On November 16, 2023 a
Party Statement
was filed
involving a dispute between
Workers' Compensation Board Of The State Of New York,
and
J & J Bar-B-Que & Sausage Co Llc,
for Other Matters - Workers Comp App for Judgment
in the District Court of Steuben County.
Preview
FILED: STEUBEN COUNTY CLERK 11/16/2023 10:30 AM INDEX NO. E2023-1145CV
(47)16325280-1
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 11/16/2023
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF STEUBEN
X
WORKERS'
COMPENSATION BOARD OF THE STATE OF NEW YORK,:
Plaintiff, :
-against- :
:
J & J BAR-B-QUE & SAUSAGE CO LLC :
AFFIRMATION
Defendant(s) :
OF
NON-PAYMENT
:
:
X
Workers'
The undersigned, an attorney in the office of the Compensation Board of the State of New
York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon
information and belief:
Workers'
This affirmation is based upon a review of the file which is maintained by the Compensation
Board in its regular course of business.
I am farniliar with the status of payment in this matter. The award/penalty/assessment/demand for
deposit of security made against the defendant(s).in the amount of $3,000.00 is in default, as more than
thirty days have elapsed since the demand upon the defendant(s) herein for payment. No payment has
been received nor has the aforesaid security been deposited in compliance with said demand to date,
except the sum of $0.00, leaving due and payble the sum of $3,000.00.
Dated: day of
1 0 2023
Yvonne M. Ward, Esq.
C-45.45 1/2009
(47)16325280-1
1 of 1
Document Filed Date
November 16, 2023
Case Filing Date
November 16, 2023
Category
Other Matters - Workers Comp App for Judgment
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FILED: STEUBEN COUNTY CLERK 11/16/2023 10:30 AM INDEX NO. E2023-1145CV (47)16325280-1 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 11/16/2023 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF STEUBEN X WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK,: Plaintiff, : -against- : : J & J BAR-B-QUE & SAUSAGE CO LLC : AFFIRMATION Defendant(s) : OF NON-PAYMENT : : X Workers' The undersigned, an attorney in the office of the Compensation Board of the State of New York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon information and belief: Workers' This affirmation is based upon a review of the file which is maintained by the Compensation Board in its regular course of business. I am farniliar with the status of payment in this matter. The award/penalty/assessment/demand for deposit of security made against the defendant(s).in the amount of $3,000.00 is in default, as more than thirty days have elapsed since the demand upon the defendant(s) herein for payment. No payment has been received nor has the aforesaid security been deposited in compliance with said demand to date, except the sum of $0.00, leaving due and payble the sum of $3,000.00. Dated: day of 1 0 2023 Yvonne M. Ward, Esq. C-45.45 1/2009 (47)16325280-1 1 of 1