On July 12, 2020 a
Proof of Service
was filed
involving a dispute between
Ray Jackson,
and
Van Blarcom Closures, Inc.,
for Torts - Other Negligence (Personal Injury)
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 08/18/2020 06:08 AM INDEX NO. 512150/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 08/18/2020
Form 27 - AFFIDAVIT OF SERVICE
P3476520
SUBIN ASSOCIATES, LLP Robert Lake
SUPREME COURT KINGS COUNTY STATE OF NEW YORK
RAY JACKSON index No. 512150/2020
PLAINTIFF Date Filed
- vs - Office No. 31457
VAN BLARCOM CLOSURES, INC Court Date .
DEFENDANT
STATE OF NEW YORK, COUNTY OF NASSAU :SS:
TOBIAS B. STALLWORTH 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 10TH day of AUGUST,
2020 4:09PM at
156 SANFORD STREET
BROOKLYN NY 11205
I served a true copy of the NOTICE OF ELECTRONIC FILING, SUMMONS AND VERIFIED COMPLAINT upon
VAN BLARCOM CLOSURES, INC the DEFENDANT therein named by delivering to, and leaving personally
with JOHN DOE (REFUSED FULL NAME), AUTHORIZED TO ACCEPT a true copy of each thereof.
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: MALE COLOR: WHITE HAIR: BLACK/BALD
APP.AGE: 60 APP. HT: 5'10 APP. WT: 240
OTHER IDENTIFYING FEATURES
Sworn to bofore me this
14T AUGUST, 2020
TOBIAS B. STALL ORTH DCA LIC #1279759
PM Legal, LLC
AN OMP 75 MAIDEN LANE 11TH FLOOR
Nota y Public, State of New York NEW YORK, NY 10038
NO. 01TH6368449 Reference No: 3-SBIN-3476520
Qualified in KINGS COUNTY
Commission Expires 12/11/2021
1 of 2
FILED: KINGS COUNTY CLERK 08/18/2020 06:08 AM INDEX NO. 512150/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 08/18/2020
===========================================================
Index No. 512150/2020
SUPREME COURT KINGS COUNTY STATE OF NEW YORK
=============================================================
RAY JACKSON
PLAINTIFF
- against -
VAN BLARCOM CLOSURES, INC
DEFENDANT
=============================================================
NOTICE OF ELECTRONIC FILING, SUMMONS AND VERIFIED COMPLAINT
=============================================================
SUBIN ASSOCIATES, LLP
150 BROADWAY
23RD FLOOR
NEW YORK , NY 10038
2 of 2
Document Filed Date
August 18, 2020
Case Filing Date
July 12, 2020
Category
Torts - Other Negligence (Personal Injury)
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Preview
FILED: KINGS COUNTY CLERK 08/18/2020 06:08 AM INDEX NO. 512150/2020 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 08/18/2020 Form 27 - AFFIDAVIT OF SERVICE P3476520 SUBIN ASSOCIATES, LLP Robert Lake SUPREME COURT KINGS COUNTY STATE OF NEW YORK RAY JACKSON index No. 512150/2020 PLAINTIFF Date Filed - vs - Office No. 31457 VAN BLARCOM CLOSURES, INC Court Date . DEFENDANT STATE OF NEW YORK, COUNTY OF NASSAU :SS: TOBIAS B. STALLWORTH 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 10TH day of AUGUST, 2020 4:09PM at 156 SANFORD STREET BROOKLYN NY 11205 I served a true copy of the NOTICE OF ELECTRONIC FILING, SUMMONS AND VERIFIED COMPLAINT upon VAN BLARCOM CLOSURES, INC the DEFENDANT therein named by delivering to, and leaving personally with JOHN DOE (REFUSED FULL NAME), AUTHORIZED TO ACCEPT a true copy of each thereof. 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: MALE COLOR: WHITE HAIR: BLACK/BALD APP.AGE: 60 APP. HT: 5'10 APP. WT: 240 OTHER IDENTIFYING FEATURES Sworn to bofore me this 14T AUGUST, 2020 TOBIAS B. STALL ORTH DCA LIC #1279759 PM Legal, LLC AN OMP 75 MAIDEN LANE 11TH FLOOR Nota y Public, State of New York NEW YORK, NY 10038 NO. 01TH6368449 Reference No: 3-SBIN-3476520 Qualified in KINGS COUNTY Commission Expires 12/11/2021 1 of 2 FILED: KINGS COUNTY CLERK 08/18/2020 06:08 AM INDEX NO. 512150/2020 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 08/18/2020 =========================================================== Index No. 512150/2020 SUPREME COURT KINGS COUNTY STATE OF NEW YORK ============================================================= RAY JACKSON PLAINTIFF - against - VAN BLARCOM CLOSURES, INC DEFENDANT ============================================================= NOTICE OF ELECTRONIC FILING, SUMMONS AND VERIFIED COMPLAINT ============================================================= SUBIN ASSOCIATES, LLP 150 BROADWAY 23RD FLOOR NEW YORK , NY 10038 2 of 2