Preview
FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021
Form1- AFFIDAVIT OF SERVICE
P4200028
LAW OFFICE OF RICKY J. LUCYK KENNETH 0.' CONNOR - SAES
SUPREME COURT QUEENS COUNTY STATE OF NEW YORK
GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDOLPH ELLIS 9 021
.PLAINT1FF Date Filed
- vs - Office No. 0621069500101014
ALEXIS RATTRAY, ETANO Court Date.
DEFENDANT
STATE OF NEW YORK, COUNTY OF NASSAU :SS:
BRIAN KLEINBERG being duly sworn, deposes and says; I am over 18 years of age, not a party to
this action, and reside in the State of New York.
of at
.
That on the 04TH day FEBRUARY, 2021 6:30PM
2288 BAYLIS AVENUE
ELMONT NY 11003
I served the SUMMONS AND VERIFIED COMPLAINT
upon ALEXIS RATTRAY
the DEFENDANT therein named by delivering and leaving a true copy or copies of the
aforementioned documents with ALEXIS RATTRAY
said DEFENDANT personally.
Deponent describes the person served as aforesaid to the best of deponent's ability at the time
and circumstances of the service as follows:
SEX: FEMALE COLOR: BLACK HAIR: BLACK
APP.AGE: 25 APP. HT: 5'5 APP. WT: 130
OTHER IDENTIFYING FEATURES
That at the time of service, as aforesaid, I asked the DEFENDANT whether he/she was in the
military service of the United States Government, or of the State
ili ew York, and received a
-
.
negative reply. Recipient wore ordinary civilian clothes and no ry uniform. Upon
information and belief based upon the conversation and observa ion aforesaid I aver that the
DEFENDANT is not in the military service, and is not depende on yone in the military
service of the United States Government or the State of New ork as that term is defined in
statutes of the State of New York, or of the Federal Soldie s id Sailors Civilian Relief Act.
Sworn to re me this
0 H ay EBRUARY, 2021
BRIAN KLEINBERG
PM Legal, LLC
TIFFANY 1 .O _SO 75 MAIDEN LANE 11TH FLOOR
Notary Public, State of New York NEW YORK, NY 10038
NO. 01TH6368449 Reference No: 3-LORJL-4200028
Qualified in KINGS COUNTY
Commission Expires 12/11/2021
1 of 4
FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021
NYSCEF====================================================================
DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021
Index No. 701299/2021
SUPREME COURT QUEENS COUNTY STATE OF NEW YORK
=================================================.===================
GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDOLPH ELLIS
PLAINTIFF
- against -
ALEXIS RATTRAY, ETANO
DEFENDANT
===========================================================-=========
SUMMONS AND VERIFIED COMPLAINT
==============================================±=====================
LAW OFFICE OF RICKY J. LUCYK
2 HUNTINGTON QUADRANGLE
MELVILLE, NY 11747
516 714-7258
2 of 4
FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021
Form1- AFFIDAVIT OF SERVICE
P4200028
LAW OFFICE OF RICKY J. LUCYK KENNETH O'CONNOR - SAES
SUPREME COURT QUEENS COUNTY STATE OF NEW YORK
GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDÓLPH ELLIS 9 021
PLAINTIFF Date Filed
- vs - Office No. 0621069500101014
ALEXIS RATTRAY,' ETANO Court Date.
DEFENDANT
STATE OF NEW YORK, COUNTY OF NASSAU :SS:
BRIAN KLEINBERG being duly sworn, deposes and says; I am over 18 years of age, not a party to
this action, and reside in the State of New York.
That on the 04TH day of FEBRUARY, 2021 6:30PM at
2288 BAYLIS AVENUE
ELMONT NY 11003
I served the SUMMONS AND VERIFIED COMPLAINT
upon ALEXIS RATTRAY
the DEFENDANT therein named by delivering and leaving a true copy or copies of. the
aforementioned documents with ALEXIS RATTRAY
said DEFENDANT personally.
Deponent describes the person served as aforesaid to the best of deponent's ability at the time
and circumstances of the service as follows:
SEX: FEMALE COLOR: BLACK HAIR: BLACK
APP.AGE: 25 APP. HT: 5'5 APP. WT: 130
OTHER IDENTIFYING FEATURES
That at the time of service, as aforesaid, I asked the DEFENDANT w her he/she was in the
military of
negative
information
service
reply.
and
the
Recipient
belief
United
based
wore
States
ordinary
upon the
Government,
civilian
conversation
or
and
of
clothes
the
and
observa
Stat
no .
ion
ilit
of
a
-w
ry
York,
uniform.
aforesaid
and
I
received
Upon
aver that
a
the
DEFENDANT is not in the military service, and is not depende on yone in the military
service of the United States Government or the State of New or as that term is defined in
statutes of the State of New York, or of the Federal Soldi -
and Sailors Civilian Relief Act.
