On August 23, 2016 a
Exhibit,Appendix
was filed
involving a dispute between
Phadia Jean,
Vladimir Jean,
and
Orangetown Police Department,
Orangetown Police Officer,
Orangetown Town Of,
for Torts - Other (Abuse of Process)
in the District Court of Rockland County.
Preview
FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016
NYSCEF DOC. NO. 116 RECEIVED NYSCEF: 12/17/2021
EXHIBIT H
FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016
NYSCEF DOC. ¬ NO.
B 1 116
5 1 -Affidavit
of Service or Subpoena:
ofSummons RECEIVED ® isea
NYSCEF: 12/17/2021
myJULIUSBLUIABERG.INC.
Personal Methods:
or Ahernative Corp.or ind.: NYC10013
PUBl..ISHER.
Senice.
Military 12-88
9t0-f6 C COURT
COUNTY OF '\\g c.kAcq d
Index No. o33 45b 0
Plainnff(s) AFFIDAVIT OF
against SERVICE OF SUMMONS
(AND COMPLAINT)
Defendam(s)
STATE DF NEW YORK. COUNTY OF \¾ oc..k\co b SS: The undersigned.
being dulysworn,deposes and says; deponent
is not a party W Q.M
18 years of age and resides at
is over
herein, C
That on $ 6 at 1 P M., at Q.fo W CP
(4- oco eA0- w A
deponent served the within ne and complaim on 50to3 o defendanttherein
named,
INoMDUAA. by deliveringa rue copy ofeach to saidd ant pe onally;deponent knew the rson so servedto be theperson describedas said
i. defendanttherein.
coRPoHATION a Corporation, thereat
by delivering a true copy of each to
C. ((L
2. personally±p-. : knew said carpGratiGñ so served to be the corporation
described in said sumrnons
as said defendant
and knewsaidindividual
to be thereof.
SUtrABLE
AGEPERSoN thereat a true copy of each to
by delivering a person of suitable
s. Said premises is defendenis-actual
age and discretion. business-
place of dwd!h"g place of abode-within
place---usual the state.
TO
AFFlXING
DooR.ETC. a true copy of each to the door
by affixing of said premises,
which place of business-dwelling
is defendant's-actual place-usualplace of abode
4. -within due diligence
the state. Deponent was unable. with to finddefendantoraperson of suitable
age and discrctica
thereat, having called there
MA1UNGTO
RESIDENcE
Within20days ofsuchdelivery oraffixing.+nanmenclosed a copy
of same in a postpaid envelope property
addressed to defendant at defendant's
USEW1rH3 OR4 last knownresidence. at
s4. and p^A-1 said envelope in an official
deposito-yunder care and custody of
the exclusive the U.S.
PostalService within
New York State.
MAlUNGTO Within deponent
20 days of such delivery or affixing, of same in a first class postpaid
enclosed a copy envelope addressed to defendant at
properly
ausluEss
UsEWITH3 OR4 defendant's
actualplace of business. at
se. in an officiat
d pG.±aryunder the exclusive
care and custodyof theU.S.Postal New
Service within York State.The envelope bore the legend
"Personaland CenF.dential"and didnot an the outside
indicate thereof.byreturnaddressor that
otherwise. the""ma"hien was froman
attornevor concerned against the defendant.
an action
5'
DEscRIPT1oN Male White Skin O Black Hair O White Hair O 14-20 Yrs. O Under O Under 100 Lbs.
USEW1 5'O"-5'3"
i. L Female O Stack Skin O Brown Hair O Balding 21-35 Yrs. O O 00-130 Lbs.
5'4"-5'8"
O Yellow Skin O Ionde.Hair O Mustache 36-50 Yrs. O 131-160 Lbs.
S-9"-6'D" '
Brown Skin Gray Hair O Beard O 51-65 Yrs. O O 161-200 Lbs.
6'
O Red Skin O Red Hair Glasses O Over 65 Yes. O Over O Over 200 Lbs.
Other features:
identifying
USEIN
NYCC1VLCT,
The language required
by NYC RR 2900.2fe). & (h)
(f) was set forth
on the face
of said summonsfes).
MlUTARY I asked the person spoken
to whether defendant
was in active service of the United
military Statesor of the State of New
York in any capacity
SENCE whateverand received a negative reply. Defendant
wore ordinary
ciWlianclothes and no milhary
uniform.The source of my information
and the
grounds are the conversations
of my belief and observations
above narrated.
