On December 16, 2021 a
Exhibit,Appendix
was filed
involving a dispute between
People Of The State Of New York By
Attorney Gerneral Of The State Of New York,
and
5 Corners Pet Inc,
Gerard O'Sulllivan,
Marc Jacobs Both Indvidually And As Owners Of
Shake-A-Paw,
Risk Enterprises Inc Dba Shake-A-Paw,
for Special Proceedings - Other (Pursuant to Exec Law 6312)
in the District Court of Nassau County.
Preview
FILED: NASSAU COUNTY CLERK 03/08/2022 11:11 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 233 RECEIVED NYSCEF: 03/08/2022
EXHIBIT
K
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01:01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM)
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Casteiner Information Form
Name: CA
Address .
C state:
Email:
. .
Phone #:
Puppy Name:
How Did Y Sear About "Shake A Pak"?
Internet
Drive By: .
Referred: By:
Previews Customer:
Live In Area: .
Other:
Price Payment:
SAP 000007
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
. .
-.--- . ...... ......._.. ...... ...........___..............,.....'_.
. '
Customer Information Form
How Did You Hear About "Shake A Pak"?
Internet:
Drive By:
Referredt By:
Previous Custouten
Live In Area:
Other:
Price OC Payment: V f5 /E
SAP 000040
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01:01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 12/17/2021
03/08/2022
Customer Information Form
Name:
Name:
Puppy
How Did You Hear About "Shake A Paw"?
Internet: )o
Drive By:
Referred: By:
PrevionsCustomen
Live In Area:
Other:
Price Payment:
SAP 000049
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 12/17/2021
03/08/2022
Customer Information Form
Puppy Name: / 4
How Did You Hear About "Shake A Pak"?
Internet: .
Drive By:
Referred: By:
Previous Customer:
Live In Area:
Other:
Price 1360 Pa ent
SAP 000122
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01:01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 12/17/2021
03/08/2022
CustomerInformation Form
Name: EO /UOt
Name: CladdC
Puppy
How Did You Hear About "Shake A Pak"?
Internet:
Drive By:
Referred: By:
Previous Custome .
LiveIn Area.:
Other:
Price 2 FCC Payment:
SAP 000307
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01:01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
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NO. 233
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RECEIVED NYSCEF:
NYSCEF: 03/08/2022
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-.--....
-.........
Customer Information Form
Puppy Name:
How Did You IIear About "Shake A Pak"?
Internet: ..
Drive By:
Referred: By:
Previous Customer
Live In Area: .
Other:
Price 9{!f 2)ff Payment:
SAP 000318
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Customer Information Form
How Did You Hear About "Shake A Paw"?
(nternet
Drive By:
Referred: By: .
Previous Customer:
Live In Area:
Other:
Price Payment:
°/7
SAP 000345
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01:01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Customer Information Form
uppy ame:
How Did You Hear About "Shake A Pak"?
Internet: .
Drive By:
Referred: By: .
Previous Customeb
Live In Area:
Other:
Priceh--- \ S
Payment;
SAP 000352
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM)
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 12/17/2021
03/08/2022
f CONSÜMERAWAdb3
; ACCREDI I CD
W E4re-
... FriYndPMcV 6 evi+
CUSTOMER INFORMATION FORM
NAME Chr4 opmr aeu
METHOD OF PAYMENT uscn cm
HOW DID YOU HEAR ABOUT SHAKE A PAW?
INTERNET /
PASSING BY
REFERRED BY WHOM:
REPEAT CUSTOMER
AREA RESIDENT
OTHER
SAP 000370
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Customer Information Form
Name: C ñ n ef k)inq¬“
Puppy Name:
How Did You Hear About "Shake A Pah"?
Internet: .
Drive By:
Referred: By:
Previous Customer:
Live In Areat
Other:
.
ey'
Price Payment: FM
SAP 000388
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Customer Information Form
Puppy Name
How Did You Hear About "Shake A Paw"?
Internet:
Drive By:
Referred:__ By:
Previous Customer:
Live In Area:
Other:
Price Payment:
SAP 000429
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Customer Information Form
Name: 442L es/f'(ff
AJ
Puppy Name:
How Did You Hear About "Shake A Paw"?
Internet: N/
Drive By:
Referred: By:
Previous Custoiner:
Live In Area.
Other:
Price 3 P Payment 44E
SAP 000472
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Customer Information Form
Name: 06 P
p
h T&UEd m S
How Did You Hear About "Shake A Pak"?
Internet:
Drive By: .
