On June 25, 2024 a
Party Statement
was filed
involving a dispute between
Wallingford Endoscopy Center, Llc,
and
Iftikhar Ahmad,
for S10 - Small Claims - Small Claims - Collection - Medical Non-Hospital
in the District Court of New Haven County.
Preview
WALLINGFORD ENDOSCOPY CENTER, LLC SMALL CLAIMS
JD OF WATERBURY
VS. AT WATERBURY
IFTIKHAR AHMAD JUNE 14, 2024
MILITARY AFFIDAVIT
The undersigned, being duly sworn, deposes and says:
I have personal knowledge, obtained within the last 30 days by imputing the social
security number(s) and/or date of birth for the defendant(s), into the U.S. Department of Defense
Manpower Data Center’s internet web site, that the defendant(s) is/are not in active duty in any
branch of the U.S. military services
The printout(s) of my request(s) for the military status of theie Hefexadomts) to the U.S
Department of Defense Manpower Data Center, {. attached
by till
Gail Fp Wi _
Subscribed and sworn to before me, the undersigned officer this 14" day of June, 2024.
Wendy L. fontaine
Commissioner of the Superior Court
Department of Defense Manpower Data Center Results as of : Jun-05-2024 12:03:09 PM
‘SCRA 5.20
ee
i
Status Report
he
Pursuant to Servicemembers Civil Relief Act
SSN:
Birth Date: Seamestad
Last Name: AHMAD
First Name: IFTIKHAR
Middle Name
Status As Of: Jun-05-2024
Certificate ID 78GY4YVLOV2C2D5
(On Active Duty On Active Duty Status Date
Active Duty Start Date Active Duty End Date Status ‘Service Component
NA NA No NA
“This response reflects the individuals’ active duty status based on the Active Duty Status Date
Left Active Duty Within 367 Days of Active Duty Status Date
Active Duty Start Date ‘ActiveDuty End Date Status ‘Service Component
NA NA No
This response reflects where the individual left active duty status within 367 days preceding the Active Duty Status Date
“The Member or His/Her Unit Was Notified of a Future Call-Up to Active Duty on Active Duty Status Date
‘Order Notification Start Date (Order Notification End Date Status ‘Service Component
NA NA No NA
“This response reflects whether the individual or his/her unit has received early notification to report for active duty
is the status of
Upon searching the data banks of the Department of Defense Manpower Data Center, based on the information that you provided, the above
Corps, Air Force, Space Force, NOAA, Public
the individual on the active duty status date as to all branches of the Uniformed Services (Army, Navy, Marine
unit receiving notification of future orders to report for Active Duty.
Health, and Coast Guard). This status includes information on a Servicemember or his/her
THE DEPARTMENT OF DEFENSE MANPOWER DATA CENTER CANNOT AUTHORITATIVEL Y
HOWEVER, WITHOUT A SOCIAL SECURITY NUMBER,
ASSERT THAT THIS IS THE SAME INDIVIDUAL THAT YOUR QUERY REFERS TO. NAME AND DATE OF BIRTH ALONE DO NOT UNIQUELY
IDENTIFY AN INDIVIDUAL.
Sam OLLLL, acele
Sam Yousefzadeh, Director
Department of Defense - Manpower Data Center
4800 Mark Center Drive, Suite 04E25
Alexandria, VA 22350
Document Filed Date
June 25, 2024
Case Filing Date
June 25, 2024
Category
S10 - Small Claims - Small Claims - Collection - Medical Non-Hospital
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WALLINGFORD ENDOSCOPY CENTER, LLC SMALL CLAIMS JD OF WATERBURY VS. AT WATERBURY IFTIKHAR AHMAD JUNE 14, 2024 MILITARY AFFIDAVIT The undersigned, being duly sworn, deposes and says: I have personal knowledge, obtained within the last 30 days by imputing the social security number(s) and/or date of birth for the defendant(s), into the U.S. Department of Defense Manpower Data Center’s internet web site, that the defendant(s) is/are not in active duty in any branch of the U.S. military services The printout(s) of my request(s) for the military status of theie Hefexadomts) to the U.S Department of Defense Manpower Data Center, {. attached by till Gail Fp Wi _ Subscribed and sworn to before me, the undersigned officer this 14" day of June, 2024. Wendy L. fontaine Commissioner of the Superior Court Department of Defense Manpower Data Center Results as of : Jun-05-2024 12:03:09 PM ‘SCRA 5.20 ee i Status Report he Pursuant to Servicemembers Civil Relief Act SSN: Birth Date: Seamestad Last Name: AHMAD First Name: IFTIKHAR Middle Name Status As Of: Jun-05-2024 Certificate ID 78GY4YVLOV2C2D5 (On Active Duty On Active Duty Status Date Active Duty Start Date Active Duty End Date Status ‘Service Component NA NA No NA “This response reflects the individuals’ active duty status based on the Active Duty Status Date Left Active Duty Within 367 Days of Active Duty Status Date Active Duty Start Date ‘ActiveDuty End Date Status ‘Service Component NA NA No This response reflects where the individual left active duty status within 367 days preceding the Active Duty Status Date “The Member or His/Her Unit Was Notified of a Future Call-Up to Active Duty on Active Duty Status Date ‘Order Notification Start Date (Order Notification End Date Status ‘Service Component NA NA No NA “This response reflects whether the individual or his/her unit has received early notification to report for active duty is the status of Upon searching the data banks of the Department of Defense Manpower Data Center, based on the information that you provided, the above Corps, Air Force, Space Force, NOAA, Public the individual on the active duty status date as to all branches of the Uniformed Services (Army, Navy, Marine unit receiving notification of future orders to report for Active Duty. Health, and Coast Guard). This status includes information on a Servicemember or his/her THE DEPARTMENT OF DEFENSE MANPOWER DATA CENTER CANNOT AUTHORITATIVEL Y HOWEVER, WITHOUT A SOCIAL SECURITY NUMBER, ASSERT THAT THIS IS THE SAME INDIVIDUAL THAT YOUR QUERY REFERS TO. NAME AND DATE OF BIRTH ALONE DO NOT UNIQUELY IDENTIFY AN INDIVIDUAL. Sam OLLLL, acele Sam Yousefzadeh, Director Department of Defense - Manpower Data Center 4800 Mark Center Drive, Suite 04E25 Alexandria, VA 22350