Upon informationand belief [ aver that
the recipient
is not in military
service of New York
State or of the United
States as that term is defined in
eitherthe State or in the Federal statutes.
CINDY RIVEPA
Noterv FE K sm ci New York
Sworn to before me on C ni.y..
S . ...._......._.....................................-...........__........_....__......
-(hy (2 C r
. License No. ...........
.....................
INSTRUCTIONS: Check apprGpdate boxes an fillin b nks, Delete inappropriate italicized 1âñguage and military service
allegation ifnot applicable.
FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016
NYSCEF DOC. NO.
B 1 5116
1-AMdavit orserviceof Summons
or Subpoena: RECEIVED 8 ineaBYJULlUSBLUMBE3Wi.
NYSCEF: 12/17/2021
ANC.
Personal Corp.or Ind.•
Methnds:
or Alternative PUslUSHER,NYC1Qo13
MuharyService,12-88
S u pr (Lm £_. COU RT
COUNTY OF Oc..\(AcqcÒ
Index 033 45b 20
c No.
Plaintiff(s) AFFIDA VIT OF
against SERVICEOFSUMMONS
(A ND COMPLAINT)
Defendant(s)
STATE OF NEW YORK. COUNTY OF \¾ odL\cA.6 b SS: The und-rsigned. sworn,
being duly deposes and says: deponent
is not a party
herein, 18 years of age and resides at
is over Q 9.M C5
T
M
That on bef 6 $\6 at P M.. at1(o
deponent served the within
-.--vu. and complaint
on O drO defendanttherein
named,
INEluV L by a 'frue
delivering copy ofeach to saidde en an pe dep====:
onally: knew the rson so servedto be theperson describedas said
i. defendanttherein.
coRPoRATIoN a therent
COrpOration. by delivering a true copy
of each to
z. depenent
personally. knew saidcorparaucñso servedtobethecorporationdescribedin said U.==en:
as said defendant
and knewsnidindM,d=!
tobe .themof.
AE r thereat a true copy of each to
by delivering a person of suitable
busi--
place of dMe-
a. Said premises is defendant's-actual
age and discretion. g.place-usualplace of abode-withinthe state.
TD
AFFIXING
DOoR.E'rC, a true COpy ofearh
by affixing to the door
of said premises.
which place of basinee±-dwelling
is defendant's-actual place-assa:place of abode
4. -within was unable, with
the state. Dep::==t to find
due diligence ru.r.ndedor a person of suitable
age a_nddiscretion having called there
thereat,
Within20 days ofsuch
delivery oraffixing.dep^ne••t
enclosed acopyof same in a postpaid envelope properly
addressed to defendent at defendan's
USEWITH2oR4 last knownresidence. at
sa. and depositedsaid envelope in an official under
depository care and custody of the U.S.
the exclusive PostalService within
New York State.
MAIUNGTo Within 20 days of such delivery deponem
or affixing, of same in a first class postpaid
enclosed a copy envelopeproperlyaddressed to A'-h" at
eUSINESS
usEwrrH30R4 actual
defendant's place of business. at
ss.Û in an official under the exclusive
depository care and custodyof theU.S. New
Postal Service within York State.The envelope bore the legend
Confidential"
"Personaland and didnot on the outside
indicate thereof.by return
address or that
otherwise. the ca-=a" An was from an
attorneyor concernedan action
against the defendant.
5'
oEsCRIPTION Male White Skin O Black Hair O White Hair O 14-20 Yrs. O Under O Under 100 Lbs.
uSEWrrH 5'0"-5'3"
1.1 ra Female Black Skin O Brown Hair O Balding O 21-35 Yrs. O O 00-130 Lbs.
5'4"-5'8"
YellowSkin 1onde.Hair O M ustache 36-50 Yrs. O 131-160 Lbs.
5'9"-6t" '
Brown Skin Gray Hair Beard 5 I-65 Yrs. O O t61-200 Lbs.
6'
O Red Skin Red Hair O Glasses O Over 65 Y es. O Over O Over 200 Lbs.
features:
Other.identifying
usEIN
NYCCIWLCT.
The language required
by N YCRR 19002te).(f)& (h) was set forth
on the face
of said summons(es).
muary I askedthe person spoken
to whether defendant
was in active service of the United
rnilitary Statesor ofthe State of New
York in any capacity
sERVICE whateverand received a negative reply.
Defendant wore ordinary clothes and no miltrary
umform. The source of my ½fa-Mian and the
civilian
groundsof my belief are the conversations
and observationsabove narrated.
