On March 29, 2016 a
Proof of Service
was filed
involving a dispute between
Francisco Guerrero Toro,
Melina Hernandez-Rodriguez,
and
Careride Paratransit Llc,
Carlos A Medina,
for Torts - Motor Vehicle
in the District Court of New York County.
Preview
FILED: NEW YORK COUNTY CLERK 11/29/2022 04:07 PM INDEX NO. 152654/2016
NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/29/2022
Form 27 - AFFIDAVIT OF SERVICE
P7587553
ROYTBLAT LAW GROUP, PLLC Barbara Rosario
SUPREME COURT NEW YORK COUNTY STATE OF NEW YORK
FRANCISCO GUERRERO TORO AND MELINA HERNANDEZ-RODRIGUEZ Index No. 152654/2016
PLAINTIFF Date Filed
- vs - Office No.
CARLOS A. MEDINA, ETAL Court Date. 12/01/2022
DEFENDANT
STATE OF NEW YORK, COUNTY OF NEW YORK :SS:
WARREN BOZARTH 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 Jersey. That on the 17TH day of NOVEMBER, 2022
4:55PM at
4604 31ST AVENUE
ASTORIA NY 11103
I served a true copy of the AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA,
JUDICIAL SUBPOENA DUCES TECUM upon NEW YORK SURGERY CENTER the WITNESS therein named by
delivering to, and leaving personally with Sandra Behr, MANAGER, who provided verbal
confirmation that he or she is authorized to accept by appointment or law to receive service on
behalf of the WITNESS. At the same time a fee of $15.00 was paid.
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: WHITE HAIR: BLONDE
APP.AGE: 40 APP. HT: 5'2 APP. WT: 175
OTHER IDENTIFYING FEATURES
Sworn to before me this
21ST day of NOVEMB 2022
WARREN BOZARTH DCA LIC #0775869
Lexitas
SELENA INES ADAMES 1235 BROADWAY 2ND FLOOR
Notary Public, State of New York NEW YORK, NY 10001
No. 01AD6365042 Reference No: 2-ROYB-7587553
Qualified in QUEENS COUNTY
Commission Expires 09/25/2025
1 of 1
Document Filed Date
November 29, 2022
Case Filing Date
March 29, 2016
Category
Torts - Motor Vehicle
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FILED: NEW YORK COUNTY CLERK 11/29/2022 04:07 PM INDEX NO. 152654/2016 NYSCEF DOC. NO. 103 RECEIVED NYSCEF: 11/29/2022 Form 27 - AFFIDAVIT OF SERVICE P7587553 ROYTBLAT LAW GROUP, PLLC Barbara Rosario SUPREME COURT NEW YORK COUNTY STATE OF NEW YORK FRANCISCO GUERRERO TORO AND MELINA HERNANDEZ-RODRIGUEZ Index No. 152654/2016 PLAINTIFF Date Filed - vs - Office No. CARLOS A. MEDINA, ETAL Court Date. 12/01/2022 DEFENDANT STATE OF NEW YORK, COUNTY OF NEW YORK :SS: WARREN BOZARTH 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 Jersey. That on the 17TH day of NOVEMBER, 2022 4:55PM at 4604 31ST AVENUE ASTORIA NY 11103 I served a true copy of the AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA, JUDICIAL SUBPOENA DUCES TECUM upon NEW YORK SURGERY CENTER the WITNESS therein named by delivering to, and leaving personally with Sandra Behr, MANAGER, who provided verbal confirmation that he or she is authorized to accept by appointment or law to receive service on behalf of the WITNESS. At the same time a fee of $15.00 was paid. 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: WHITE HAIR: BLONDE APP.AGE: 40 APP. HT: 5'2 APP. WT: 175 OTHER IDENTIFYING FEATURES Sworn to before me this 21ST day of NOVEMB 2022 WARREN BOZARTH DCA LIC #0775869 Lexitas SELENA INES ADAMES 1235 BROADWAY 2ND FLOOR Notary Public, State of New York NEW YORK, NY 10001 No. 01AD6365042 Reference No: 2-ROYB-7587553 Qualified in QUEENS COUNTY Commission Expires 09/25/2025 1 of 1