On February 05, 2021 a
Proof of Service
was filed
involving a dispute between
Faxton St. Lukes Healthcare,
and
Timothy Kroth,
for Commercial - Contract
in the District Court of Madison County.
Preview
FILED: MADISON COUNTY CLERK 02/19/2021 03:00 PM INDEX NO. EF2021-1100
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 02/19/2021
AFFIDAVIT OF SERVICE
State of New York County of Madison Supreme Court
Index Number: EF2021-1100
Date Filed: 2/5/2021
Plaintiff:
FAXTON ST. LUKES HEALTHCARE
vs.
Defendant:
TIMOTHY KROTH
For:
OVERTON, RUSSELL, DOERR AND DONOVAN, LLP
19 Halfmoon Executive Park Dr.
Clifton Park, NY 12065
Received these papers to be served on TIMOTHY KROTH,.116 W SANDS ST, ONEIDA, NY 13421.
I,Jeremy Schor, being duly sworn, depüse and say that on the 11th day of February, 2021 at 5:39 pm, I:
served a SUITABLE AGE PERSON by delivering and leaving a true copy of the SUMMONS AND COMPLAINT AND
NOTICE OF COMMENCEMENT OF ACTION SUBJECT TO MANDATORY ELECTRONIC FILING with NICK DYER as
BROTHER IN LAW at 116 W SANDS ST, ONEIDA, NY 13421, the said premises being the respondent's place of Abode
within the State of New York. Deponent completed service by mailing a true copy of the SUMMONS AND COMPLAINT
AND NOTICE OF COMMENCEMENT OF ACTION SUBJECT TO MANDATORY ELECTRONIC FILING in a postpaid
Confidential"
envelope addressed to: 116 W SANDS ST, ONEIDA, NY 13421 and bearing the words "Personal & by First
Class Mail on 2/12/2021 and placed in an officialdepository of the U.S.P.S. in the State of New York.
Said documents were cónforrñêd with index number and date of endorsed
filing thereon.
Military Status: I asked the person spoken tovwhether defendant was inactive military service of the United States or of the
state of New York in any capacity whatever and received a negative reply. The source of my inferrñation and the grounds of
my belief are from the conversations above narrated.
Upon information and belief I averthat the defendâGt isnot inmilitaryservice of New York State or of the United States as
that term isdefined ineither the State or Federal statutes.
Description of Person Served: Age: 42, Sex: M, Race/Skin Color: W, Height: 5'7", Weight: 185, Hair: BROWN, Glasses: N
I certify
that I am over the age of 18, have no interest in the above action.
Jeremy sc1Ãor
Subscribed and Sworn to before me on the 12th day Process Serv
of Febr ary, 2021 by the affiant who ispersonally
known e.
STACY SCHOR
NOTARY
d{ f } PUBLIC-STATE OFNEWYORK
NOTA Y PÙBLI Reg#01SC6413224
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Document Filed Date
February 19, 2021
Case Filing Date
February 05, 2021
Category
Commercial - Contract
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FILED: MADISON COUNTY CLERK 02/19/2021 03:00 PM INDEX NO. EF2021-1100 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 02/19/2021 AFFIDAVIT OF SERVICE State of New York County of Madison Supreme Court Index Number: EF2021-1100 Date Filed: 2/5/2021 Plaintiff: FAXTON ST. LUKES HEALTHCARE vs. Defendant: TIMOTHY KROTH For: OVERTON, RUSSELL, DOERR AND DONOVAN, LLP 19 Halfmoon Executive Park Dr. Clifton Park, NY 12065 Received these papers to be served on TIMOTHY KROTH,.116 W SANDS ST, ONEIDA, NY 13421. I,Jeremy Schor, being duly sworn, depüse and say that on the 11th day of February, 2021 at 5:39 pm, I: served a SUITABLE AGE PERSON by delivering and leaving a true copy of the SUMMONS AND COMPLAINT AND NOTICE OF COMMENCEMENT OF ACTION SUBJECT TO MANDATORY ELECTRONIC FILING with NICK DYER as BROTHER IN LAW at 116 W SANDS ST, ONEIDA, NY 13421, the said premises being the respondent's place of Abode within the State of New York. Deponent completed service by mailing a true copy of the SUMMONS AND COMPLAINT AND NOTICE OF COMMENCEMENT OF ACTION SUBJECT TO MANDATORY ELECTRONIC FILING in a postpaid Confidential" envelope addressed to: 116 W SANDS ST, ONEIDA, NY 13421 and bearing the words "Personal & by First Class Mail on 2/12/2021 and placed in an officialdepository of the U.S.P.S. in the State of New York. Said documents were cónforrñêd with index number and date of endorsed filing thereon. Military Status: I asked the person spoken tovwhether defendant was inactive military service of the United States or of the state of New York in any capacity whatever and received a negative reply. The source of my inferrñation and the grounds of my belief are from the conversations above narrated. Upon information and belief I averthat the defendâGt isnot inmilitaryservice of New York State or of the United States as that term isdefined ineither the State or Federal statutes. Description of Person Served: Age: 42, Sex: M, Race/Skin Color: W, Height: 5'7", Weight: 185, Hair: BROWN, Glasses: N I certify that I am over the age of 18, have no interest in the above action. Jeremy sc1Ãor Subscribed and Sworn to before me on the 12th day Process Serv of Febr ary, 2021 by the affiant who ispersonally known e. STACY SCHOR NOTARY d{ f } PUBLIC-STATE OFNEWYORK NOTA Y PÙBLI Reg#01SC6413224 Copyright© 3 G rver'sToolboxV8,1l My commission Expires 01/25/2025 1 of 1