Upon lara ~¬ and belief I aver that
the recipient
is not in military
service of New York
State or of the United
States as that term is defined in
the State or in the Federal statutes.
either
Cl NDY RNEP A
I ub of w York
Sworn to before me on Notary
nebene snan e
4Ç Se ½ O 8 Ou u G unty
ss on L 20
C ap Jaiy
License No..........................
....
INSTRUCTIONS: Check approp boxes and fil in blanks. Delete inappropriate italicized language and service
military
allegation ifnot applicable.
FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016
NYSCEF DOC. NO.
B 15116 or Subpoena:
orServiceor Smamous
t -Affidavk RECEIVED NYSCEF:
e imme 12/17/2021
ev JUMUSeLUMBERG. INC.
or Ahernative
Personal MethodsCorp.or Ind.: PUaLISHER.NYC10013
MilitaryService.
1248
9T d- COURT
COUNTY OF Oc.k\cen.q\
‰htem o33 45b
Index No. ho\b
ced Vl--cuhr 3 eA.A
Plaintiff(s) AFFIDAVIT OF
against SERVICE OF SUMMONS
(AND COMPLAINT)
TO vath wÇ- O R.ko
Defendant(s
8TATE OF NEW YORK. CDIlNTY OF oc..k\c SS: The undersigned.
being dulysworn, deposes and says; deponent
is not a party
herein, 4,) e.W
18 years of age and resides at
is over C
Oc bor
That on LC fØ$16 at 2. M.. at I o
Wf
P
deponent served the within
summons and complainton PDhcf- O
+ 6 6 e -
%rd defendanttherein
named,
a (rue each tosaid nt peronally- deponent knew the rson so servedto be theperson describedas said
INomou by delivering copy qf
defendanttherein,
conPoRATION a corporation. thereat
by delivering a true copy of each to
a. d
Personally,
- :::::knew soserved
said corporation to be the corporation em-
described in said as said dcfcñdâñt
and knewsaidindE:idud
to be .themof.
AGE N by delivering a true copy of each to
thereat a person of suitable
Said premises is de'cedant's-actual
age and discretion. place of business-dwelling-place-usual
place of abode-within
the state.
AmXINGTO
coon. Ex. a true copy of each to the door
by affixing of said premises, which
is defendant's-actual place-usual
place of business-dwelling place of abode
4.¤ -within was unable. with due diligence
the state. Deponent to find
def::d:::ora age and discretion
person of suitable havingcalled
thercat, there
.
u Within20 days of such delivery or affixing.deponentenclosed
acopy of same in a postpaid envelope properly
addressed::
d:f: dent at defendant's
usewrru a on 4
last knownresidence, at
sA, and depositedsaid envelope in an official under
depository the exclusive
care and custody of
the U.S.PostalService within
New York State.
MaiUNGTo Within 20 days of such delivery depenem
or affixing, enclosed a copy envelope
of same in a first class postpaid edd--::-'
todefendantat
properly
auslNEas
uss wrrn a on4
defendhnt's
actualplace of business. at
so. in an official
depository care and custody
under the exclusive ofthe New
U .S. Postai Service withinYork State.The envelope bore the legend
CGñfider.tial"
"Personaland and did on the outside
not indicate thereof.byreturvi
addressor that
otherwise. the was frorn an
cGaiiimnication
attorneyor concerned against the defendant.
an action
5'
DESCMPTIoN Male White Skin ¤ Black Hair O White Hair O I4-20 Yrs. O Under O Under 100 Lbs.
ust 5'O"-5'3"
i. 2.3 O Female O Black Skin O Brown Hair O Balding ¤ 2t-35Yrs. O O 00-i30Lbs
5'4"-5'8"
O Yellow Skin lande.Hair O Mustache 36-50 Yrs. O 131-l60 Lbs.
SS"-6'0"
Brown Skin Gray Hair O Beard 51-65 Yrs. 16I-200 Lbs.
6'
O Red Skin O Red Hair O Glasses O Over 65 Yrs. O Over O Over 200 Lbs.
features:
Other.identifying
usEIN
NYcciVL cT.
The languagerequiredby IV YCRR 1900.2(e). (f)
& (h) was set forth
on the face
of said am:m::::(n).
I asked the person
spokento whether defendant
was in active service of the United
military States orof the State of New
York in any capacity
stRWcE whatever and received a negative reply.
Defendant wore ordinary
civilian uniform.
clothes and no miltrary The source of my information
and the
grounds of my belief are the cemrcarions
and observations
above narrated.
