On September 13, 2023 a Proof of Service was filed involving a dispute between Progressive Casualty Insurance Company, and Ace Med Supplies Inc., Adony Cerrato-Villaderes A K A Adony F Cerrato Valladares A K A Adony Cerrato, All City Family Healthcare Center, Inc., Bmm Life Essential Services Inc., Centurion Midtown Medical, Pllc, Chayim Med Products Corp., Chiropractic Evaluation Service, P.C., Dr Manasherov Medical Pc, Family Rx Corp, Fifth Avenue Surgery Center, Llc, Flex Med Supply Inc, Future Care Internal Medicine, Gaetan Jean Marie, Family Health Np, Pllc, Get Well Rx Inc., Global Ortho, Inc., Health Wellness Medical Services Pllc, Herschel Kotkes, M.D., P.C., H. Levitan Medical P.C., Juan D Delacruz Md, Kamm Med Supplies Inc., Kevin S Vasquez Chacon A K A Kevin Vasquez Chacon, Lake Shore Chiropractic P.C., Medex Supplies Inc., Medical Mri P.C., Medicus Supply Corp., Medisource Medical Inc., Multiwave Diagnostics. Inc., N And J Home Care, Inc., New Arena Pt, P.C., Opaque Ny, Inc., Ortho Choice, Inc., Pulse Med Supply Corp., Rana United, Inc., Ridgewood Drug Inc., Rockaways Asc Development, Llc, Sedation Vacation Perioperative Medicine Pllc, Star Medical Imaging P.C., Story Ave Pharmacy Inc D B A 99 Cents And Up, Timothy J Henderson, M.D., Triborough Asc, Llc, Viotek Med Supplies, Inc., Vivian Arita Fuentes A K A Vivian F Arita Fuentes A K A Vivian Fuentes A K A Arita Giselle, for Torts - Motor Vehicle in the District Court of Nassau County.
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FILED: NASSAU COUNTY CLERK 10/10/2023 10:10 PM INDEX NO. 614797/2023 NYSCEF DOC. NO. 21 RECEIVED NYSCEF: 10/10/2023 ATToRNEY(s) : McCormack & Mattei, PC - Progressive Ins. INDEX # : 614797/2023 I I I I I PURCIIASED/FILED : September 13, 2023 STATE OF : NEW YORK COURT : Supreme CoUNTY/DISTRICT : NaSsau AFFIDAVIT OF SERVICE - SECRETARY OF STATE Progressive Casualty insurance Company Plaintiff(s) against Kevin S Vasquez Chacon et al Defendant(s) STATE OF NEW YORK ) DESCRIPTION OF PERSON SERVED: Approx. Age: 60 yrs COUNTYOFALBANY )SS CITY OF ALBANY ) Weight: 120 lbs Height: 5' 1" Sex: Female Color of skin: White Hair color: Brown Other: Robert Guyette , being duly sworn, deposes and says: deponent is over the age of eighteen (18) years; is not a party to this action, and resides in the State of NY, and that on September 22, 2023 , at 2:00 PM , at the office of the Secretary of State of the State of NY, located at 99 Washington Ave, 6th FI, Albany, New York 12231 deponent served: Summons & Verified Complaint with Index # and Date of Filing Endorsed Thereon and Notice of Electronic Filing on Fifth Avenue Surgery Center, LLC the Defendant in this action, by delivering to and leaving with Nancy Dougherty AUTHORIZED AGENT in the Office of the Secretary of State, of the State of New York, personally at the Office of the Secretary of State of the State of New York, two (2) true copies thereof and that at the time of making such service, deponent paid said Secretary of State a fee of $40 dollars; That said service was made pursuant to Section LIMITED LIABILITY COMPANY LAW §303. Deponent further says that deponent knew the person so served as aforesaid to be the agent in the Office of the Secretary of State of the State of New York, duly authorized to accept such service on behalf of said defendant. Swom to before me on this 22nd day of September, 2023 Robert Guyette invoice-Work Order #2341602 Attorney File # 10015990 FAI coZZY NOTARY PUBLlc, stateIo New York No. 01cO6158874, Albany county commission Expires Jan 8, 2027 1 of 1