On March 14, 2023 a
Proof of Service
was filed
involving a dispute between
American Express National Bank,
and
Adrienne Derusha
Aka Adrienne S Derusha,
for Other Matters - Consumer Credit (Card) Original Creditor Plaintiff
in the District Court of Clinton County.
Preview
FILED: CLINTON COUNTY CLERK 07/25/2023 10:17 AM INDEX NO. 2023-00023154
NYSCEF DOC. NO. 20 RECEIVED NYSCEF: 07/25/2023
SWREME COÙRT OF THE 8TATE OF NEW YORK
COUNTx OF CLINTON
AMERICAN EXPRESS NATIONAL ANK
Plaintiff Index No. 202F0002M54
agains
AFFIDAVIIOF SERVICE
ADRIENNE DERUNHA
aMa RiENNE S DERUSHA,
STATE OF NEW1ERSEY }
SSa
COUNTY OF BERGEN )
QSalimah HadisorBRamsey, being dulyeswom, say:
I amsnot a party to the above eaptioned actiòn amiover 18 yearrofage and residedn
OrangerourityeNew York
On / | nQ_. I mailed a copy of the RJI, Notice of Anomey's
Motion,
Affirmation in Support of PlaintifPs Motion for Default Affirmation of Non-
Judgment,
Expiration of Statute of Limitations . Bill of Costs, Order, Affidavit of Non-Military Service.
Affidavit of Facts Original Creditor tor Default
By Judgment , followed by Exhibits in the above
entitled action via first class mail. to the Defendant at his/her place of residence in a sealed
envelope Confidential"
bearing the legend -Personal and and not on the outside of the
indicating
envelope that the communication is from an attorney or concerns an alleged debt. with postage
pre-paid thereon, in a post office or official of the U.S. Postal Service within the State
depository
of New York. properly addressed to:
Adrienne Derapha afida Addenne S Dernsha
65 DumontRoad
West Chazy, NY 12992
SaliDiah Harri n Ratns y
Sworn to and subscribed before me on 2023
COLETTE B. CO$1ANCHI
ID# 2380791
NOTANY rÙsLiC OF NEW JERSEY
Commission Expires 12/11/202
Ñ ary 8 natize Da e
1 of 2
FILED: CLINTON COUNTY CLERK 07/25/2023 10:17 AM INDEX NO. 2023-00023154
NYSCEF DOC. NO. 20 RECEIVED NYSCEF: 07/25/2023
CERTIFICATE OF CONFORMITY
I, Anthony J. Migliaccio, Jr, an attomey-at-law of the State of New Jersey and the
State of New York who resides in the State of New Jersey and is fully acquainted with
the laws of the State of New Jersey pertaining to the acknowledgment or proof of deeds
of real property to be recorded therein, do hereby certify that I am duly qualified to make
this certilicate of conformity pursuant to Section 299-a of the Real Property Law of the
State of New York and hereby certify that the acknowledgement ) or proof(s) upon the
foregoing affidavit(s) was taken by Colette B. Cobianchi, a notary public in the State of
New Jersey, in the manner prescribed by the laws of the State of New Jersey and
conforrns to the laws thereof in all respects.
W W1TNESS WHEREOF, I have hereunto set my signature, this
day of
d v, , 202
Attorney at Law, State of New Jersey
and the State of New York
2 of 2
Document Filed Date
July 25, 2023
Case Filing Date
March 14, 2023
Category
Other Matters - Consumer Credit (Card) Original Creditor Plaintiff
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FILED: CLINTON COUNTY CLERK 07/25/2023 10:17 AM INDEX NO. 2023-00023154 NYSCEF DOC. NO. 20 RECEIVED NYSCEF: 07/25/2023 SWREME COÙRT OF THE 8TATE OF NEW YORK COUNTx OF CLINTON AMERICAN EXPRESS NATIONAL ANK Plaintiff Index No. 202F0002M54 agains AFFIDAVIIOF SERVICE ADRIENNE DERUNHA aMa RiENNE S DERUSHA, STATE OF NEW1ERSEY } SSa COUNTY OF BERGEN ) QSalimah HadisorBRamsey, being dulyeswom, say: I amsnot a party to the above eaptioned actiòn amiover 18 yearrofage and residedn OrangerourityeNew York On / | nQ_. I mailed a copy of the RJI, Notice of Anomey's Motion, Affirmation in Support of PlaintifPs Motion for Default Affirmation of Non- Judgment, Expiration of Statute of Limitations . Bill of Costs, Order, Affidavit of Non-Military Service. Affidavit of Facts Original Creditor tor Default By Judgment , followed by Exhibits in the above entitled action via first class mail. to the Defendant at his/her place of residence in a sealed envelope Confidential" bearing the legend -Personal and and not on the outside of the indicating envelope that the communication is from an attorney or concerns an alleged debt. with postage pre-paid thereon, in a post office or official of the U.S. Postal Service within the State depository of New York. properly addressed to: Adrienne Derapha afida Addenne S Dernsha 65 DumontRoad West Chazy, NY 12992 SaliDiah Harri n Ratns y Sworn to and subscribed before me on 2023 COLETTE B. CO$1ANCHI ID# 2380791 NOTANY rÙsLiC OF NEW JERSEY Commission Expires 12/11/202 Ñ ary 8 natize Da e 1 of 2 FILED: CLINTON COUNTY CLERK 07/25/2023 10:17 AM INDEX NO. 2023-00023154 NYSCEF DOC. NO. 20 RECEIVED NYSCEF: 07/25/2023 CERTIFICATE OF CONFORMITY I, Anthony J. Migliaccio, Jr, an attomey-at-law of the State of New Jersey and the State of New York who resides in the State of New Jersey and is fully acquainted with the laws of the State of New Jersey pertaining to the acknowledgment or proof of deeds of real property to be recorded therein, do hereby certify that I am duly qualified to make this certilicate of conformity pursuant to Section 299-a of the Real Property Law of the State of New York and hereby certify that the acknowledgement ) or proof(s) upon the foregoing affidavit(s) was taken by Colette B. Cobianchi, a notary public in the State of New Jersey, in the manner prescribed by the laws of the State of New Jersey and conforrns to the laws thereof in all respects. W W1TNESS WHEREOF, I have hereunto set my signature, this day of d v, , 202 Attorney at Law, State of New Jersey and the State of New York 2 of 2