On February 19, 2019 a
Proof of Service
was filed
involving a dispute between
Queenie Vieux,
and
Costco Wholesale Corporation,
for Torts - Other Negligence (PERSONAL INJURY)
in the District Court of Suffolk County.
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FILED: SUFFOLK COUNTY CLERK 03/01/2019 10:43 AM INDEX NO. 603357/2019
SUPREMEDOC.
NYSCEF COURT
NO. 7OF THE STATE OF NEW YORK Attorney: HARMON,
RECEIVED LINDER &
NYSCEF: 03/01/2019
ROGOWSKY, ESQS. - 5
COUNTY OF SUFFOLK
Q UEENIE VIEUX Index #: 603357/2019
Plaintiff(s)
Purchased: February 19, 2019
-against-
Date Filed:
COSTCO WHOLESALE CORPORATION
AFFIDAVIT OF SERVICE
Defendant(s)
STATE OF NEW YORK: COUNTY OF NEW YORK ss:
DAVID KLEINBERG BElNG DULY SWORN DEPOSES AND SAYS DEPONENT IS NOT
A PARTY TO THIS ACTION, OVER THE AGE OF EIGHTEEN YEARS AND RESIDES
IN THE STATE OF NEW YORK.
That on February 26, 2019 at 02:38 PM at
625 BROAD HOLLOW ROAD
MELVILLE, NY11747
deponent served the withintrue copy ofthe SUMMONS & VERIFIED COMPLAINT &
NOTICE OF ELECTRONIC FILING on COSTCO WHOLESALE CORPORATION, the
defendant/respondent therein named,
CORPORATION by deliver|ñgthereat a truecopy ofeach toSAL RODRIGUEZ pGiscaâ:;y, deponent knew said carparãtion so
served to be the corporation described in saidSUMMONS & VERIFIED COMPLAINT & NOTICE OF
ELECTRONIC FILING as said defêrdant'rêspondent and knew said individualtobe THE MANAGING-AGENT
thereof.
DepaG66t furtherstatesthathe desudbes the person actually served as follows:
Sex Skin Color Hair Color Age (Approx.) Height (Approx.) Weight (Approx)
MALE WHITE BLACK 45 5'8 160
The Summons Served had endorsed thereon the Index number and date of filing.
Sworn to me on: February 27, 2019
Linda Forman Robin Forman Gotham ProcessInc.
Notary State
Public, of New York Notary State
Public, of New York 299 Broadway DAVID KL BERG
No. 01FO5031305 No. 01FO6125415 New York NY 10007
Qualifiedin New YorkCounty Qualifiedin New YorkCounty
Commission ExpiresAugust 1, 2022 Cc missicñ ExpiresApril
18, *1108397*
1 of 1 Docket #:
Document Filed Date
March 01, 2019
Case Filing Date
February 19, 2019
Category
Torts - Other Negligence (PERSONAL INJURY)
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FILED: SUFFOLK COUNTY CLERK 03/01/2019 10:43 AM INDEX NO. 603357/2019 SUPREMEDOC. NYSCEF COURT NO. 7OF THE STATE OF NEW YORK Attorney: HARMON, RECEIVED LINDER & NYSCEF: 03/01/2019 ROGOWSKY, ESQS. - 5 COUNTY OF SUFFOLK Q UEENIE VIEUX Index #: 603357/2019 Plaintiff(s) Purchased: February 19, 2019 -against- Date Filed: COSTCO WHOLESALE CORPORATION AFFIDAVIT OF SERVICE Defendant(s) STATE OF NEW YORK: COUNTY OF NEW YORK ss: DAVID KLEINBERG BElNG DULY SWORN DEPOSES AND SAYS DEPONENT IS NOT A PARTY TO THIS ACTION, OVER THE AGE OF EIGHTEEN YEARS AND RESIDES IN THE STATE OF NEW YORK. That on February 26, 2019 at 02:38 PM at 625 BROAD HOLLOW ROAD MELVILLE, NY11747 deponent served the withintrue copy ofthe SUMMONS & VERIFIED COMPLAINT & NOTICE OF ELECTRONIC FILING on COSTCO WHOLESALE CORPORATION, the defendant/respondent therein named, CORPORATION by deliver|ñgthereat a truecopy ofeach toSAL RODRIGUEZ pGiscaâ:;y, deponent knew said carparãtion so served to be the corporation described in saidSUMMONS & VERIFIED COMPLAINT & NOTICE OF ELECTRONIC FILING as said defêrdant'rêspondent and knew said individualtobe THE MANAGING-AGENT thereof. DepaG66t furtherstatesthathe desudbes the person actually served as follows: Sex Skin Color Hair Color Age (Approx.) Height (Approx.) Weight (Approx) MALE WHITE BLACK 45 5'8 160 The Summons Served had endorsed thereon the Index number and date of filing. Sworn to me on: February 27, 2019 Linda Forman Robin Forman Gotham ProcessInc. Notary State Public, of New York Notary State Public, of New York 299 Broadway DAVID KL BERG No. 01FO5031305 No. 01FO6125415 New York NY 10007 Qualifiedin New YorkCounty Qualifiedin New YorkCounty Commission ExpiresAugust 1, 2022 Cc missicñ ExpiresApril 18, *1108397* 1 of 1 Docket #: