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  • Workers' Compensation Board Of The State Of New York v. City Trampoline Indoor Park Inc Dba Fly HighOther Matters - Workers Comp App for Judgment document preview
  • Workers' Compensation Board Of The State Of New York v. City Trampoline Indoor Park Inc Dba Fly HighOther Matters - Workers Comp App for Judgment document preview
						
                                

Preview

INDEX NO. 700247/2021 (0)16147499-1 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 07/25/2023 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF RICHMOND X WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK, Plaintiff, -against- CITY TRAMPOLINE INDOOR PARK INC DBA FLY HIGH SATISFACTION 501 INDUSTRY RD, OF STATEN ISLAND, NY 10314-3607 DGMENT Defendant(s) WCB EMPLOYER#: 2877082 INDEX #: 700247/2021 X WHEREAS, a judgment was entered in the above entitled action on Sep 02, 2021 in the Supreme Court of the Workers' State of New York, in favor of the Compensation Board of the State of New York. plaintiff against CITY TRAMPOLINE INDOOR PARK INC DBA FLY HIGH , defendant(s), for the sum of $20,000.00, which was docketed on Sep 02, 2021, in the office of the Clerk of RICHMOND. county, and said judgment has been fully satisfied. THEREFORE, satisfaction of said judgment is hereby acknowledged and the said Clerk is hereby authorized and directed to make an entry of said satisfaction of the docket of said judgment. WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK BY Jose B. Sia r, sq. Judg ent it STATE OF NEW YORK ) COUNTY OF SCHENECTADY ) ss: On this day of C before me, the undersigned, personally appeared Joseph B. Slater, personally known to(the or proved to me on the basis of satisfactory evidence to be individual whose name is subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signature on the instrument, the individuals or the person upon behalf of which the individual(s) acted, executed the instrument. MICHELE ANN MEALY NOTARY PUBUC-STATE OF NEW YORK No.02ME6335851 Qualified in Rensselaer NOTARY PUBLIC County My Commission Expires01-19-2024 C-45.5 4/2022 (9)16147499-1 1 of 1