Upon infe-s&n the recipient
and belief I aver that is not in military
service of New York
State or of the United
States as that term is defined
in
either ClN
the State or in the Federal statutes. Dy m'ÆP A
w York
Notary Pa
WS
Sworn to before me on n --- - -- - - · -·-···----
OS 4C•Y4 Co DGQ
License No..-..................._..........
INSTRUCTIONS: Check appropriate boxes and fillin blanks. elete inappropriate italicized language and service
military
allegation ifnot applicable.
Document Filed Date
December 17, 2021
Case Filing Date
August 23, 2016
Category
Torts - Other (Abuse of Process)
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016 NYSCEF DOC. NO. 116 RECEIVED NYSCEF: 12/17/2021 EXHIBIT H FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016 NYSCEF DOC. ¬ NO. B 1 116 5 1 -Affidavit of Service or Subpoena: ofSummons RECEIVED ® isea NYSCEF: 12/17/2021 myJULIUSBLUIABERG.INC. Personal Methods: or Ahernative Corp.or ind.: NYC10013 PUBl..ISHER. Senice. Military 12-88 9t0-f6 C COURT COUNTY OF '\\g c.kAcq d Index No. o33 45b 0 Plainnff(s) AFFIDAVIT OF against SERVICE OF SUMMONS (AND COMPLAINT) Defendam(s) STATE DF NEW YORK. COUNTY OF \¾ oc..k\co b SS: The undersigned. being dulysworn,deposes and says; deponent is not a party W Q.M 18 years of age and resides at is over herein, C That on $ 6 at 1 P M., at Q.fo W CP (4- oco eA0- w A deponent served the within ne and complaim on 50to3 o defendanttherein named, INoMDUAA. by deliveringa rue copy ofeach to saidd ant pe onally;deponent knew the rson so servedto be theperson describedas said i. defendanttherein. coRPoHATION a Corporation, thereat by delivering a true copy of each to C. ((L 2. personally±p-. : knew said carpGratiGñ so served to be the corporation described in said sumrnons as said defendant and knewsaidindividual to be thereof. SUtrABLE AGEPERSoN thereat a true copy of each to by delivering a person of suitable s. Said premises is defendenis-actual age and discretion. business- place of dwd!h"g place of abode-within place---usual the state. TO AFFlXING DooR.ETC. a true copy of each to the door by affixing of said premises, which place of business-dwelling is defendant's-actual place-usualplace of abode 4. -within due diligence the state. Deponent was unable. with to finddefendantoraperson of suitable age and discrctica thereat, having called there MA1UNGTO RESIDENcE Within20days ofsuchdelivery oraffixing.+nanmenclosed a copy of same in a postpaid envelope property addressed to defendant at defendant's USEW1rH3 OR4 last knownresidence. at s4. and p^A-1 said envelope in an official deposito-yunder care and custody of the exclusive the U.S. PostalService within New York State. MAlUNGTO Within deponent 20 days of such delivery or affixing, of same in a first class postpaid enclosed a copy envelope addressed to defendant at properly ausluEss UsEWITH3 OR4 defendant's actualplace of business. at se. in an officiat d pG.±aryunder the exclusive care and custodyof theU.S.Postal New Service within York State.The envelope bore the legend "Personaland CenF.dential"and didnot an the outside indicate thereof.byreturnaddressor that otherwise. the""ma"hien was froman attornevor concerned against the defendant. an action 5' DEscRIPT1oN Male White Skin O Black Hair O White Hair O 14-20 Yrs. O Under O Under 100 Lbs. USEW1 5'O"-5'3" i. L Female O Stack Skin O Brown Hair O Balding 21-35 Yrs. O O 00-130 Lbs. 5'4"-5'8" O Yellow Skin O Ionde.Hair O Mustache 36-50 Yrs. O 131-160 Lbs. S-9"-6'D" ' Brown Skin Gray Hair O Beard O 51-65 Yrs. O O 161-200 Lbs. 6' O Red Skin O Red Hair Glasses O Over 65 Yes. O Over O Over 200 Lbs. Other features: identifying USEIN NYCC1VLCT, The language required by NYC RR 2900.2fe). & (h) (f) was set forth on the face of said summonsfes). MlUTARY I asked the person spoken to whether defendant was in active service of the United military Statesor of the State of New York in any capacity SENCE whateverand received a negative reply. Defendant wore ordinary ciWlianclothes and no milhary uniform.The source of my information and the grounds are the conversations of my belief and observations above narrated. Upon informationand belief [ aver that the recipient is not in military service of New York State or of the United States as that term is defined in eitherthe State or in the Federal statutes. CINDY RIVEPA Noterv FE K sm ci New York Sworn to before me on C ni.y.. S . ...._......._.....................................-...........__........_....__...... -(hy (2 C r . License No. ........... ..................... INSTRUCTIONS: Check apprGpdate boxes an fillin b nks, Delete inappropriate italicized 1âñguage and military service allegation ifnot applicable. FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016 NYSCEF DOC. NO. B 1 5116 1-AMdavit orserviceof Summons or Subpoena: RECEIVED 8 ineaBYJULlUSBLUMBE3Wi. NYSCEF: 12/17/2021 ANC. Personal Corp.or Ind.• Methnds: or Alternative PUslUSHER,NYC1Qo13 MuharyService,12-88 S u pr (Lm £_. COU RT COUNTY OF Oc..\(AcqcÒ Index 033 45b 20 c No. Plaintiff(s) AFFIDA VIT OF against SERVICEOFSUMMONS (A ND COMPLAINT) Defendant(s) STATE OF NEW YORK. COUNTY OF \¾ odL\cA.6 b SS: The und-rsigned. sworn, being duly deposes and says: deponent is not a party herein, 18 years of age and resides at is over Q 9.M C5 T M That on bef 6 $\6 at P M.. at1(o deponent served the within -.--vu. and complaint on O drO defendanttherein named, INEluV L by a 'frue delivering copy ofeach to saidde en an pe dep====: onally: knew the rson so servedto be theperson describedas said i. defendanttherein. coRPoRATIoN a therent COrpOration. by delivering a true copy of each to z. depenent personally. knew saidcorparaucñso servedtobethecorporationdescribedin said U.==en: as said defendant and knewsnidindM,d=! tobe .themof. AE r thereat a true copy of each to by delivering a person of suitable busi-- place of dMe- a. Said premises is defendant's-actual age and discretion. g.place-usualplace of abode-withinthe state. TD AFFIXING DOoR.E'rC, a true COpy ofearh by affixing to the door of said premises. which place of basinee±-dwelling is defendant's-actual place-assa:place of abode 4. -within was unable, with the state. Dep::==t to find due diligence ru.r.ndedor a person of suitable age a_nddiscretion having called there thereat, Within20 days ofsuch delivery oraffixing.dep^ne••t enclosed acopyof same in a postpaid envelope properly addressed to defendent at defendan's USEWITH2oR4 last knownresidence. at sa. and depositedsaid envelope in an official under depository care and custody of the U.S. the exclusive PostalService within New York State. MAIUNGTo Within 20 days of such delivery deponem or affixing, of same in a first class postpaid enclosed a copy envelopeproperlyaddressed to A'-h" at eUSINESS usEwrrH30R4 actual defendant's place of business. at ss.Û in an official under the exclusive depository care and custodyof theU.S. New Postal Service within York State.The envelope bore the legend Confidential" "Personaland and didnot on the outside indicate thereof.by return address or that otherwise. the ca-=a" An was from an attorneyor concernedan action against the defendant. 5' oEsCRIPTION Male White Skin O Black Hair O White Hair O 14-20 Yrs. O Under O Under 100 Lbs. uSEWrrH 5'0"-5'3" 1.1 ra Female Black Skin O Brown Hair O Balding O 21-35 Yrs. O O 00-130 Lbs. 5'4"-5'8" YellowSkin 1onde.Hair O M ustache 36-50 Yrs. O 131-160 Lbs. 5'9"-6t" ' Brown Skin Gray Hair Beard 5 I-65 Yrs. O O t61-200 Lbs. 6' O Red Skin Red Hair O Glasses O Over 65 Y es. O Over O Over 200 Lbs. features: Other.identifying usEIN NYCCIWLCT. The language required by N YCRR 19002te).(f)& (h) was set forth on the face of said summons(es). muary I askedthe person spoken to whether defendant was in active service of the United rnilitary Statesor ofthe State of New York in any capacity sERVICE whateverand received a negative reply. Defendant wore ordinary clothes and no miltrary umform. The source of my ½fa-Mian and the civilian groundsof my belief are the conversations and observationsabove narrated. Upon lara ~¬ and belief I aver that the recipient is not in military service of New York State or of the United States as that term is defined in the State or in the Federal statutes. either Cl NDY RNEP A I ub of w York Sworn to before me on Notary nebene snan e 4Ç Se ½ O 8 Ou u G unty ss on L 20 C ap Jaiy License No.......................... .... INSTRUCTIONS: Check approp boxes and fil in blanks. Delete inappropriate italicized language and service military allegation ifnot applicable. FILED: ROCKLAND COUNTY CLERK 12/17/2021 07:15 PM INDEX NO. 033456/2016 NYSCEF DOC. NO. B 15116 or Subpoena: orServiceor Smamous t -Affidavk RECEIVED NYSCEF: e imme 12/17/2021 ev JUMUSeLUMBERG. INC. or Ahernative Personal MethodsCorp.or Ind.: PUaLISHER.NYC10013 MilitaryService. 