Swo to efore me this
9 da f EBRUARY, 2021 - -
BRIAN KLEINBERG
PM Legal, LLC
TI ,1 S 75 MAIDEN LANE 11TH FLOOR
Notary Public, State of New York NEW YORK, NY 10038
NO. 01TH6368449 Reference No: 3-LORJL-4200028
Qualified in KINGS COUNTY
Commission Expires 12/11/2021
3 of 4
FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021
Form
1- AFFIDAVIT OF SERVICE
P4200028
LAW OFFICE OF RICKY J. LUCYK 'KENNETH O'CONNOR - SAES
SUPREME COURT QUEENS COUNTY STATE OF NEW YORK
GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDOLN ELLIS 021
.
.7
PLAINTIFF Date Filed
- vs - Office No. 0621069500101014
ALEXIS RATTRAY, ETANO Court Date .
DEFENDANT
STATE OF NEW YORK, COUNTY OF NASSAU :SS:
BRIAN KLEINBERG being duly sworn, deposes and says; I am -over 18 years of age, not a party to
this action, and reside in the State .of New York.
That on the 04TH day of FEBRUARY, 2021 6:30PM at
2288 BAYLIS AVENUE
ELMONT NY 11003
I served the SUMMONS AND VERIFIED COMPLAINT
upon ALEXIS RATTRAY
the DEFENDANT therein named by delivering and leaving a true copy or copies of the
aforementioned documents with ALEXIS RATTRAY
said DEFENDANT personally.
Deponent describes the person served as aforesaid to the best of deponent's ability at the time
and circumstances of the service as follows:
SEX: FEMALE COLOR: BLACK HAIR: BLACK
APP.AGE: 25 APP. HT: 5'5 APP. WT: 130
OTHER IDENTIFYING FEATURES
That at the time of service, as aforesaid, I asked the DEFENDANT whether he/she was in the
military service of the United States Government, or of the State of New York, and received a
negative reply. Recipient wore ordinary civilian clothes and "litary uniform. Upon
information and belief based upon the conversation and obse ratio as aforesaid I aver that the
DEFENDANT is not in the military service, and is not depen ent on anyone in the military
service of the United States Government or the State of N w Yor as that term is defined in
statutes of the State of New York, or of the Federal Sol ie and
,
Sailors Civilian Relief Act.
Sworn before me this
0 H d y EBRUARY, 2021
BRIAN KLEINBERG
TIF / SON
PM Legal, LLC
m
75 MAIDEN LANE 11TH FLOOR
Notary Public, State of New York NEW YORK, NY 10038
NO. 01TH6368449 Reference No: 3-LORJL-4200028
Qualified in KINGS COUNTY
Commission Expires 12/11/2021
4 of 4
Preview
FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021 Form1- AFFIDAVIT OF SERVICE P4200028 LAW OFFICE OF RICKY J. LUCYK KENNETH 0.' CONNOR - SAES SUPREME COURT QUEENS COUNTY STATE OF NEW YORK GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDOLPH ELLIS 9 021 .PLAINT1FF Date Filed - vs - Office No. 0621069500101014 ALEXIS RATTRAY, ETANO Court Date. DEFENDANT STATE OF NEW YORK, COUNTY OF NASSAU :SS: BRIAN KLEINBERG being duly sworn, deposes and says; I am over 18 years of age, not a party to this action, and reside in the State of New York. of at . That on the 04TH day FEBRUARY, 2021 6:30PM 2288 BAYLIS AVENUE ELMONT NY 11003 I served the SUMMONS AND VERIFIED COMPLAINT upon ALEXIS RATTRAY the DEFENDANT therein named by delivering and leaving a true copy or copies of the aforementioned documents with ALEXIS RATTRAY said DEFENDANT personally. Deponent describes the person served as aforesaid to the best of deponent's ability at the time and circumstances of the service as follows: SEX: FEMALE COLOR: BLACK HAIR: BLACK APP.AGE: 25 APP. HT: 5'5 APP. WT: 130 OTHER IDENTIFYING FEATURES That at the time of service, as aforesaid, I asked the DEFENDANT whether he/she was in the military service of the United States Government, or of the State ili ew York, and received a - . negative reply. Recipient wore ordinary civilian clothes and no ry uniform. Upon information and belief based upon the conversation and observa ion aforesaid I aver that the DEFENDANT is not in the military service, and is not depende on yone in the military service of the United States Government or the State of New ork as that term is defined in statutes of the State of New York, or of the Federal Soldie s id Sailors Civilian Relief Act. Sworn to re me this 0 H ay EBRUARY, 2021 BRIAN KLEINBERG PM Legal, LLC TIFFANY 1 .O _SO 75 MAIDEN LANE 11TH FLOOR Notary Public, State of New York NEW YORK, NY 10038 NO. 01TH6368449 Reference No: 3-LORJL-4200028 Qualified in KINGS COUNTY Commission Expires 12/11/2021 1 of 4 FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021 NYSCEF==================================================================== DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021 Index No. 701299/2021 SUPREME COURT QUEENS COUNTY STATE OF NEW YORK =================================================.