On October 30, 2020 a
Party Statement
was filed
involving a dispute between
Northeast Energy Of Connecticut, Llc,
and
Joseph S. Brinkman Aka Joe Brinkman,
for S25 - Small Claims - Small Claims - Contract - Other
in the District Court of Hartford County.
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AFFIDAVIT CONCERNING
MILITARY SERVICE
JD-FM-178 Rev. 11-11
P.B.§ 17-21
STATE OF CONNECTICUT
SUPERIOR COURT
Instructions
Court Use Only
AE
Ii
Anyone who knows the military status of the defendant may complete the form below. You must swear that
your statement is true and sign it in front of a court clerk, a notary publi, or an attomey who will also sign
and date the affidavit. Make one copy for yourself and give the original to the court clerk.
Explanation: A military service affidavit is required in every case where the defendant has not filed an
Appearance form with the court clerk's office by the time of the court hearing. The purpose is to protect men
and women serving in the U.S. military from getting a court judgment against them without first receiving
notice of the lawsuit and a chance to defend the case. The affidavit gives the court the necessary facts to
find that the defendant is not in the U.S military.
Judicial District of. i
Bot focd
‘At(Town)
faictlocd
Retum date (Month, day, year)
Docket number
Plaintiffs name (Last, first, mic
Nolen
ital)
OS Enerqu of
Defendant's name (Last, first, middie initial)
sOonvrnan
To. eon _\.
x
Commechrci
, oo
| certify that the following is true (check ail that apply and complete):
(_] the defendant is
other (state reasons)
("]1. The defendant is in the U.S. Military.
(_] the defendant is working at
%] 2. The defendant is not in the U.S. Military. | know this because:
{_] the defendant currently lives at
years old.
Military Status Report using defendant's social security number at Department
of nse Mi
he Mili Servi
wer D:
inter websi es n
w_ defendant i:
3. | do not know whether the defendant is in the U.S. military service.
Signature
Print name
Rebecca Leas
‘Signed and Tilo WE
aii
jommissioner of Superior Court)
‘At (Town, State)
Waterbury, Connecticut
Data
Document Filed Date
September 08, 2021
Case Filing Date
October 30, 2020
Category
S25 - Small Claims - Small Claims - Contract - Other
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AFFIDAVIT CONCERNING MILITARY SERVICE JD-FM-178 Rev. 11-11 P.B.§ 17-21 STATE OF CONNECTICUT SUPERIOR COURT Instructions Court Use Only AE Ii Anyone who knows the military status of the defendant may complete the form below. You must swear that your statement is true and sign it in front of a court clerk, a notary publi, or an attomey who will also sign and date the affidavit. Make one copy for yourself and give the original to the court clerk. Explanation: A military service affidavit is required in every case where the defendant has not filed an Appearance form with the court clerk's office by the time of the court hearing. The purpose is to protect men and women serving in the U.S. military from getting a court judgment against them without first receiving notice of the lawsuit and a chance to defend the case. The affidavit gives the court the necessary facts to find that the defendant is not in the U.S military. Judicial District of. i Bot focd ‘At(Town) faictlocd Retum date (Month, day, year) Docket number Plaintiffs name (Last, first, mic Nolen ital) OS Enerqu of Defendant's name (Last, first, middie initial) sOonvrnan To. eon _\. x Commechrci , oo | certify that the following is true (check ail that apply and complete): (_] the defendant is other (state reasons) ("]1. The defendant is in the U.S. Military. (_] the defendant is working at %] 2. The defendant is not in the U.S. Military. | know this because: {_] the defendant currently lives at years old. Military Status Report using defendant's social security number at Department of nse Mi he Mili Servi wer D: inter websi es n w_ defendant i: 3. | do not know whether the defendant is in the U.S. military service. Signature Print name Rebecca Leas ‘Signed and Tilo WE aii jommissioner of Superior Court) ‘At (Town, State) Waterbury, Connecticut Data