Preview
Filing # 86694549 E-Filed 03/20/2019 01:58:59 PM
Affidavit of Process Server
i IN THE CIRCUIT COURT OF THE 15TH JUDICIAL CIRCUIT IN AND FOR PALM-BEACH COUNTY, FLORIDA
(NAME OF COURT) 7
Elizabeth L. Balzarano__ yg Lifeline Recovery, LLC et al. 50-2018-CA-015763-XXXX=MB
PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT CASE NUMBER
: 1 Jose A. Burgos being first duly sworn, depose and say: that | am over the age of 18 years and
! not a party to this action, and that within the boundaries of the state where service was effected, | was authorized by law to
perform said service.
Service: | served DID NOT SERVE: Lifeline Recovery, LLC. d/b/a Lifeline Recovery Support Services
NAME OF PERSON/ ENTITY BEING SERVED
with (list documents) Summons and Complaint
by leaving with At
NAME RELATIONSHIP
@ Residence_145 Mercer Street Trenton, NJ
i "ADDRESS CITY/STATE
i O Business.
| ADDRESS) CITY/STATE
1
On, AT.
) DATE TIME,
i C Inquired if subject was a member of the U.S. Military and was informed they are not.
Thereafter copies of the documents were mailed by prepaid, first class mail on.
\ are ee
from,
CITY STATE ZF
Manner of Service:
i (2 Personal: By personally delivering copies to the person being served.
O Substituted at Residence: By leaving copies at the dwelling house or usual place of abode of the person being
served with a member of the household over the age of 18 and explaining the general nature of the papers.
Substituted at Business: By leaving, during office hours, copies at the office of the persorventity being served’ with
the person apparently in charge thereof. ;
G Posting: By posting copies in a conspicuous manner to the front door of the person/entity being served.
Non-Service: After due search, careful inquiry and diligent attempts at the address(es) listed above, | have been
unable to effect process upon the persan/entity being served because of the following reason(s): :
OC Unknown at Address = C1 Moved, Left no Forwarding C1 Service Cancelled by Litigant C Unable to Setve in Timely Fashion. .
C1 Address Does Not Exist Z) Other Numorous atempts, no ansiar oach timo. Location Is an opartment house with 3 doorbell, No response from any apaitinan.”* ”
Service Attempts: Service was attempted on: (1) 2/1/19 @ 7:18 pm, 2/3/19 @ 7:03 am (2) 2SM9@ 1:33pm
6 DA
ATE TIME TE TIME
(3)2/15/19 @ 7:08 pm (4) 2/17/19 @ 6:22 pm (5) 2/19/19 @ 6:52 am
DATE TIME DATE TIME DATETIME
Description:. Age. Sex. Race, Height. Weight. Hair. Board _Glasses,
\ Lien. ee 2 ang
| ZAIGNATURE OF PROCESS SERVER
919 by Jase A. Burgos
| SUBSCRIBED AND SWORN to before me this 22nd _day of February
| Proved to me on the basis of satisfactory evidence to be the person(s) who appeare
SIGNATURE OF NOTARY PUBLIC
NOTARY PUBLIC for the sANTNONY PALMER.
i
| NOTARY PUBLIC
| FORTS SUTTON HESOCTATION OF ECE ESSTON AL FSCS SETTRONFIC COUNTY, NEW JERSEY
FORM2 ‘NATIONAL ASSOCIATION OF PROFESSIONAL PROCESS SE. ID # 23925811
MY COMMISSION EXPIRES MAR. 02, 2020
*** FILED: PALM BEACH COUNTY, FL SHARON R BOCK, CLERK. 03/20/2019 01:58:59 PM ***Filing # 82780188 E-Filed 01. 3/2019 10:18:31 AM c
IN THE CIRCUIT COURT FOR THE 15" JUDICIAL
CIRCUIT IN AND FOR PALM BEACH COUNTY,
FLORIDA.