=================== GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDOLPH ELLIS PLAINTIFF - against - ALEXIS RATTRAY, ETANO DEFENDANT ===========================================================-========= SUMMONS AND VERIFIED COMPLAINT ==============================================±===================== LAW OFFICE OF RICKY J. LUCYK 2 HUNTINGTON QUADRANGLE MELVILLE, NY 11747 516 714-7258 2 of 4 FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021 Form1- AFFIDAVIT OF SERVICE P4200028 LAW OFFICE OF RICKY J. LUCYK KENNETH O'CONNOR - SAES SUPREME COURT QUEENS COUNTY STATE OF NEW YORK GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDÓLPH ELLIS 9 021 PLAINTIFF Date Filed - vs - Office No. 0621069500101014 ALEXIS RATTRAY,' ETANO Court Date. DEFENDANT STATE OF NEW YORK, COUNTY OF NASSAU :SS: BRIAN KLEINBERG being duly sworn, deposes and says; I am over 18 years of age, not a party to this action, and reside in the State of New York. That on the 04TH day of FEBRUARY, 2021 6:30PM at 2288 BAYLIS AVENUE ELMONT NY 11003 I served the SUMMONS AND VERIFIED COMPLAINT upon ALEXIS RATTRAY the DEFENDANT therein named by delivering and leaving a true copy or copies of. the aforementioned documents with ALEXIS RATTRAY said DEFENDANT personally. Deponent describes the person served as aforesaid to the best of deponent's ability at the time and circumstances of the service as follows: SEX: FEMALE COLOR: BLACK HAIR: BLACK APP.AGE: 25 APP. HT: 5'5 APP. WT: 130 OTHER IDENTIFYING FEATURES That at the time of service, as aforesaid, I asked the DEFENDANT w her he/she was in the military of negative information service reply. and the Recipient belief United based wore States ordinary upon the Government, civilian conversation or and of clothes the and observa Stat no . ion ilit of a -w ry York, uniform. aforesaid and I received Upon aver that a the DEFENDANT is not in the military service, and is not depende on yone in the military service of the United States Government or the State of New or as that term is defined in statutes of the State of New York, or of the Federal Soldi - and Sailors Civilian Relief Act. Swo to efore me this 9 da f EBRUARY, 2021 - - BRIAN KLEINBERG PM Legal, LLC TI ,1 S 75 MAIDEN LANE 11TH FLOOR Notary Public, State of New York NEW YORK, NY 10038 NO. 01TH6368449 Reference No: 3-LORJL-4200028 Qualified in KINGS COUNTY Commission Expires 12/11/2021 3 of 4 FILED: QUEENS COUNTY CLERK 03/02/2021 12:09 PM INDEX NO. 701299/2021 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 03/02/2021 Form 1- AFFIDAVIT OF SERVICE P4200028 LAW OFFICE OF RICKY J. LUCYK 'KENNETH O'CONNOR - SAES SUPREME COURT QUEENS COUNTY STATE OF NEW YORK GOVERNMENT EMPLOYEES INSURANCE COMPANY A/S/O RANDOLN ELLIS 021 . .7 PLAINTIFF Date Filed - vs - Office No. 0621069500101014 ALEXIS RATTRAY, ETANO Court Date . DEFENDANT STATE OF NEW YORK, COUNTY OF NASSAU :SS: BRIAN KLEINBERG being duly sworn, deposes and says; I am -over 18 years of age, not a party to this action, and reside in the State .of New York. That on the 04TH day of FEBRUARY, 2021 6:30PM at 2288 BAYLIS AVENUE ELMONT NY 11003 I served the SUMMONS AND VERIFIED COMPLAINT upon ALEXIS RATTRAY the DEFENDANT therein named by delivering and leaving a true copy or copies of the aforementioned documents with ALEXIS RATTRAY said DEFENDANT personally. Deponent describes the person served as aforesaid to the best of deponent's ability at the time and circumstances of the service as follows: SEX: FEMALE COLOR: BLACK HAIR: BLACK APP.AGE: 25 APP. HT: 5'5 APP. WT: 130 OTHER IDENTIFYING FEATURES That at the time of service, as aforesaid, I asked the DEFENDANT whether he/she was in the military service of the United States Government, or of the State of New York, and received a negative reply. Recipient wore ordinary civilian clothes and "litary uniform. Upon information and belief based upon the conversation and obse ratio as aforesaid I aver that the DEFENDANT is not in the military service, and is not depen ent on anyone in the military service of the United States Government or the State of N w Yor as that term is defined in statutes of the State of New York, or of the Federal Sol ie and , Sailors Civilian Relief Act. Sworn before me this 0 H d y EBRUARY, 2021 BRIAN KLEINBERG TIF / SON PM Legal, LLC m 75 MAIDEN LANE 11TH FLOOR Notary Public, State of New York NEW YORK, NY 10038 NO. 01TH6368449 Reference No: 3-LORJL-4200028 Qualified in KINGS COUNTY Commission Expires 12/11/2021 4 of 4