On June 20, 2023 a
Proof of Service
was filed
involving a dispute between
John H Meyer Iii,
and
Jan G Williams,
Port Jefferson Cesspool Service, Inc.,
for Torts - Motor Vehicle
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 07/07/2023 04:15 PM INDEX NO. 615395/2023
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 07/07/2023
AFFIDAVIT OF SERVICE Index #: 615395/2023
Date Filed- June 20, 2023
SUPREME OF THE STATE OF NEW YORK
Court Date:
COUNTY OF SUFFOLK
Assigned Justice:
ATTORNEY(S): PALERMO LAW, P.L.L.C PH: (631) 265-1051
ADDRESS: 1300 VETERANS MEMORIAL HIGHWAY, STE. 320 HAUPPAUGE, NY 11788 File No.: MEYER
JOHN H. MEYVER Ill,
Plaintiff
VS.
JAN G. WILLIAMS AND PORT JEFFERSON CESSPOOL SERVICE, INC.,
Defendant
STATE OF New York , COUNTY OF SUFFOLK SS.:
DAVID KLEIN , being duly sworn deposes and says: Deponent is not a party herein, is over 18 years
of age and resides in New York. On Friday, June 30, 2023 at 11:36 AM .
at 125 SMITHTOWN BLVD, NESCONSET, NY 11767 deponent served the within
NOTICE OF ELECTRONIC FILING (CONSENSUAL CASE) (UNIFORM RULE 202.5-B) SUMMONS AND VERIFIED COMPLAINT, COURT
CONFIRMATION
on: JAN G. WII.1 IAMS
Defendant therein named.
The index number and the filing date of the action were endorsed upon the face of the papers so served herein.
#1 INDI UAL By delivering a true copy of each to said recipient personally; deponent knew the person served to be the person described as said person.
Said premises is subjects [ ] actual place of business [ X] dwelling house (usual place of abode) within the state.
#2DESCRIPTION A description of the Defendant, or other person served. or spoken to on behalf of the Defendant is as follows:
Sex: Male Color of skin: White Color of hair: Brown/Red Age: 55-65 Height: 5ft9in-6ftOin
2 3) Other Features:
Weight: 161-200 Ibs
#3 WIT. FEES
$ the authorized witness fee and / or traveling expenses were paid (tendered) to the recipient.
#4 MILITARYSRVC Your deponent asked person spoken to whether the defendant was in the active military service of the United States or New York and
received a negative reply. Upon information and belief I have; being based on the conversation and observations above narrated, defendant
is not in the military service.
#5 OTHER
O
#6 MAIL OPY On , deponent completed service by depositing a true copy of each document
the above address in a ist Class postpaid properly addressed envelope not indicating that mailing was from an attomey or concemed legal
Confidential"
action and marked "Personal and in an official depository under the exclusive care and custody of the United States Post
Office in the State of New York. Certified Mail #:
Sworn to before me on 07/06/20 3
SUSANCORTI " DAVID KLEIN
NotaryPublic,Stateof NewYork
No.01CO6047509,Qualifiedin SuffolkCounty Server's Lic #
TermExpiresSeptember5, 2026
InvoiceWorkOrder 2299151
One WORLD Juoicial Senvices, luc. - PO Box 776-Dµµn PARK NY 11729 Lic # 1310235
1 of 1
Document Filed Date
July 07, 2023
Case Filing Date
June 20, 2023
Category
Torts - Motor Vehicle
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