GENERAL JURISDICTION DIVISION
CASE NO.: 50-2018-CA-015763-XXXX-MB
ELIZABETH BALZARANO, individually
and as Personal Representative of the Estate
of Michele L. Balzarano,
Plaintiff, CIVIL ACTION SUMMONS
vs,
En Espanol Al Dorso
LIFELINE RECOVERY, LLC, et al.,
IMPORTANT
Defendants, Francais Au Verso
TO: Lifeline Recovery, LLC
d/b/a Lifeline Recovery Support Services, a Foreign Corporation
By Serving: John Brogan, as Resident Agent
108 Indian Head Road
Toms River, NJ 08753
IMPORTANT
A lawsuit has been filed against you. You have 20 calendar days after this summons is served on
you to file a written response to the attached Complaint in this Court. A phone call will not protect you; your
written response, including the above case number and named parties, must be filed if you want the Court
to hear your case. If you do not file your response on time, you may lose the case, and your wages, money,
and property may thereafter be taken without further warning from the Court, There are other legal
requirements. You may want to call an attorney right away. If you do not know an attorney, you may call
an attorney referral service or legal aid office (list in the phone book),
Ifyou choose to file a written response yourself, at the same time you file your written response to
the Court, located at: Clerk, Circuit Court, 205 North Dixie Highway, West Palm Beach, FL 33401, you
must also mail or take a carbon copy or photocopy of your written response to the Plaintiff's attorney noted
below:
IMPORTANTE
Usted ha sido demandado legalmente. Tiene 20 dias, contados apartirdel recibo de esta notifiacion,
para contestar la demanda adjunta, por escrito, y presentarla ante este tribunal. Una llamada telefonica no
Jo protegera. Si usted desea que el tribunal considere su defensa, debe presentar su repuesta por escrito,
incluyendo el numero del caso y los nombres de las partes interesadas, Si usted no contesta Ja demanda a
tiempo, pudiese perder el caso y podria ser despojado de sus ingresos y propiedades, o privado de sus
derechos, sin previo aviso del tribunal, Existen otros requisitos legales. Silo desea, puede usted consultar
aunabogado immediatamente. Sinon conoce a un abogado, puede llamar a una de las officinas de asistencia
legal que aparecen en la guia telefonica,
FILED: PALM BEACH COUNTY, FL, SHARON R. BOCK, CLERK, 01/03/2019 10:18:31 AMSi desea responder a la demanda por su cuenta, al mismo tiempo en que presenta su respuesta ante
el tribunal, debera usted enviar por correo o entregar una copia de su respuesta a la persona denominada
abajo como "Plaintiff/Plaintiff's attomey” (Demandate o Abogado del Demanadante),
IMPORTANT
Des poursuites judiciares ont ete entreprises contre vous. Vous avez 20 jour consecutifs a partir de
la date de l'assignation de cette citation pour deposer une reponse ecrite a la plainte ci-jointe aupres de ce
Tribunal. Un simple coup de telephone est insuffisant pour vous proteger; vous etes oblige de deposer votre
reponse ecrite, avec mention du numero de dossier ci-dessus et du nom des parties nommees ici, si vous
souhaitez que le Tribunal entende votre cause. Si vous ne deposez pas votre reponse ecrite dans le relai
requis, vous risquez de perdre la cause ainsi que votre solaire, votre argent, et vos biens peuvent etre saisis
par Ja suite, sans aucun preavis ulterieur du Tribunal. I y a d'autres obligations juridiques et vous pouvez
requerir les services immediats d'un avocat. Si vous ne connaissez pas d'avocat, vous pourriez telephoner
aun service de reference d'avocats oua un bureau d'assistance juridique (figurant a I'annuaire de telephones),
Si vous choisissez de deposer vous-meme une reponse ecrite, i] vous faudra egalement, en meme
temps que cette formalite, faire parvenir ou expendier une copie de votre reponse ecrite au
"Plaintiff/Plaintiff's attorney (Plaignant ou a son avocat) nomme ci-dessous.
THOMAS SCOLARO, ESQUIRE
THOMAS D. GRAHAM, ESQUIRE
LEESFIELD SCOLARO, P.A.
2350 South Dixie Highway, Miami, FL 33133
Telephone: (305) 854-4900
THE STATE OF FLORIDA
TO EACH SHERIFF OF THE STATE: You are commanded to serve this Summons anda copy of the
Complaint in this lawsuit on the above-named Defendant.
