On May 21, 2021 a
Proof of Service
was filed
involving a dispute between
Joann Owens
As Administrator Of The Estate Of Michael Owens, Deceased,
and
Personal Healthcare, Llc
Individually And Or D B A Utica Rehabilitation And Nursing Center,
Personal Healthcare Management, Llc
Individually And Or D B A Utica Rehabilitation And Nursing Center,
Urnc Operating, Llc
Individually And Or D B A Utica Rehabilitation And Nursing Center,
Utica Rehabilitation And Nursing Center,
for Torts - Other Negligence (Nursing home negligence)
in the District Court of Oneida County.
Preview
FILED: ONEIDA COUNTY CLERK 09/02/2021 02:22 PM INDEX NO. EFCA2021-001183
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/02/2021
AFFIDAVIT OF SERVICE THROUGH THE SECRETARY OF STATE
SUPREME COURT Purchased/Filed: May 21, 2021
STATE OF NEW YORK, COUNTY OF ONEIDA Index ¹ EFCA2021-001183
— M'chas' Plaintiff
Joann Owens, as "..".:ff:-r:--'.wtor
of The Estate of Owens, Deca «d
against
Utica Rehcruii'frtatiaiff
and Nursing Center., et al D='t=::."-:::3
STATE OF NEW YORK
COUNTY OF ALBANY
James Perone , being duly sworn, pep!o~~~ and says: deponent isover
the age of eighteen (13) years; that on ~Au ust 30, 2021, at 11:00AM, at the oNce of the
—:--:-:—
:=-:— o----—
Secretary of State of the State of New York in the Cityof Albany, New York , served the
Suli ft iioi
ts Complaint and Notice of Elect!Onlc Filing(Ivlclt
IUclloiyCase)
on
Personal He~ttficate Management, LLC , the
—
Defendant in thisaction, by dative-lng to and I-ovyingwith Sue Zouky
AUTHORIZED AGENT inthe Office of the Sect-etaf-yof State, of the State of New York, personally at theOffice of
the Secretary of State of the State of New York, 99 'IIVaai fgsoilnvell4e, Albany, NY, 2 true copies thereof and that
at the time of making such sei-vice, deponent paid said Secretary of State a fee 40 dollars; That said service was
sg»"
made pursuant to Section 303 I imitedLiabili Coin Law. Deponent further says that4epoiiei-it knew the
person so served as aforesaid to be the agent inthe Office of-t Secretary of State of the State of New York, duly
authorized to accept such a&i Ytceon behalf of said defendant
55-6W'
De ..'t!on of the person served: Approx. Age: . Approx. Wt: 125lbs Approx. Ht: 5'1
Color of skin: White Hair color: «d/a!«46 ~ex: Female Other:
I
/
S t b fore me on this
of August 1
PUBLIC,STATEOFNEWYORK James Perone
NO.01SC6308636
QUALIFIEO
INALBANYCOUNTY Attny'a File No.
COMMISSIONEXPIRESJULY28,2022
Invoice.Work Order ¹ S1864791
SERYICO. INC.. I.O. Box 871. ALBANY. NY 12201
1 of 1
Document Filed Date
September 02, 2021
Case Filing Date
May 21, 2021
Category
Torts - Other Negligence (Nursing home negligence)
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Preview
FILED: ONEIDA COUNTY CLERK 09/02/2021 02:22 PM INDEX NO. EFCA2021-001183 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/02/2021 AFFIDAVIT OF SERVICE THROUGH THE SECRETARY OF STATE SUPREME COURT Purchased/Filed: May 21, 2021 STATE OF NEW YORK, COUNTY OF ONEIDA Index ¹ EFCA2021-001183 — M'chas' Plaintiff Joann Owens, as "..".:ff:-r:--'.wtor of The Estate of Owens, Deca «d against Utica Rehcruii'frtatiaiff and Nursing Center., et al D='t=::."-:::3 STATE OF NEW YORK COUNTY OF ALBANY James Perone , being duly sworn, pep!o~~~ and says: deponent isover the age of eighteen (13) years; that on ~Au ust 30, 2021, at 11:00AM, at the oNce of the —:--:-:— :=-:— o----— Secretary of State of the State of New York in the Cityof Albany, New York , served the Suli ft iioi ts Complaint and Notice of Elect!Onlc Filing(Ivlclt IUclloiyCase) on Personal He~ttficate Management, LLC , the — Defendant in thisaction, by dative-lng to and I-ovyingwith Sue Zouky AUTHORIZED AGENT inthe Office of the Sect-etaf-yof State, of the State of New York, personally at theOffice of the Secretary of State of the State of New York, 99 'IIVaai fgsoilnvell4e, Albany, NY, 2 true copies thereof and that at the time of making such sei-vice, deponent paid said Secretary of State a fee 40 dollars; That said service was sg»" made pursuant to Section 303 I imitedLiabili Coin Law. Deponent further says that4epoiiei-it knew the person so served as aforesaid to be the agent inthe Office of-t Secretary of State of the State of New York, duly authorized to accept such a&i Ytceon behalf of said defendant 55-6W' De ..'t!on of the person served: Approx. Age: . Approx. Wt: 125lbs Approx. Ht: 5'1 Color of skin: White Hair color: «d/a!«46 ~ex: Female Other: I / S t b fore me on this of August 1 PUBLIC,STATEOFNEWYORK James Perone NO.01SC6308636 QUALIFIEO INALBANYCOUNTY Attny'a File No. COMMISSIONEXPIRESJULY28,2022 Invoice.Work Order ¹ S1864791 SERYICO. INC.. I.O. Box 871. ALBANY. NY 12201 1 of 1