FILED: NASSAU COUNTY CLERK 05/01/2023 02:29 PM
`NYSCEF DOC. NO. 49
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`INDEX NO. 606451/2023
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`RECEIVED NYSCEF: 05/01/2023
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`ATToRNEY(S) : Mccormack & Mattei P.C.
`INDEX # : 606451/2023
`PURCHASED/FILED : April 21, 2023
`STATE OF : NEW YORK
`COURT : Supreme
`CoUNTY/DISTRICT : Nassau
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`AFFIDAVIT OF SERVICE - SECRETARY OF STATE
`Drive New Jersey Insurance Company
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`Il
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`II
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`I Illí
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`l m i
`P9069899
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`I
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`Il
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`11
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`against
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`Liz Gomez a/k/a Liz Gomez ( Policy #950980876) et al
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`Plaintiff(s)
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`Defendant(s)
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`STATE OF NEW YORK )
`COUNTYOFALBANY )SS
`CITY OF ALBANY
`)
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`DESCRIPTION OF PERSON SERVED:
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`Approx. Age:
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`70 Yrs.
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`Weight:. 120 Lbs. Height:
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`5' 0"
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`Sex: Female Color of skin: White
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`Hair color: Blonde Other:
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`, being duly sworn, deposes and says: deponent is over
`Robert Guyette
`the age of eighteen (18) years; is not a party to this action, and resides in the State of NY, and that on
`1:20 PM , at the office of the Secretary of State of the State of NY,
`, at
`April 26, 2023
`located at 99 Washington Ave, 6th FI, Albany, New York 12231 deponent served:
`Summons & Verified Complaint with Index # and Date of Filing Endorsed Thereon and Notice of Electronic Filing
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`on
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`Sedation Vacation Perioperative Medicine PLLC
`
`Sue Zouky
`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
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`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 to accept such service on behalf of said
`defendant.
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`Sworn to before me on this
`2_6th day of April, 2023
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`.
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`FAITH COZ
`NOTARY PUBLic, State of New York
`No. 01cO6158874, Albany county
`Commission Expires Jan 8, 2027
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`Lf^ Robert Guyette
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`Invoice-Work Order # 2317762
`Attomey File # 9069899
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`1 of 1
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