On March 04, 2020 a
Proof of Service
was filed
involving a dispute between
Hereford Insurance Company,
and
21 Century Chiropractic Care,
Arte Medical Primary Care, P.C.,
Arthur Avenue Medical Office, P.C.,
Azcare Inc.,
Bridges Psychological Services P.C.,
City Pain Docs Pc,
Coney Island Psychology P.C.,
Englewood Orthopedics Group Pc,
Englinton Medical, P.C.,
Fairpoint Acupuncture P.C.,
Future Chiropractic Care, P.C.,
Joseph A. Raia, M.D., P.C.,
Joseph A Rossello Dc,
Kelvin Brioso,
Kv Medical Of Ny P.C.,
Lenco Diagnostic Laboratories, Inc.,
Lionel Hughes,
Manalapan Surgery Center,
Metropolitan Medical & Surgical P.C.,
Nile Rehab Physical Therapy, P.C.,
Pain Medicine Of Ny P.C.,
Perloff Physical Therapy, P.C.,
Phil Nelson,
Precision Anesthesia Associate,
Quinn Oliver,
Rapid Imaging Corp.,
Smk Pharmacy, Corp.,
Stephens Acupuncture P.C.,
Westchester Radiology & Imaging, P.C.,
Wjw Medical Products,
for Commercial - Insurance
in the District Court of New York County.
Preview
FILED: NEW YORK COUNTY CLERK 05/07/2020 12:15 PM INDEX NO. 651472/2020
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 05/07/2020
SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK
Plaintiff / Pêtiticñêr: AFFIDAVIT OF SERVICE
HEREFORD INSURANCE COMPANY Index No:
Defendant / RespGñdent: 651472/2020
21 CENTURY CHIROPRACTIC CARE, ARTE MEDICAL PRIMARY Date Filed:
CARE, P.C., ARTHUR AVENUE MEDICAL OFFICE, P.C., et aI 03/04/2020
The undersigned being duly sworn, deposes and says; depanent is not a party herein, is over 18 years of age and resides in the State of
New York. That on Wed, Mar 18 2020 at 10:34 AM at 99 WASHINGTON AVE, ALBANY, NY 12231 depóñént served the within SUMMONS AND
COMPLAINT upon STEPHENS ACUlsÜNCTURE P.C.
!ñd!.?düal: by delivering a true copy of each to said defendant, personally; depóñént knew the person so served to be the person
described as said defendant therein.
Corporation/Business/Government Agency: a defendant/witness, therein named, by delivering a true copy
of each to personally, deponent knew said corporation/business/government agency so served to be the
corporation/business/government agency described, and knew said individual to be thereof.
Suitable Person: by delivering thereat, a true copy of each to a person of suitable age and discretion.
Affixing to Door: by affixing a true copy of each to the door thereof, deponent was unable with due diligence to find defendant, or
a person of suitable age or discretion thereat, having called thereon; at
Mailing Deponem also enclosed a copy of same, in a postpaid sealed wrapper properly addressed to said defendant at defendant's
last known residence/Actual Place of business, , and depositing said wrapper in a post office, official
depository under the exclusive care and custody of the United States Post Office, department, within the state of New York. Mailed
on
Secretary of State: STEPHENS ACUPUNCTURE P.C. a defendant, therein named, by dé|ivering two true copies of each to Sue Zouky
personally, depenent knew said Secretary of State so served to be the Secretary of State described, and knew said individual to be
Document specialist 2 thereof. At the time of service a $40.00 fee was tendered.
Military Service: I asked the person spoken to whether defendant was in active military service of the United States or within the
state in which they reside in any capacity whatever and received a negative reply. Defendant wore ordinary civilian clothes and no
military uniform. The source of my information and the ground of my belief are the conversations and observations above narrated.
Upon information and belief I aver that the defendant is not in the military service of the United States as that term is defined in
either the State or in the Federal statutes.
Description:
Age: 50 Ethnicity: Caucasian Gender: Female Weight: 105
Hair: Blond Eyes: Brown Relationship: Document
specialist 2
Other
Sworn to before me on
ri ard connolly - Our Job #4377289 Notary Public
Alliance Risk Group
23 Executive Park Drive ERI W I
Clifton Park, New York 12065 NOTARY PUBLIC, STATE OF NEW YORK
518-452-6404 Registration No. 01SC6396340
Qualified in Kings County
Commission Expires August 19, 2023
1 of 1
Document Filed Date
May 07, 2020
Case Filing Date
March 04, 2020
Category
Commercial - Insurance
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FILED: NEW YORK COUNTY CLERK 05/07/2020 12:15 PM INDEX NO. 651472/2020 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 05/07/2020 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK Plaintiff / Pêtiticñêr: AFFIDAVIT OF SERVICE HEREFORD INSURANCE COMPANY Index No: Defendant / RespGñdent: 651472/2020 21 CENTURY CHIROPRACTIC CARE, ARTE MEDICAL PRIMARY Date Filed: CARE, P.C., ARTHUR AVENUE MEDICAL OFFICE, P.C., et aI 03/04/2020 The undersigned being duly sworn, deposes and says; depanent is not a party herein, is over 18 years of age and resides in the State of New York. That on Wed, Mar 18 2020 at 10:34 AM at 99 WASHINGTON AVE, ALBANY, NY 12231 depóñént served the within SUMMONS AND COMPLAINT upon STEPHENS ACUlsÜNCTURE P.C. !ñd!.?düal: by delivering a true copy of each to said defendant, personally; depóñént knew the person so served to be the person described as said defendant therein. Corporation/Business/Government Agency: a defendant/witness, therein named, by delivering a true copy of each to personally, deponent knew said corporation/business/government agency so served to be the corporation/business/government agency described, and knew said individual to be thereof. Suitable Person: by delivering thereat, a true copy of each to a person of suitable age and discretion. Affixing to Door: by affixing a true copy of each to the door thereof, deponent was unable with due diligence to find defendant, or a person of suitable age or discretion thereat, having called thereon; at Mailing Deponem also enclosed a copy of same, in a postpaid sealed wrapper properly addressed to said defendant at defendant's last known residence/Actual Place of business, , and depositing said wrapper in a post office, official depository under the exclusive care and custody of the United States Post Office, department, within the state of New York. Mailed on Secretary of State: STEPHENS ACUPUNCTURE P.C. a defendant, therein named, by dé|ivering two true copies of each to Sue Zouky personally, depenent knew said Secretary of State so served to be the Secretary of State described, and knew said individual to be Document specialist 2 thereof. At the time of service a $40.00 fee was tendered. Military Service: I asked the person spoken to whether defendant was in active military service of the United States or within the state in which they reside in any capacity whatever and received a negative reply. Defendant wore ordinary civilian clothes and no military uniform. The source of my information and the ground of my belief are the conversations and observations above narrated. Upon information and belief I aver that the defendant is not in the military service of the United States as that term is defined in either the State or in the Federal statutes. Description: Age: 50 Ethnicity: Caucasian Gender: Female Weight: 105 Hair: Blond Eyes: Brown Relationship: Document specialist 2 Other Sworn to before me on ri ard connolly - Our Job #4377289 Notary Public Alliance Risk Group 23 Executive Park Drive ERI W I Clifton Park, New York 12065 NOTARY PUBLIC, STATE OF NEW YORK 518-452-6404 Registration No. 01SC6396340 Qualified in Kings County Commission Expires August 19, 2023 1 of 1