement
was filed
involving a dispute between
Workers' Compensation Board Of The State Of New York,
and
Stephen H Childs Dba Rock Bottom Bar B Que,
for Other Matters - Workers Comp App for Judgment
in the District Court of Steuben County.
Preview
FILED: STEUBEN COUNTY CLERK 07/11/2022 11:34 AM INDEX NO. E2022-0638CV
(54)15261180-1
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 07/11/2022
SUPREh/0E COURT OF THE STATE 0F NEW YORK, COUNTY OF STEUBEN
WORKERS'
COMPENSATION BOARD OF THE STATE OF NEW YORK,
Plaintiff,
-against-
:
STEPHEN H CHILDS DBA ROCK BOTTOM BAR B QUE :
AFFIRMATION
Defendant(s)
REGULARITY
Workers'
The undersigned, an attorney in the office of the Compensation Board of thë State of New
York, Plaintiffherein, hereby affirms that the following istrue under the penalty of perjury, upon .
information and belief:
€orkërs'
This affirmation is based upon a review of the filewhich is maintained by the Compensation
Board in itsregular course of business.
Workers'
The Compensation Board of the State of New York, in accordance with the provisions of the
Workers'
Compensation Law, has made an assessment/award in the sum of $20,000.00, against the
defendant(s). Attached hereto and made a part hereof are certifiedcopies of the Notice of Decision and
Award, and/or a certified copy of the demand for deposit of security, and/or a certified copy of the chair's
order imposing, and the demand for payment of, assessments imposed by the chair pursuant to
Workers'
subdivision five·ofsection fifty-twoand/or one hundred thirty one of the Compensation Law, as
Workers'
required for filingofjudgment per Compensation Law, Section 26 and/or 219. Appeals before
the Board have been exhausted.
No payment of award has been made except $0.00, leaving $20,000.00 due and payable.
WHEREFORE, itisrespectfully requested that judgment be entered against the Defendant(s) herein in
the sum stated as remaining due and payable.
Dated: day of ,
Michele A. Mealy, Esq.
C-45.1 4/2007
(54)15261180-1
1 of 1
Document Filed Date
July 11, 2022
Case Filing Date
July 11, 2022
Category
Other Matters - Workers Comp App for Judgment
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FILED: STEUBEN COUNTY CLERK 07/11/2022 11:34 AM INDEX NO. E2022-0638CV (54)15261180-1 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 07/11/2022 SUPREh/0E COURT OF THE STATE 0F NEW YORK, COUNTY OF STEUBEN WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK, Plaintiff, -against- : STEPHEN H CHILDS DBA ROCK BOTTOM BAR B QUE : AFFIRMATION Defendant(s) REGULARITY Workers' The undersigned, an attorney in the office of the Compensation Board of thë State of New York, Plaintiffherein, hereby affirms that the following istrue under the penalty of perjury, upon . information and belief: €orkërs' This affirmation is based upon a review of the filewhich is maintained by the Compensation Board in itsregular course of business. Workers' The Compensation Board of the State of New York, in accordance with the provisions of the Workers' Compensation Law, has made an assessment/award in the sum of $20,000.00, against the defendant(s). Attached hereto and made a part hereof are certifiedcopies of the Notice of Decision and Award, and/or a certified copy of the demand for deposit of security, and/or a certified copy of the chair's order imposing, and the demand for payment of, assessments imposed by the chair pursuant to Workers' subdivision five·ofsection fifty-twoand/or one hundred thirty one of the Compensation Law, as Workers' required for filingofjudgment per Compensation Law, Section 26 and/or 219. Appeals before the Board have been exhausted. No payment of award has been made except $0.00, leaving $20,000.00 due and payable. WHEREFORE, itisrespectfully requested that judgment be entered against the Defendant(s) herein in the sum stated as remaining due and payable. Dated: day of , Michele A. Mealy, Esq. C-45.1 4/2007 (54)15261180-1 1 of 1