On October 26, 2022 a
AFFIDAVIT OF SERVICE submitted by HARAN, BRIAN, JAMES of CONA ELDER LAW PLLC on behalf of ATLAS REHABILTATION AND HEALTHCARE AT MAYWOOD against ANNA D ZACCONE
was filed
involving a dispute between
Atlas Rehabilitationand Healt,
and
Anna D Zaccone,
for Contract/Commercial Transaction
in the District Court of Bergen County.
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BER-L-005745-22 11/23/2022 6:55:14AM Pglof2 Trans ID: LCV20224042051
AFFIDAVIT OF SERVICE Index #: BER-L-5745-22
SUPERIOR COURT OF NEW JERSEY Date Filed: October 26, 2022
BERGEN COUNTY, LAW DIVISION AOS Filed:
Court Date:
ATTORNEY(S): Cona Elder Law PLLC Brian J. Haran, Esq. File No.:
ADDRESS: 225 Broadhollow Road, Sulte 200 Melville, NY 11747 PH:(631) 390-5000
“ATLAS REHABILITATION AND HEALTHCARE AT MAYWOOD,
Plaintiff
ANNA p. ZACCONE,
Defendant
STATE OF NEW JERSEY, COUNTY OF BERGEN SS.:
Gladimar Robles , being duly swom deposes and says: Deponent is not a party herein, is over 18 years
of age. On November 16, 2022 at 12:17 PM
at COMPLETE CARE AT PASSAIC COUNTY 77 E. 43RD STREET , PATERSON, NJ 07514 _, deponent served the within
Civil Action Summons, Civil Action Complaint, Civil Case Information Statement and Track Assignment Notice
with Index Number BER-L-5745-22 1 and Date Filed October 26, 2022 endorsed thereon,
on: ANNA D. ZACCONE , Defendant therein named.
#1 By delivering a true copy of each to said recipient personally; deponent knew the person served to be the person
INDIVIDUAL
described as said person therein.
#2 CORP,/ENTITY By delivering to and leaving with who indicated they were authorized to accept service on behalf of the
Corporation/Entity.
Oo
#3 SUITABLE By delivering a true copy of each to - a person of suitable age and discretion.
AGEPERSON said premisesIs recipient's [ _] actual place of business [ ] dwelling house (usual place of abode) within the state.
#4 AFFDING By affixing a true copy of each to the door of said premises, which Is recipient's: [J actual place of business
TO DOOR C ] dwelling house (place of abode) within the state.
o Deponent was unable, with due diligence to find recipient or a person of suitable age and discretion, having called thereat on
#5 MAIL. Copy On , deponent completed service under the last two sections by depositing a copy of the
to the above address in a 1st Class
o and Confidential” in an official depository under the exclusive
postpaid properly addressed envelope marked "Personal
care and custody of the United States Post Office in the State of New Jersey.
#6 NON-SRVC After due search, careful inquiry and diligent attempts, I have been unable to effect process upon the person/entity
being served because of the following: [ ] Unknown at Address [ ] Evading [ ] Moved left no forwarding
{ JAddress does not exist [ ] Other:
Attempts
#7 DESCRIPTION A description of the Defendant, or other person served, or spoken to on behalf of the Defendant is as follows:
Sex Female Color of skin White Color of hair White Age Over 65 Yrs. Height _5ft 4inch - 5ft 8inch
(ase wan #1, 20°3. Weight 161-200 Lbs. Other Features:
#8 = WIT. FEES $ the authorized witness fee and / or traveling expenses were paid (tendered) to the recipient.
#9 MILITARYSRVC Deponent asked nN spoken to whether the defendant was presently in military service of the United States
jovernment or of St fe of New Jersey and was informed that,defendant was ni
B
#10 OTHER Service of the documents was witnessed by Karen Ross, Social Worker.
‘Sworkto n this Hie of NONCHUDLY lo It
omc ae XA Gladimar Robles
Server's
Lic #
LAUREN IAVARONE
Commission
# 50027563 Work Order # 1465574
Notary Public, State of New Jersey
My Commission Expires meee:
‘Court Support, INC., 265 Post AvE #450, WesTauRh QWeIT898 LRGs? 02382542 NYC DCA Lic. # 1381942
BER-L-005745-22 11/23/2022 6:55:14AM Pg2of2 Trans ID: LCV20224042051
Stade. oF
COUNTY OF
The undersigned, Cndiwaeldes does hereby oxy thet helshe is notary
ublic licensed by the of, Ne \ , and that he/she witnessed the signature of
which was signed on
as applied to the foregoing Affidavit of Setvice,
The manner in which same was sigtie and is in conformity with
was d
wit
Vek oc Nawly sty which is the place where same was signed,
wimess WAEREOF, I have hereunto set my hand
day of 20 22
aa eee -— ae
~
Viv
Notary Public
Commission No.
