On November 18, 2022 a
Proof of Service
was filed
involving a dispute between
Kyle Bly,
and
New York State Office Of Temporary And Disability Assistance,
for Special Proceedings - CPLR Article 78
in the District Court of Albany County.
Preview
FILED: ALBANY COUNTY CLERK 11/30/2022 04:53 PM INDEX NO. 908684-22
NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 11/30/2022
STATE OF NEW YORK
SUPREME COURT COUNTY OF ALBANY
KYLE BLY, AFFIDAVIT OF SERVICE
Petitioner, Index No: 908684-22
v.
NEW YORK STATE OFFICE OF TEMPORARY AND
DISABILITY ASSISTANCE,
Respondent,
STATE OF NEW YORK )
) SS.:
COUNTY OF ALBANY )
ROBERT WERTHER, being duly sworn, deposes and says:
Iam over 18 years of age and am not a party to this action. On November 22, 2022 at
10:22 a.m. Iserved a true copy of a Verified Petition, Notice of Petition, Affidavit of Kyle Bly with
Exhibits A--F, Affirmation of Ryan P. Keleher with Exhibit A, Request for Judicial Intervention
and Notice of Electronic Filing upon New York State Office of Temporary and Disability
Assistance, 40 North Pearl Street, Albany, New York 12243, by delivering a true and exact copy
to Douglas Goglia. The person so served is described as follows:
X Male o Black Hair 14-20 yrs. o Under 5'
o Female o Brown Hair 21-35 yrs. 50" -53°
X White Skin o Blonde Hair o 36-50 yrs. 54-58"
o Black Skin o Dark/Grey Hair X 51-65 yrs. 5'9" -60"
o Yellow Skin o Red Hair o Over 65 yrs. X Over 6'
o Brown Skin o White Hair
o Red Skin X Balding o Under 100 lbs. o 100-130 lbs.
X Glasses o 131-160Ibs. X 161- 200 lbs.
o Over 200 lbs.
Robert Werther
Sworn to before me this
30th day of November, 2022.
Cc
Notary Public CASS DRA A. BRADY
Notary P lie, State of New York
No.01BR6259502
0ualified in Schenectady County J
Commission Expires April 30, 20l
15135402.1 11/30/2022
1 of 1
Document Filed Date
November 30, 2022
Case Filing Date
November 18, 2022
Category
Special Proceedings - CPLR Article 78
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FILED: ALBANY COUNTY CLERK 11/30/2022 04:53 PM INDEX NO. 908684-22 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 11/30/2022 STATE OF NEW YORK SUPREME COURT COUNTY OF ALBANY KYLE BLY, AFFIDAVIT OF SERVICE Petitioner, Index No: 908684-22 v. NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE, Respondent, STATE OF NEW YORK ) ) SS.: COUNTY OF ALBANY ) ROBERT WERTHER, being duly sworn, deposes and says: Iam over 18 years of age and am not a party to this action. On November 22, 2022 at 10:22 a.m. Iserved a true copy of a Verified Petition, Notice of Petition, Affidavit of Kyle Bly with Exhibits A--F, Affirmation of Ryan P. Keleher with Exhibit A, Request for Judicial Intervention and Notice of Electronic Filing upon New York State Office of Temporary and Disability Assistance, 40 North Pearl Street, Albany, New York 12243, by delivering a true and exact copy to Douglas Goglia. The person so served is described as follows: X Male o Black Hair 14-20 yrs. o Under 5' o Female o Brown Hair 21-35 yrs. 50" -53° X White Skin o Blonde Hair o 36-50 yrs. 54-58" o Black Skin o Dark/Grey Hair X 51-65 yrs. 5'9" -60" o Yellow Skin o Red Hair o Over 65 yrs. X Over 6' o Brown Skin o White Hair o Red Skin X Balding o Under 100 lbs. o 100-130 lbs. X Glasses o 131-160Ibs. X 161- 200 lbs. o Over 200 lbs. Robert Werther Sworn to before me this 30th day of November, 2022. Cc Notary Public CASS DRA A. BRADY Notary P lie, State of New York No.01BR6259502 0ualified in Schenectady County J Commission Expires April 30, 20l 15135402.1 11/30/2022 1 of 1