Proof of Service: Maidstone Insurance Company v. Iesha Mcbride, Advanced Prime Physical Therapy Of Long Island, P.C., Connetquot Chiropractic, P.C. D/B/A LIGAMENT LAXITY ANALYSIS, Essential Acupuncture, Pc, Edward P. Gousse Lac, Ihome Rehab, Llc, Isurply Llc, Jacqueline Delgadillo Llc, New Horizon Surgical Center Llc, Performance Chiropractic, P.C., S & M Pharmacy, Inc., Southwest Medical Imaging P.C., Surgery Anesthesia Associates, P.C., Walter E. Mendoza Chiropractor, P.C., Wem Diagnostic Chiropractic Services, P.C.
On January 31, 2019 a
Proof of Service
was filed
involving a dispute between
Maidstone Insurance Company,
and
Advanced Prime Physical Therapy Of Long Island, P.C.,
Connetquot Chiropractic, P.C.
D B A Ligament Laxity Analysis,
Edward P. Gousse Lac,
Essential Acupuncture, Pc,
Iesha Mcbride,
Ihome Rehab, Llc,
Isurply Llc,
Jacqueline Delgadillo Llc,
New Horizon Surgical Center Llc,
Performance Chiropractic, P.C.,
S & M Pharmacy, Inc.,
Southwest Medical Imaging P.C.,
Surgery Anesthesia Associates, P.C.,
Walter E. Mendoza Chiropractor, P.C.,
Wem Diagnostic Chiropractic Services, P.C.,
for Commercial - Insurance
in the District Court of Nassau County.
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FILED: NASSAU COUNTY CLERK 02/27/2019 01:25 PM INDEX NO. 601509/2019
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 02/27/2019
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
MAIDSTONE INSURANCE COMPANY,
Plaintiff, Index No.: 601509/2019
Date: 01/31/2019
-against-
AFFIDAVIT OF SERVICE
IESHA MCBRIDE, ET AL.,
Defendants.
State of New York)
SS.:
County of Albany)
Jeffrey Teitel,being duly sworn, deposes and says that deponent isover the age of eighteen years,
is employed by the attorney service, TEITEL SERVICE BUREAU INC., and isnot a party to this
action.
6th
That on the day of February, 2019 atthe office ofthe Secretary of State ofNew York inthe
City ofAlbany he served the annexed Summons, Verified Complaint and Notice of Electronic
Filing on WEM DIAGNOSTIC CHIROPRACTOR SERVICES, P.C. delivering and leaving
with f fe40nde , a clerk in the office of the Secretary of State, ofthe State of
fammtf
New York, personally at the Office of the Secretary of State of the State ofNew York, 2 true
copies thereof and that at the time of making such service, Deponent paid said Secretary of State
a fee of $40.00 Dollars. That said service was pursuant to section 306 of the Business
Corporation Law.
Deponent further statesthat he knew the person so served as foresaid to be a clerk in the Office of
the Secretary of State of New York, duly authorized to accept such service on behalf of said
defendant.
Deponent further statesthat he describes the person actually served as follows:
Sex Skin Color Hair Color A_ge Height Weight
5'-5'5"
__ Male _ White _ Light __ 20-30 _ 5'6"-6'
_ 100-150
Female Black Medium 31-40 v 151-200
6'1"-6'5"
Other Dark v 41-50 200-250
51-60 6'6"+ 250+
___ 61-70
6th
Sworn to before me this day of
February, 2019 Jeffrey Teitel
Hilary Tei 1
Notary Public, State of New York
Qualified in Albany County
No. 01TE5049179
Commission Expires September 1 1,2021
1 of 2
FILED: NASSAU COUNTY CLERK 02/27/2019 01:25 PM INDEX NO. 601509/2019
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 02/27/2019
State of New York - Department of State
Receipt for Service
Receipt #: 201902200315 Cash #: 201902200093
Date of Service: 02/06/2019 . Fee Paid: $40 - DRAWDOWN
Service Company: HF TEITEL SERVICE INC. - HF
BUREAU,
Service was directed to be made pursuant to: SECTION 306 OF THE BUSINESS
CORPORATION LAW
Party Served: WEM DIAGNOSTIC CHIROPRACTIC SERVICES, P.C.
Plaintiff/Petitioner:
MAIDSTONE INSURANCE COMPANY
Service of Process Address:
WEM DIAGNOSTIC CHIROPRACTIC SERVICES, P.
31 GUY LOMBARDO AVENUE
FREEPORT, NY 11520
Secretary of State
By TAMMY ALEXANDER
2 of 2
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FILED: NASSAU COUNTY CLERK 02/27/2019 01:25 PM INDEX NO. 601509/2019 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 02/27/2019 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NASSAU MAIDSTONE INSURANCE COMPANY, Plaintiff, Index No.: 601509/2019 Date: 01/31/2019 -against- AFFIDAVIT OF SERVICE IESHA MCBRIDE, ET AL., Defendants. State of New York) SS.: County of Albany) Jeffrey Teitel,being duly sworn, deposes and says that deponent isover the age of eighteen years, is employed by the attorney service, TEITEL SERVICE BUREAU INC., and isnot a party to this action. 6th That on the day of February, 2019 atthe office ofthe Secretary of State ofNew York inthe City ofAlbany he served the annexed Summons, Verified Complaint and Notice of Electronic Filing on WEM DIAGNOSTIC CHIROPRACTOR SERVICES, P.C. delivering and leaving with f fe40nde , a clerk in the office of the Secretary of State, ofthe State of fammtf New York, personally at the Office of the Secretary of State of the State ofNew York, 2 true copies thereof and that at the time of making such service, Deponent paid said Secretary of State a fee of $40.00 Dollars. That said service was pursuant to section 306 of the Business Corporation Law. Deponent further statesthat he knew the person so served as foresaid to be a clerk in the Office of the Secretary of State of New York, duly authorized to accept such service on behalf of said defendant. Deponent further statesthat he describes the person actually served as follows: Sex Skin Color Hair Color A_ge Height Weight 5'-5'5" __ Male _ White _ Light __ 20-30 _ 5'6"-6' _ 100-150 Female Black Medium 31-40 v 151-200 6'1"-6'5" Other Dark v 41-50 200-250 51-60 6'6"+ 250+ ___ 61-70 6th Sworn to before me this day of February, 2019 Jeffrey Teitel Hilary Tei 1 Notary Public, State of New York Qualified in Albany County No. 01TE5049179 Commission Expires September 1 1,2021 1 of 2 FILED: NASSAU COUNTY CLERK 02/27/2019 01:25 PM INDEX NO. 601509/2019 NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 02/27/2019 State of New York - Department of State Receipt for Service Receipt #: 201902200315 Cash #: 201902200093 Date of Service: 02/06/2019 . Fee Paid: $40 - DRAWDOWN Service Company: HF TEITEL SERVICE INC. - HF BUREAU, Service was directed to be made pursuant to: SECTION 306 OF THE BUSINESS CORPORATION LAW Party Served: WEM DIAGNOSTIC CHIROPRACTIC SERVICES, P.C. Plaintiff/Petitioner: MAIDSTONE INSURANCE COMPANY Service of Process Address: WEM DIAGNOSTIC CHIROPRACTIC SERVICES, P. 31 GUY LOMBARDO AVENUE FREEPORT, NY 11520 Secretary of State By TAMMY ALEXANDER 2 of 2