Referred: By:
Previous Customer:
Live In Area:
Other:
Price O27Û Payment:
SAP 000480
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
CUSTOMER INFORMATION FORM
HOW DID YOU HEAR ABOUT SHAKE A PAW?
INTERNET
PASSINGBY
REFERRED BYWHOM:
REPEAT CUSTOMER
AREA RESIDENT
OTHER
SAP 000515
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01:01 PM
PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
Customer Information Form
Name
Puppy Name:
How Did You Hear About "Shake A Pak"?
Internet:
Drive By:
Referred: By:
Previous Customer:
Live In Area:
Other:
Price Payment:
SAP 000532
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 12/17/2021
03/08/2022
f I CONSUMERAFFAIRS
t / ACCRED1ITO
W here
... Frben½Mep Segisv
CUSTOMER INFORMATION FORM
NAME O c
HOW DID YOU HEAR ABOUT SHAKE A PAW?
INTERNET
PASSING BY
REFERRED BY WHOM:
REPEAT CUSTOMER ,
AREA RESIDENT
OTHER
SAP 000606
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
6157 66/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
. CONSUMER/ú¾RB
AG(EED11ED
W heru
... F rioucLA¿pt S eâ0w
CUSTOMER fNFORMATION FORM
NAME 0a00 A b Cr C2
HOW DID YOU HEAR ABOUT SHAKE A PAW?
INTERNET
PASSING BY
REFERRED BY €HOM:
REPEAT CUSTOMER
AREA RESIDENT
OTHER
SAP 000616
FILED:
FILED : NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12 /17 /2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
6157 66/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
CONSúMýi5FAIRS
ACCRED! sED
W Eare
... Fr iama9h pp S ev iav
CUSTOMER INFORMATION FORM
NAME h na t0 ..
HOW DID YOU HEAR ABOUT SHAKE A PAW?.
INTERNET
PASSING BY
REFERRED BY WHOM:
REPEAT CUSTOMER
AREA RESIDENT
OTHER
*
SAP 000649
FILED:
FILED: NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
615766/2021
PM|
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 233
89 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 03/08/2022
12/17/2021
CUSTOMER INFORMATION FORM
z416 - Shkh
NAME NJ 6
METHOD OF PAYMENT C4
HOW DID YOU HEAR ABOUT SHAKE A PAW?
INTERNET
PASSING BY
REFERRED BY WHOM:
REPEATCUSTOMER
AREA RESIDENT
OTHER
SAP 000671
FILED:
FILED : NASSAU
NASSAU COUNTY
COUNTY CLERK
CLERK 03/08/2022
12/17/2021 11:11
01: 01 PM INDEX
INDEX NO.
NO. 615766/2021
Document Filed Date
March 08, 2022
Case Filing Date
December 16, 2021
Category
Special Proceedings - Other (Pursuant to Exec Law 6312)
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: NASSAU COUNTY CLERK 03/08/2022 11:11 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 233 RECEIVED NYSCEF: 03/08/2022 EXHIBIT K FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01:01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM) NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Casteiner Information Form Name: CA Address . C state: Email: . . Phone #: Puppy Name: How Did Y Sear About "Shake A Pak"? Internet Drive By: . Referred: By: Previews Customer: Live In Area: . Other: Price Payment: SAP 000007 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 . . -.--- . ...... ......._.. ...... ...........___..............,.....'_. . ' Customer Information Form How Did You Hear About "Shake A Pak"? Internet: Drive By: Referredt By: Previous Custouten Live In Area: Other: Price OC Payment: V f5 /E SAP 000040 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01:01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 12/17/2021 03/08/2022 Customer Information Form Name: Name: Puppy How Did You Hear About "Shake A Paw"? Internet: )o Drive By: Referred: By: PrevionsCustomen Live In Area: Other: Price Payment: SAP 000049 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 12/17/2021 03/08/2022 Customer Information Form Puppy Name: / 4 How Did You Hear About "Shake A Pak"? Internet: . Drive By: Referred: By: Previous Customer: Live In Area: Other: Price 1360 Pa ent SAP 000122 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01:01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 12/17/2021 03/08/2022 CustomerInformation Form Name: EO /UOt Name: CladdC Puppy How Did You Hear About "Shake A Pak"? Internet: Drive By: Referred: By: Previous Custome . LiveIn Area.: Other: Price 2 FCC Payment: SAP 000307 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01:01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 -.