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  • Workers' Compensation Board Of The State Of New York v. Jg Black Book Of Travel Ltd Workers Comp App for Judgement document preview
  • Workers' Compensation Board Of The State Of New York v. Jg Black Book Of Travel Ltd Workers Comp App for Judgement document preview
  • Workers' Compensation Board Of The State Of New York v. Jg Black Book Of Travel Ltd Workers Comp App for Judgement document preview
  • Workers' Compensation Board Of The State Of New York v. Jg Black Book Of Travel Ltd Workers Comp App for Judgement document preview
						
                                

Preview

N 9 ORI OUN Uy 02:6 INDEX NO. 450404/2017 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 02/14/2017 1-1 FILED AND DOCKETED Feb 14 2017 AT 04:03 P M N.Y. CO. CLK'S OFFICE waweo Nn zx Zo a ae mS Be ™ or * zo zo Ze Ge ae nM Be 2z2 0 BE 4> mH eA xo O9 mt ao at xo asx mo ot 9 nen Se a a Soa 7a NM Nn 1 of 2 IR Ad INDEX NO. 450404/2017 OUN NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 02/14/2017 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK x WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK, JUDGMENT Plaintiff, -against- EMP# 2195524 JUDH 1828343, JG BLACK BOOK OF TRAVEL LTD Defendant(s) INDEX # 17 450404 FILING DT: x By order of the Chair of the Workers’ Compensation Board of the State of New York, demand for the payment of the sum of $3,000.00, representing Awards and Penalties having been made against the above captioned Defendant(s), after due notice, having defaulted in payment thereof, except the sum of $0.00 leaving $3,000.00 due and payable. NOW, upon the certified copies of notices attached hereto, and upon motion of the General Counsel of the Workers' Compensation Board of the State of New York, attorney for Plaintiff, pursuant to Section 28 of the Workers’ Compensation Law of the State of New York providing for entry of judgment by the County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, Workers' Compensation Board of the State of New York, 328 State Street, Schenectady, NY 12305 does recover from the above-captioned Defendant(s), whose last known address(es) are; 594 BROADWAY RM 1001, NEW YORK, NY 10012-3310, respectively; the sum of $3,000.00, and the Plaintiff have execution therefore. 14 th Feb 20177 Judgment signed this: day of Mabe Ue | Clerk Thyan James R. McGinn, Esq. Attorney for Plaintiff FILED Workers' Compensation Board Feb 14 2017 328 State St. Schenectady, NY 12305 NEW YORK COUNTY CLERK'S OFFICE C-45 6/2007 2 of 2