DATED ON Jan 03 2019 » 2019.
()
BY CMW eee.
(Seal) as Deputy Clerk
JOSIE LUCCE
Preview
Filing # 86694549 E-Filed 03/20/2019 01:58:59 PM Affidavit of Process Server i IN THE CIRCUIT COURT OF THE 15TH JUDICIAL CIRCUIT IN AND FOR PALM-BEACH COUNTY, FLORIDA (NAME OF COURT) 7 Elizabeth L. Balzarano__ yg Lifeline Recovery, LLC et al. 50-2018-CA-015763-XXXX=MB PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT CASE NUMBER : 1 Jose A. Burgos being first duly sworn, depose and say: that | am over the age of 18 years and ! not a party to this action, and that within the boundaries of the state where service was effected, | was authorized by law to perform said service. Service: | served DID NOT SERVE: Lifeline Recovery, LLC. d/b/a Lifeline Recovery Support Services NAME OF PERSON/ ENTITY BEING SERVED with (list documents) Summons and Complaint by leaving with At NAME RELATIONSHIP @ Residence_145 Mercer Street Trenton, NJ i "ADDRESS CITY/STATE i O Business. | ADDRESS) CITY/STATE 1 On, AT. ) DATE TIME, i C Inquired if subject was a member of the U.S. Military and was informed they are not. Thereafter copies of the documents were mailed by prepaid, first class mail on. \ are ee from, CITY STATE ZF Manner of Service: i (2 Personal: By personally delivering copies to the person being served. O Substituted at Residence: By leaving copies at the dwelling house or usual place of abode of the person being served with a member of the household over the age of 18 and explaining the general nature of the papers. Substituted at Business: By leaving, during office hours, copies at the office of the persorventity being served’ with the person apparently in charge thereof. ; G Posting: By posting copies in a conspicuous manner to the front door of the person/entity being served. Non-Service: After due search, careful inquiry and diligent attempts at the address(es) listed above, | have been unable to effect process upon the persan/entity being served because of the following reason(s): : OC Unknown at Address = C1 Moved, Left no Forwarding C1 Service Cancelled by Litigant C Unable to Setve in Timely Fashion. . C1 Address Does Not Exist Z) Other Numorous atempts, no ansiar oach timo. Location Is an opartment house with 3 doorbell, No response from any apaitinan.”* ” Service Attempts: Service was attempted on: (1) 2/1/19 @ 7:18 pm, 2/3/19 @ 7:03 am (2) 2SM9@ 1:33pm 6 DA ATE TIME TE TIME (3)2/15/19 @ 7:08 pm (4) 2/17/19 @ 6:22 pm (5) 2/19/19 @ 6:52 am DATE TIME DATE TIME DATETIME Description:. Age. Sex. Race, Height. Weight. Hair. Board _Glasses, \ Lien. ee 2 ang | ZAIGNATURE OF PROCESS SERVER 919 by Jase A. Burgos | SUBSCRIBED AND SWORN to before me this 22nd _day of February | Proved to me on the basis of satisfactory evidence to be the person(s) who appeare SIGNATURE OF NOTARY PUBLIC NOTARY PUBLIC for the sANTNONY PALMER. i | NOTARY PUBLIC | FORTS SUTTON HESOCTATION OF ECE ESSTON AL FSCS SETTRONFIC COUNTY, NEW JERSEY FORM2 ‘NATIONAL ASSOCIATION OF PROFESSIONAL PROCESS SE. ID # 23925811 MY COMMISSION EXPIRES MAR. 02, 2020 *** FILED: PALM BEACH COUNTY, FL SHARON R BOCK, CLERK. 03/20/2019 01:58:59 PM ***Filing # 82780188 E-Filed 01. 3/2019 10:18:31 AM c IN THE CIRCUIT COURT FOR THE 15" JUDICIAL CIRCUIT IN AND FOR PALM BEACH COUNTY, FLORIDA. GENERAL JURISDICTION DIVISION CASE NO.: 50-2018-CA-015763-XXXX-MB ELIZABETH BALZARANO, individually and as Personal Representative of the Estate of Michele L. Balzarano, Plaintiff, CIVIL ACTION SUMMONS vs, En Espanol Al Dorso LIFELINE RECOVERY, LLC, et al., IMPORTANT Defendants, Francais Au Verso TO: Lifeline Recovery, LLC d/b/a Lifeline Recovery Support Services, a Foreign Corporation By Serving: John Brogan, as Resident Agent 108 Indian Head Road Toms River, NJ 08753 IMPORTANT A lawsuit has