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  • Workers' Compensation Board Of The State Of New York v. Third Square Food Inc Workers Comp App for Judgement document preview
						
                                

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FILED: QUEENS COUNTY CLERK 10/04/2013 INDEX NO. 901119/2012 NYSCEF DOC. (11)971856J.1 NO. 3 RECEIVED NYSCEF: 10/04/2013 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF QUEENS ____________________________ X WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK, Plaintiff, -against- THIRD SQUARE FOOD INC SATISFACTION 4217 28TH AVE, OF ASTORIA, NY 11103-2801 JUDGMENT Defendant(s) 'WCB EMPLOYER#: 2363301 . INDEX #: 901119/2012 ____________________ ~ ----X. WHEREAS, a judgment was entered inthe above entitled action on Dec 17, 2012 in the Supreme Court of the State of New York, in favor of the Workers' Compensation Board of the State ofNew York. plaintiff against THIRD .. SQUARE FOOD INC, defendant(s), forthe sum of $8,000.00, which was docketed on Dec 17, 2012, in the office' of the Clerk of QUEENS county, and said judgment has been fullysatisfied. THEREFORE, satisfaction of said judgment is hereby acknowledged and the said Clerk is hereby authorized and . directed tomake an entry of said 'satisfactionof the docket of said judgment. , WORKERS' COMPENSATION BOARD OF THE'STATE OF NEW YORK , es R McGinn, Esq, dgment Unit STA TE OF NEW YORK) COUNTY OF ALBANY) -ss: On this cPS -J!.,day oQ,t 6 ,j ,'c2(!)13 .before me, th~ undersigned, personally appe~'-ed,James R. McGinn, personally known to mi$ 01 pro~ed to me on the basis of satisfactory evidence to be iMividual whose name is subscribed to the within instrument and acknowledged to nie that he executed the same in his capacity, and that by his signature on the instrument, the individuals or the person upon behalf of which the individual acted, executed the instrument. ~/'C~ NOTARy'pifBLlC C-45.5 4/2005 l'lF'~l