LAUREN IAVARONE
Commission # 50027563 Jersey)
Notary Public, State of Newres
My Commission Expi
20, 2025
November
Document Filed Date
November 23, 2022
Case Filing Date
October 26, 2022
Category
Contract/Commercial Transaction
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BER-L-005745-22 11/23/2022 6:55:14AM Pglof2 Trans ID: LCV20224042051 AFFIDAVIT OF SERVICE Index #: BER-L-5745-22 SUPERIOR COURT OF NEW JERSEY Date Filed: October 26, 2022 BERGEN COUNTY, LAW DIVISION AOS Filed: Court Date: ATTORNEY(S): Cona Elder Law PLLC Brian J. Haran, Esq. File No.: ADDRESS: 225 Broadhollow Road, Sulte 200 Melville, NY 11747 PH:(631) 390-5000 “ATLAS REHABILITATION AND HEALTHCARE AT MAYWOOD, Plaintiff ANNA p. ZACCONE, Defendant STATE OF NEW JERSEY, COUNTY OF BERGEN SS.: Gladimar Robles , being duly swom deposes and says: Deponent is not a party herein, is over 18 years of age. On November 16, 2022 at 12:17 PM at COMPLETE CARE AT PASSAIC COUNTY 77 E. 43RD STREET , PATERSON, NJ 07514 _, deponent served the within Civil Action Summons, Civil Action Complaint, Civil Case Information Statement and Track Assignment Notice with Index Number BER-L-5745-22 1 and Date Filed October 26, 2022 endorsed thereon, on: ANNA D. ZACCONE , Defendant therein named. #1 By delivering a true copy of each to said recipient personally; deponent knew the person served to be the person INDIVIDUAL described as said person therein. #2 CORP,/ENTITY By delivering to and leaving with who indicated they were authorized to accept service on behalf of the Corporation/Entity. Oo #3 SUITABLE By delivering a true copy of each to - a person of suitable age and discretion. AGEPERSON said premisesIs recipient's [ _] actual place of business [ ] dwelling house (usual place of abode) within the state. #4 AFFDING By affixing a true copy of each to the door of said premises, which Is recipient's: [J actual place of business TO DOOR C ] dwelling house (place of abode) within the state. o Deponent was unable, with due diligence to find recipient or a person of suitable age and discretion, having called thereat on #5 MAIL. Copy On , deponent completed service under the last two sections by depositing a copy of the to the above address in a 1st Class o and Confidential” in an official depository under the exclusive postpaid properly addressed envelope marked "Personal care and custody of the United States Post Office in the State of New Jersey. #6 NON-SRVC After due search, careful inquiry and diligent attempts, I have been unable to effect process upon the person/entity being served because of the following: [ ] Unknown at Address [ ] Evading [ ] Moved left no forwarding { JAddress does not exist [ ] Other: Attempts #7 DESCRIPTION A description of the Defendant, or other person served, or spoken to on behalf of the Defendant is as follows: Sex Female Color of skin White Color of hair White Age Over 65 Yrs. Height _5ft 4inch - 5ft 8inch (ase wan #1, 20°3. Weight 161-200 Lbs. Other Features: #8 = WIT. FEES $ the authorized witness fee and / or traveling expenses were paid (tendered) to the recipient. #9 MILITARYSRVC Deponent asked nN spoken to whether the defendant was presently in military service of the United States jovernment or of St fe of New Jersey and was informed that,defendant was ni B #10 OTHER Service of the documents was witnessed by Karen Ross, Social Worker. ‘Sworkto n this Hie of NONCHUDLY lo It omc ae XA Gladimar Robles Server's Lic # LAUREN IAVARONE Commission # 50027563 Work Order # 1465574 Notary Public, State of New Jersey My Commission Expires meee: ‘Court Support, INC., 265 Post AvE #450, WesTauRh QWeIT898 LRGs? 02382542 NYC DCA Lic. # 1381942 BER-L-005745-22 11/23/2022 6:55:14AM Pg2of2 Trans ID: LCV20224042051 Stade. oF COUNTY OF The undersigned, Cndiwaeldes does hereby oxy thet helshe is notary ublic licensed by the of, Ne \ , and that he/she witnessed the signature of which was signed on as applied to the foregoing Affidavit of Setvice, The manner in which same was sigtie and is in conformity with was d wit Vek oc Nawly sty which is the place where same was signed, wimess WAEREOF, I have hereunto set my hand day of 20 22 aa eee -— ae ~ Viv Notary Public Commission No. LAUREN IAVARONE Commission # 50027563 Jersey) Notary Public, State of Newres My Commission Expi 20, 2025 November