been filed against you. You have 20 calendar days after this summons is served on you to file a written response to the attached Complaint in this Court. A phone call will not protect you; your written response, including the above case number and named parties, must be filed if you want the Court to hear your case. If you do not file your response on time, you may lose the case, and your wages, money, and property may thereafter be taken without further warning from the Court, There are other legal requirements. You may want to call an attorney right away. If you do not know an attorney, you may call an attorney referral service or legal aid office (list in the phone book), Ifyou choose to file a written response yourself, at the same time you file your written response to the Court, located at: Clerk, Circuit Court, 205 North Dixie Highway, West Palm Beach, FL 33401, you must also mail or take a carbon copy or photocopy of your written response to the Plaintiff's attorney noted below: IMPORTANTE Usted ha sido demandado legalmente. Tiene 20 dias, contados apartirdel recibo de esta notifiacion, para contestar la demanda adjunta, por escrito, y presentarla ante este tribunal. Una llamada telefonica no Jo protegera. Si usted desea que el tribunal considere su defensa, debe presentar su repuesta por escrito, incluyendo el numero del caso y los nombres de las partes interesadas, Si usted no contesta Ja demanda a tiempo, pudiese perder el caso y podria ser despojado de sus ingresos y propiedades, o privado de sus derechos, sin previo aviso del tribunal, Existen otros requisitos legales. Silo desea, puede usted consultar aunabogado immediatamente. Sinon conoce a un abogado, puede llamar a una de las officinas de asistencia legal que aparecen en la guia telefonica, FILED: PALM BEACH COUNTY, FL, SHARON R. BOCK, CLERK, 01/03/2019 10:18:31 AMSi desea responder a la demanda por su cuenta, al mismo tiempo en que presenta su respuesta ante el tribunal, debera usted enviar por correo o entregar una copia de su respuesta a la persona denominada abajo como "Plaintiff/Plaintiff's attomey” (Demandate o Abogado del Demanadante), IMPORTANT Des poursuites judiciares ont ete entreprises contre vous. Vous avez 20 jour consecutifs a partir de la date de l'assignation de cette citation pour deposer une reponse ecrite a la plainte ci-jointe aupres de ce Tribunal. Un simple coup de telephone est insuffisant pour vous proteger; vous etes oblige de deposer votre reponse ecrite, avec mention du numero de dossier ci-dessus et du nom des parties nommees ici, si vous souhaitez que le Tribunal entende votre cause. Si vous ne deposez pas votre reponse ecrite dans le relai requis, vous risquez de perdre la cause ainsi que votre solaire, votre argent, et vos biens peuvent etre saisis par Ja suite, sans aucun preavis ulterieur du Tribunal. I y a d'autres obligations juridiques et vous pouvez requerir les services immediats d'un avocat. Si vous ne connaissez pas d'avocat, vous pourriez telephoner aun service de reference d'avocats oua un bureau d'assistance juridique (figurant a I'annuaire de telephones), Si vous choisissez de deposer vous-meme une reponse ecrite, i] vous faudra egalement, en meme temps que cette formalite, faire parvenir ou expendier une copie de votre reponse ecrite au "Plaintiff/Plaintiff's attorney (Plaignant ou a son avocat) nomme ci-dessous. THOMAS SCOLARO, ESQUIRE THOMAS D. GRAHAM, ESQUIRE LEESFIELD SCOLARO, P.A. 2350 South Dixie Highway, Miami, FL 33133 Telephone: (305) 854-4900 THE STATE OF FLORIDA TO EACH SHERIFF OF THE STATE: You are commanded to serve this Summons anda copy of the Complaint in this lawsuit on the above-named Defendant. DATED ON Jan 03 2019 » 2019. () BY CMW eee. (Seal) as Deputy Clerk JOSIE LUCCE