On December 12, 2016 a
Proof of Service
was filed
involving a dispute between
Niagara Rehabilitation And Nursing Center,
and
Dwayne Grayson,
for Other Matters - Contract Non-Commercial
in the District Court of Niagara County.
Preview
INDEX NO. E160197/2016
NYSCEF DOC. NO. 3
WORE
a von een RECEIVED NYSCEF: 01/19/2017,
SUPREME COURT OF THE STATE OF NEW YORK |
COUNTY OF NIAG. Job # 273667
AFFIDAVIT OF SERVICE
Index no : £160197/2016
Court Date:
Date Index Number Purchased: wanainens
’
be
PLAINTIFF(S): NIAGARA REHABILITATION AND NURSING CENTER
DEFENDANT(S): DWAYNE GRAYSON
STATE OF NEW YORK
COUNTY OF ERIE 8s.
‘WILLIAM HANCE, the undersigned, being duly sworn, deposes and says thatI was at the time of service over the age of
eighteen and not a party to this action. I reside in the STATE OF NEW
On 12/27/2016 at 3:53 PM, I served the withinSUMMONS AND VERIFIED COMPLAINT; NOTICE OF
COMMENCEMENT OF ACTION SUBJECT TO MANDATORY ELECTRONIC FILING on DWAYNE GRAYSON
at 4606 CAMBRIA WILSON ROAD, Lockport, NY 14094 in the manner indicated below:
SUITABLE AGE: By delivering a true copy of each to JOHN DOE (REFUSED NAME), CO-TENANT, a person of
suitable age and discretion. Said premises is recipient's usual place of abode within the state.
Pursuant to CPLR ~ Section 308(2) On 01/03/2017 , service was completed by depositing a true copy of each document to the
above address in a 1st Class postpaid properly addressed envelope not indi ing that the mailing was from an attorneyor
concernedIe action and marked “Personal and Confidential” in an official depository under the exclusive care and custody
of the United States Post Office.
A description of the Recipient, or other person served on behalf of the Recipient is as follows:
Sex Color of skin/race {Color ofhair |Approx Age jApprox Height
[Weight
E__JWHITE. GRAY. 150-60 _i5ft. Sin. — 6ft. Oin _160-1991.bs.|
lOther Features:
Your deponent asked the person spoken to whether the Recipient was in the active milit service and received a negative
reply. Upon information and belief I have; being based on the conversations and observations above narrated, Recipient is not
in the military service.
Sworn subscribed before me on
an who is ly known to
me or produced identification.
6 PM Legal
TA Nia ntigs A LAA
NOTAW 75 Maiden Lane, 11° Floor
My Commissi ionExpires: New York, NY 10038
Ee
STEPHANIE LYNN CARNEY
Notary Public - State of New York
No. 01CA6309280
Qualtfied in Ene County
My Commission Expires August 11, 2018
lof 1
Document Filed Date
January 19, 2017
Case Filing Date
December 12, 2016
Category
Other Matters - Contract Non-Commercial
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INDEX NO. E160197/2016 NYSCEF DOC. NO. 3 WORE a von een RECEIVED NYSCEF: 01/19/2017, SUPREME COURT OF THE STATE OF NEW YORK | COUNTY OF NIAG. Job # 273667 AFFIDAVIT OF SERVICE Index no : £160197/2016 Court Date: Date Index Number Purchased: wanainens ’ be PLAINTIFF(S): NIAGARA REHABILITATION AND NURSING CENTER DEFENDANT(S): DWAYNE GRAYSON STATE OF NEW YORK COUNTY OF ERIE 8s. ‘WILLIAM HANCE, the undersigned, being duly sworn, deposes and says thatI was at the time of service over the age of eighteen and not a party to this action. I reside in the STATE OF NEW On 12/27/2016 at 3:53 PM, I served the withinSUMMONS AND VERIFIED COMPLAINT; NOTICE OF COMMENCEMENT OF ACTION SUBJECT TO MANDATORY ELECTRONIC FILING on DWAYNE GRAYSON at 4606 CAMBRIA WILSON ROAD, Lockport, NY 14094 in the manner indicated below: SUITABLE AGE: By delivering a true copy of each to JOHN DOE (REFUSED NAME), CO-TENANT, a person of suitable age and discretion. Said premises is recipient's usual place of abode within the state. Pursuant to CPLR ~ Section 308(2) On 01/03/2017 , service was completed by depositing a true copy of each document to the above address in a 1st Class postpaid properly addressed envelope not indi ing that the mailing was from an attorneyor concernedIe action and marked “Personal and Confidential” in an official depository under the exclusive care and custody of the United States Post Office. A description of the Recipient, or other person served on behalf of the Recipient is as follows: Sex Color of skin/race {Color ofhair |Approx Age jApprox Height [Weight E__JWHITE. GRAY. 150-60 _i5ft. Sin. — 6ft. Oin _160-1991.bs.| lOther Features: Your deponent asked the person spoken to whether the Recipient was in the active milit service and received a negative reply. Upon information and belief I have; being based on the conversations and observations above narrated, Recipient is not in the military service. Sworn subscribed before me on an who is ly known to me or produced identification. 6 PM Legal TA Nia ntigs A LAA NOTAW 75 Maiden Lane, 11° Floor My Commissi ionExpires: New York, NY 10038 Ee STEPHANIE LYNN CARNEY Notary Public - State of New York No. 01CA6309280 Qualtfied in Ene County My Commission Expires August 11, 2018 lof 1