On June 13, 2019 a
Exhibit,Appendix
was filed
involving a dispute between
Kathleen Fayo Adm,
Marion Fayo Est Of,
and
Northern Riverview Health Care Center, Inc.,
for Torts - Other (Nursing Home)
in the District Court of Rockland County.
Preview
FILED: ROCKLAND COUNTY CLERK 06/03/2022 02:18 PM INDEX NO. 033087/2019
NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 06/03/2022
EXHIBIT F
FILED: ROCKLAND COUNTY CLERK 03/15/2022
06/03/2022 02:50
02:18 PM INDEX NO. 033087/2019
NYSCEF DOC. NO. 33
44 RECEIVED NYSCEF: 03/15/2022
06/03/2022
5 557 - Note of issueand certt6cateofreediness: Unitban Rules, 22 NYCRR 202.21(b), F93
O
For Use of Clerk
NOTE OF IS$UE
Calendar No. f any)
Index No. 033087/2019
o AN ___ County, N.Y.
.S_upg
THORNSEN
MARION FAYO, Deceased, by and
thmugh, KATMLEEN FAYO, as
the NOTICE FOR TRIAL
Admininrator of Estate ofMARTON
FAYO X Trialby jury demanded
X Of all issues
O Of issues specified below
O Of attached hereto
O Trialwithout jury
Filed by attomey for Plaintiff__________
Date summons served 8/5/2019
Date service completed 8/20/2019
Date issue joined 9/27/2019
PlaWS NATURE OF ACTION OR SPECIAL PROCEEDING
against X Tort [ ) Motor vehicle negligence
( ) Medical malpractice
NORTHERN RIVERV1EW HEALTH [ X ] Other tort
CARE CENTER, ItNC. O Contract
O Contested matrimonial
D Uncontested matrimonial
O Tax certiorari
. O Condensation
[ X 1 Other (not itemized above) specify NLIRSRJS.HQME
O This actionisbrought as a classaction
Annount demanded $ A..sum.which,ggçgeds.£gjjgj.gdi.cjigagi
Other relief j.1gygg.gagris.g]2igh.ke.igy
]j4ose
his olerk;
partner;pers on having
chargeof saidoffice.
(b) and saidoffice being otosed,by a true
depositing copy of
secce, enolosed
in a sealed
wrapper directedto said attocoey(a),
iti
the office
letterdropor box. Sworn to before on
Sworn to before rne on
Admission of Service Doo serviceofa note oflesue and certi
ca eoÙi ess, of
which thewithin is a copy,
admitted ...... ................
............................, ................
..................,,.....................................,
Attomey(s) for............. MARYA:MUGGI·- -.........
Public,StateofNew York
Notary
Qualifiedin Ulster
County
Registration# 0119RJ5038796
Commission ExpiresFebruary 6,_.2
2 of 2
Document Filed Date
June 03, 2022
Case Filing Date
June 13, 2019
Category
Torts - Other (Nursing Home)
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: ROCKLAND COUNTY CLERK 06/03/2022 02:18 PM INDEX NO. 033087/2019 NYSCEF DOC. NO. 44 RECEIVED NYSCEF: 06/03/2022 EXHIBIT F FILED: ROCKLAND COUNTY CLERK 03/15/2022 06/03/2022 02:50 02:18 PM INDEX NO. 033087/2019 NYSCEF DOC. NO. 33 44 RECEIVED NYSCEF: 03/15/2022 06/03/2022 5 557 - Note of issueand certt6cateofreediness: Unitban Rules, 22 NYCRR 202.21(b), F93 O For Use of Clerk NOTE OF IS$UE Calendar No. f any) Index No. 033087/2019 o AN ___ County, N.Y. .S_upg THORNSEN MARION FAYO, Deceased, by and thmugh, KATMLEEN FAYO, as the NOTICE FOR TRIAL Admininrator of Estate ofMARTON FAYO X Trialby jury demanded X Of all issues O Of issues specified below O Of attached hereto O Trialwithout jury Filed by attomey for Plaintiff__________ Date summons served 8/5/2019 Date service completed 8/20/2019 Date issue joined 9/27/2019 PlaWS NATURE OF ACTION OR SPECIAL PROCEEDING against X Tort [ ) Motor vehicle negligence ( ) Medical malpractice NORTHERN RIVERV1EW HEALTH [ X ] Other tort CARE CENTER, ItNC. O Contract O Contested matrimonial D Uncontested matrimonial O Tax certiorari . O Condensation [ X 1 Other (not itemized above) specify NLIRSRJS.HQME O This actionisbrought as a classaction Annount demanded $ A..sum.which,ggçgeds.£gjjgj.gdi.cjigagi Other relief j.1gygg.gagris.g]2igh.ke.igy ]j4ose his olerk; partner;pers on having chargeof saidoffice. (b) and saidoffice being otosed,by a true depositing copy of secce, enolosed in a sealed wrapper directedto said attocoey(a), iti the office letterdropor box. Sworn to before on Sworn to before rne on Admission of Service Doo serviceofa note oflesue and certi ca eoÙi ess, of which thewithin is a copy, admitted ...... ................ ............................, ................ ..................,,....................................., Attomey(s) for............. MARYA:MUGGI·- -......... Public,StateofNew York Notary Qualifiedin Ulster County Registration# 0119RJ5038796 Commission ExpiresFebruary 6,_.2 2 of 2