1248 9T d- COURT COUNTY OF Oc.k\cen.q\ ‰htem o33 45b Index No. ho\b ced Vl--cuhr 3 eA.A Plaintiff(s) AFFIDAVIT OF against SERVICE OF SUMMONS (AND COMPLAINT) TO vath wÇ- O R.ko Defendant(s 8TATE OF NEW YORK. CDIlNTY OF oc..k\c SS: The undersigned. being dulysworn, deposes and says; deponent is not a party herein, 4,) e.W 18 years of age and resides at is over C Oc bor That on LC fØ$16 at 2. M.. at I o Wf P deponent served the within summons and complainton PDhcf- O + 6 6 e - %rd defendanttherein named, a (rue each tosaid nt peronally- deponent knew the rson so servedto be theperson describedas said INomou by delivering copy qf defendanttherein, conPoRATION a corporation. thereat by delivering a true copy of each to a. d Personally, - :::::knew soserved said corporation to be the corporation em- described in said as said dcfcñdâñt and knewsaidindE:idud to be .themof. AGE N by delivering a true copy of each to thereat a person of suitable Said premises is de'cedant's-actual age and discretion. place of business-dwelling-place-usual place of abode-within the state. AmXINGTO coon. Ex. a true copy of each to the door by affixing of said premises, which is defendant's-actual place-usual place of business-dwelling place of abode 4.¤ -within was unable. with due diligence the state. Deponent to find def::d:::ora age and discretion person of suitable havingcalled thercat, there . u Within20 days of such delivery or affixing.deponentenclosed acopy of same in a postpaid envelope properly addressed:: d:f: dent at defendant's usewrru a on 4 last knownresidence, at sA, and depositedsaid envelope in an official under depository the exclusive care and custody of the U.S.PostalService within New York State. MaiUNGTo Within 20 days of such delivery depenem or affixing, enclosed a copy envelope of same in a first class postpaid edd--::-' todefendantat properly auslNEas uss wrrn a on4 defendhnt's actualplace of business. at so. in an official depository care and custody under the exclusive ofthe New U .S. Postai Service withinYork State.The envelope bore the legend CGñfider.tial" "Personaland and did on the outside not indicate thereof.byreturvi addressor that otherwise. the was frorn an cGaiiimnication attorneyor concerned against the defendant. an action 5' DESCMPTIoN Male White Skin ¤ Black Hair O White Hair O I4-20 Yrs. O Under O Under 100 Lbs. ust 5'O"-5'3" i. 2.3 O Female O Black Skin O Brown Hair O Balding ¤ 2t-35Yrs. O O 00-i30Lbs 5'4"-5'8" O Yellow Skin lande.Hair O Mustache 36-50 Yrs. O 131-l60 Lbs. SS"-6'0" Brown Skin Gray Hair O Beard 51-65 Yrs. 16I-200 Lbs. 6' O Red Skin O Red Hair O Glasses O Over 65 Yrs. O Over O Over 200 Lbs. features: Other.identifying usEIN NYcciVL cT. The languagerequiredby IV YCRR 1900.2(e). (f) & (h) was set forth on the face of said am:m::::(n). I asked the person spokento whether defendant was in active service of the United military States orof the State of New York in any capacity stRWcE whatever and received a negative reply. Defendant wore ordinary civilian uniform. clothes and no miltrary The source of my information and the grounds of my belief are the cemrcarions and observations above narrated. Upon infe-s&n the recipient and belief I aver that is not in military service of New York State or of the United States as that term is defined in either ClN the State or in the Federal statutes. Dy m'ÆP A w York Notary Pa WS Sworn to before me on n --- - -- - - · -·-···---- OS 4C•Y4 Co DGQ License No..-..................._.......... INSTRUCTIONS: Check appropriate boxes and fillin blanks. elete inappropriate italicized language and service military allegation ifnot applicable.