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Filing # 54470251 E-Filed 03/31/2017 10:24:29 AM
VERIFIED RETURN OF SERVICE
State of Florida County of Broward Circuit Court
Case Number: 17-000359
Plaintiff:
DONNA VIVIO, and DEAN MONTELIONE and/or any duly appointed Personal
Representatives of the Estate of HARRIET MONTELIONE, deceased
vs.
Defendant:
£& BALF, INC., D/B/A GOLDEN AGE MANOR
For:
DARRYN L. SILVERSTEIN
SILVERSTEIN, SILVERSTEIN & SILVERSTEIN, P.A.
20801 BISCAYNE BLVD.
STE. 504
AVENTURA, FL 33180
Received by Lance Randall, Inc. on the 14th day of March, 2017 at 12:52 pm to be served on E & B ALF, INC. D/B/
A GOLDEN AGE MANOR BY SERVING: ELLA FURMAN, AS REGISTERED AGENT, 800 PARKVIEW DRIVE,
SUITE 307, HALLANDALE, FL 33009.
|, Colyn A. Thompson, do hereby affirm that on the 15th day of March, 2017 at 7:03 pm, I:
Served the within named corporation by delivering a true copy of the SUMMONS AND COMPLAINT FOR
DAMAGES with the date and hour of service endorsed thereon by me to ELLA FURMAN at 800 PARKVIEW
DRIVE, SUITE 307, HALLANDALE, FL 33009 who is the Registered Agent of the within named corporation, after
informing said person of the contents of the matter thereof in compliance with FL State Statutes 48.091.
Description of Person Served: Age: 58, Sex: F, Race/Skin Color: White, Height: 5'6", Weight: 140, Hair: Dark
Blonde, Glasses: Y
| certify that | am a Special Process Server over the age of eighteen, appointed by the Sheriff's Office in the County
in which it was served, that | am in good standing and have no interest in the above action. Under penalties of
perjury, ! declare that | have read the forgoing Verified return of seryjce and the facts stated in it are true and correct.
Pursuant to F.S. 92.525(2), Notary not required. Date:_Oâ„¢% tere oO '7
Colyn A. Thompson
Special Process Server #1351
Lance Randall, Inc.
(Process Service & Litigation Support)
1011 South Federal Highway
Hollywood, FL 33020
(954) 944-3900
Our Job Serial Number: LRA-2017002659
Copyright © 1992-2017 Detebese Services, Inc. - Process Server's Toolbox V7.1
*4* FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 3/31/2017 10:24:29 AM.****&
Filag # 53027269 E-Filed 02/27/2017 03:32:22 PM
IN THE CIRCUIT COURT OF THE 17â„¢
JUDICIAL CIRCUIT IN AND FOR
BROWARD COUNTY, FLORIDA
GENERAL JURISDICTION DIVISION
CASE NO: 17-000359
DONNA VIVIO, and DEAN MONTELIONE
and/or any duly appointed Personal Representatives
of the Estate of HARRIET MONTELIONE,
deceased,
Plaintiff,
vs.
E & B ALF, INC., d/b/a GOLDEN AGE
MANOR,
Defendant.
STATE OF FLORIDA
To Each Sheriff of Said State:
You are hereby commanded to serve this Summons and a copy of the complaint or petition
in this action on Defendant: E & B ALF, INC., d/b/a GOLDEN AGE MANOR
BY SERVING: Ella Furman, as Registered Agent
800 Parkview Drive, Suite 307
Hallandale, FL 33009
+** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 2/27/2017 3:32:19 PM.****or any other officer, director, agent or employee of the defendant corporation, pursuant to F.S.
§§48.081 and 48.091
Each Defendant is required to serve written defenses to the complaint or petition on
Plaintiff's attorney, to wit:
DARRYN L. SILVERSTEIN, ESQUIRE
SILVERSTEIN, SILVERSTEIN & SILVERSTEIN, P.A.
504 Aventura Corporate Center
20801 Biscayne Boulevard
Aventura, Florida 33180 -
(305) 935-2500 ~ Miami-Dade
(954) 463-1333 - Broward
within 20 days after service of this summons on that Defendant, exclusive of the day of service, and
to file the original of the defenses with the Clerk of this Court either before service on Plaintiffs
attorney or immediately thereafter. If a Defendant fails to do so, a default will be entered against
that Defendant for the relief demanded in the complaint or petition.
Dated on this day of MAR 03 2017
CLERK, CIRCUIT COURT