FILED: NASSAU COUNTY CLERK 02/14/2024 11:27 AM
`NYSCEF DOC. NO. 56
`ATTORNEY(S) : McCormack & mattei, P.C.- Progressive Ins
`INDEX #: 601615/2024
`PORCHASED/FILED :
`STATE OF : New YORK
`CounT : Supreme
`ConNTv/DISTRIcT : Nassau
`
`AFFIDAVIT OF SERVICE - SECRETARY OF STATE
`Progressive Advanced Insurance Company
`
`INDEX NO. 601615/2024
`
`RECEIVED NYSCEF: 02/14/2024
`
`lilli I
`
`I
`
`i I
`i
`I
`P20828939
`
`i11 I
`
`I
`
`against
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`Star Asia Keney AKA Star-Asia Kelley AKA Star A Kelley (Policy Number 969486096), et al
`
`Plaintiff(s)
`
`Defendant(s)
`
`STATE OF NEW YORK )
`COUNTYOFALBANY )SS
`CITY OF ALBANY
`)
`
`DESCRIPTION OF PERSON SERVED:
`
`Approx. Age:
`
`60 yrs
`
`Weight:
`
`120 lbs Height:
`
`5'1"
`
`Sex: Female Color of skin: White
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`Hair color:
`
`Brown Other:
`
`, being duly sworn, deposes and says: deponent is over
`Sean Warner
`the age of eighteen (18) years; is not a party to this action, and resides in the State of NY, and that on
`2:08 PM , at the office of the Secretary of State of the State of NY,
`February 8, 2024
`, at
`located at 99 Washington Ave, 6th FI, Albany, New York 12231 deponent served:
`Notice of Electronic Filing, Summons & Verified Complaint Bearing Index Number and Date Filed
`
`on
`
`Prime Specialty Pharmacy LLC
`
`Nancy Dougherty
`the Defendant in this action, by delivering to and leaving with
`AUTHORIZED AGENT in the Office of the Secretary of State, of the State of New York, personally at the
`Office of the Secretary of State of the State of New York, two (2) true copies thereof and that at the time of
`dollars; That said service
`making such service, deponent paid said Secretary of State a fee of
`$40
`LIMITED LIABILITY COMPANY LAW §303.
`was made pursuant to Section
`
`Deponent further says that deponent knew the person so served as aforesaid to be the agent in the Office
`of the Secretary of State of the State of New York, duly authorized t accept such service on behalf of said
`defendant.
`
`Swom to before me on this
`8th day of February, 2024
`
`-
`
`ROBERT GUYETTE
`Notary Public State of New York
`01GU6382699 RENSSELAER cOUNTY
`Commission Expires OcTOBER 29, 2026
`
`Sean Warner
`Invoice-Work Order #2406212
`Attomey File # 20828939
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