Party Statement: Degerolamo Pri Donna Vs Lowe'S Home Centers Llc

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                                Docusign Envelope1c M!D-L-000388-23               02/14/2023 11:02:28 AM             Pg lof          Trans ID: LCV2023541261

DONNA DEGEROLAMO PRIMIANI,                                                                                       I VHRURUAUIG   NEHA
                                                                                                                        20230203132921
                                                                                  Plaintiff
                                                                                                                                    Superior Court Of New Jersey
                                             vs

LOWE'S HOME CENTERS, LLC, ET AL                                                                                                                  MIDDLESEX Venue
                                                                                Defendant
                                                                                                                                    Docket Number: MID L 388 23
Person to be served (Name and Address):
RARITAN TOWN SQUARE
820 MORRIS TURNPIKE                                                                                              AFFIDAVIT OF SERVICE
SHORT HILLS NJ 07078                                                                                                 (For Use by Private Service)
By serving: RARITAN TOWN SQUARE
                                                                                                     Cost of Service pursuant to R. 4:4-3(c)
Attorney: MICHAEL B. FUSCO, ESQ.
Papers Served: LETTER, SUMMONS AND COMPLAINT, TRACK                                                                          $
ASSIGNMENT NOTICE, CERTIFICATION, DEMANDS, NOTICE TO PRODUCE,
REQUEST, SUPPLEMENTAL INTERROGATORIES, NOTICE REGARDING
DEFENSE MEDICAL EXAMINATIONS,
                                                                                                     Name of Person Served and relationship/title:
Service Data:         [X] Served Successfully                  [ ] Not Served
                                                                                                     STEPHANIE GREEN
 Date/Time:           2/3/2023 3:21 PM
[ ] Delivered a copy to him/her personally                                                           MANAGING AGENT

[ ] Left a copy with a competent household member over 14 years of age residing
therein (indicate name & relationship at right)

[X] Left a copy with a person authorized to accept service, e.g. managing agent,
registered agent, etc. (indicate name & official title at right)



Description of Person Accepting Service:

SEX:F         AGE: 36-50_     HEIGHT: 5'4"-5'8"         WEIGHT: 100-130 LBS.         SKIN: WHITE.               HAIR: BLONDE_          OTHER:

Unserved:
[ ] Defendant is unknown at the address furnished by the attorney
[ ] All reasonable inquiries suggest defendant moved to an undetermined address
[ ] No such street in municipality
[ ] Defendant is evading service
[ ] Appears vacant
[ ] No response on:                               Date/Time:
                                                  Date/Tims
                                                  Date/Time:

Other:




To Be Used Where Electronic Signature Not Available                                            Docusign Court Approved E-Signature
Served Data:
Subscribed and Sworn to me this                                                               |, DAVID TORRES,
                                                                                              was at the time of service a competent adult, over the age of 18 and
                     day of                        20                                                 iagydiies}.interest in the litigation. | declare under penalty of
                                                                                               HUD           HARES          true and correct.
Notary Signature:
                                                                                                                                             02/08/2023
                                                                                               Signs PB SLES Sener                                Date
         Name of Notary                  ‘Commission Expiration

Name of Private Server: DAVID TORRES              Address: 2009 Morris Avenue UNION,          NJ 07083   Phone: (800) 672-1952