Proof of Service: Minel Johnson, Ansel Johnson v. Bernard Rimpel, Umesh Mishra, Joseph Dergan, Sarina Cranage, Stacey Martindale, Amer Homsi, David Schaner, The Brooklyn Hospital Center

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                                FILED: KINGS COUNTY CLERK 02/23/2017 09:32 AM                                                                                   INDEX NO. 523101/2016
NYSCEF DOC. NO. 19                                                                                                    RECEIVED NYSCEF: 02/23/2017
    STATE OF NEW YORK COUNTY OF KINGS                                                                                          lndex Number: 16-523101
    SUPREME COURT                                                                                                                 Date Filed: 12-28-2016
        ATTORNEY(S) GURFETN DOUGT-AS LLP                            PH: (212) 406-1600                                                CourUReturn Date:
        1 r PARK PL., STE. 1 100 NEW YORK. Ny r0007
                                                        |


                                                                  Mlnel Johnson and Ansel Johnson                                                PlaintiÍl



                                                                                   vs
                                                                                                                                               Defendanl
          Bernard Rimpel, Umesh Mishra, Joseph Dergan, Sar¡na Cranage, Stacey Martindale, Amer Homs¡, David Schaner and The Brooklyn Hospital
                                                                        Center

      STATE OF NEW YORK, COUNTY OF NASSAU, SS.:                                                                              AFFIDAVIT OF SERVICE
     Kevin Miller         ,being sworn says:
     -Dte-þõ?iéñ-fis not a party herein is over the age of 18 years
                                                                          and res¡des in the State of New York.
      On Februarv 17. 2017, at 6:00 PM at 117 W. Farm Dr.. Melville. NY 11747, Deponent served the within Summons and Verified Compla¡nt
      Notice of Commencement of Action Subject to Mandatory Electronic Fíling



    The index number and the filing date of the action were endorsed upon the face of the papers so served herein

    On: Bernard Rimpel,    ælÞ!!lq!   therein named, ( hereinafter refened to as "subject").


    E #l INDTVTDUAL
          By delivering a true copy of each to said subject personally; Deponent knew the person so served to be the person described in as said
          subject therein.
    E     *z e¡¡rrry/coRpoRATroN/LLc/LLp
          By delivering to and leaving with said individual to be who speclf¡cally stated he/she was authorized to accept  serv¡ce on behalf of the
    ,-
    U     Corporation/Government Agency/Entity.
          #3 SUITABLE AGE PERSON
          By delivering lhereat a true copy of each to 0 a person of suitable age and discretion. Said premises is subject s:[] actual place of
          business / employment I dwelling house (usual place of abode) within the stâte.

    EI    #4 AFFIXING TO DOOR
          By afixing a true copy of each to the door of said premises which is subjects [ ] actual place of business / employment [ ] dwelling
          house (usual place of abode) within the state. Deponent was unable with due diligence to find subject or person of suitable age and
          discretion thereat having called thereat on

          Address cont¡rmation:
    E     #5 MATLING
          On , service was completed by mailing a true copy of above document(s) to the above address in a 1st Class postpaid properly
          addressed envelope marked "Personal and Confidential" in an official depository under the exclusive care and custody of the
          United States Post Office in the State of New York.


    I     #6 DESCRIPTION
          Sex   Male    Color of skin: Black Color of hair: Black                       Age: 54
          Height 5ft9in-6ft0in Weight '161-200 Lbs. Other Features:
    E     *z wlrruess    FEES
          The authorized witness fee and / or traveling expenses were paid (tendered) to the recipient in the amount of $
    8l    #8 MILITARY SERVICE
          Deponent asked person spoken to whether the person to be served is currently active in the military service of the Un¡ted States or of
          the State of New York, and was informed that said person is not.
    E *gorxen


                                                                                                                              , Please Sign
                                                            Client's File No.:                                      Miller
          ÂRY PtJllLlC SIATE OF Nerv York
   0l R0m55503. Qualified in Nassau County
                                                                                                             Lic#
   (bnunission [i.xpires Fcbruary 26. 2019                                                                   Job #: 703714


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