--.... -......... Customer Information Form Puppy Name: How Did You IIear About "Shake A Pak"? Internet: .. Drive By: Referred: By: Previous Customer Live In Area: . Other: Price 9{!f 2)ff Payment: SAP 000318 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Customer Information Form How Did You Hear About "Shake A Paw"? (nternet Drive By: Referred: By: . Previous Customer: Live In Area: Other: Price Payment: °/7 SAP 000345 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01:01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Customer Information Form uppy ame: How Did You Hear About "Shake A Pak"? Internet: . Drive By: Referred: By: . Previous Customeb Live In Area: Other: Priceh--- \ S Payment; SAP 000352 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM) NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 12/17/2021 03/08/2022 f CONSÜMERAWAdb3 ; ACCREDI I CD W E4re- ... FriYndPMcV 6 evi+ CUSTOMER INFORMATION FORM NAME Chr4 opmr aeu METHOD OF PAYMENT uscn cm HOW DID YOU HEAR ABOUT SHAKE A PAW? INTERNET / PASSING BY REFERRED BY WHOM: REPEAT CUSTOMER AREA RESIDENT OTHER SAP 000370 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Customer Information Form Name: C ñ n ef k)inq¬“ Puppy Name: How Did You Hear About "Shake A Pah"? Internet: . Drive By: Referred: By: Previous Customer: Live In Areat Other: . ey' Price Payment: FM SAP 000388 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Customer Information Form Puppy Name How Did You Hear About "Shake A Paw"? Internet: Drive By: Referred:__ By: Previous Customer: Live In Area: Other: Price Payment: SAP 000429 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Customer Information Form Name: 442L es/f'(ff AJ Puppy Name: How Did You Hear About "Shake A Paw"? Internet: N/ Drive By: Referred: By: Previous Custoiner: Live In Area. Other: Price 3 P Payment 44E SAP 000472 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Customer Information Form Name: 06 P p h T&UEd m S How Did You Hear About "Shake A Pak"? Internet: Drive By: . Referred: By: Previous Customer: Live In Area: Other: Price O27Û Payment: SAP 000480 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 CUSTOMER INFORMATION FORM HOW DID YOU HEAR ABOUT SHAKE A PAW? INTERNET PASSINGBY REFERRED BYWHOM: REPEAT CUSTOMER AREA RESIDENT OTHER SAP 000515 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01:01 PM PM INDEX INDEX NO. NO. 615766/2021 615766/2021 NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 Customer Information Form Name Puppy Name: How Did You Hear About "Shake A Pak"? Internet: Drive By: Referred: By: Previous Customer: Live In Area: Other: Price Payment: SAP 000532 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 12/17/2021 03/08/2022 f I CONSUMERAFFAIRS t / ACCRED1ITO W here ... Frben½Mep Segisv CUSTOMER INFORMATION FORM NAME O c HOW DID YOU HEAR ABOUT SHAKE A PAW? INTERNET PASSING BY REFERRED BY WHOM: REPEAT CUSTOMER , AREA RESIDENT OTHER SAP 000606 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 6157 66/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 . CONSUMER/ú¾RB AG(EED11ED W heru ... F rioucLA¿pt S eâ0w CUSTOMER fNFORMATION FORM NAME 0a00 A b Cr C2 HOW DID YOU HEAR ABOUT SHAKE A PAW? INTERNET PASSING BY REFERRED BY €HOM: REPEAT CUSTOMER AREA RESIDENT OTHER SAP 000616 FILED: FILED : NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12 /17 /2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 6157 66/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 CONSúMýi5FAIRS ACCRED! sED W Eare ... Fr iama9h pp S ev iav CUSTOMER INFORMATION FORM NAME h na t0 .. HOW DID YOU HEAR ABOUT SHAKE A PAW?. INTERNET PASSING BY REFERRED BY WHOM: REPEAT CUSTOMER AREA RESIDENT OTHER * SAP 000649 FILED: FILED: NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021 615766/2021 PM| NYSCEF NYSCEF DOC. DOC. NO. NO. 233 89 RECEIVED RECEIVED NYSCEF: NYSCEF: 03/08/2022 12/17/2021 CUSTOMER INFORMATION FORM z416 - Shkh NAME NJ 6 METHOD OF PAYMENT C4 HOW DID YOU HEAR ABOUT SHAKE A PAW? INTERNET PASSING BY REFERRED BY WHOM: REPEATCUSTOMER AREA RESIDENT OTHER SAP 000671 FILED: FILED : NASSAU NASSAU COUNTY COUNTY CLERK CLERK 03/08/2022 12/17/2021 11:11 01: 01 PM INDEX INDEX NO. NO. 615766/2021