`NYSCEF DOC. NO. 11
`SUPREME
`COURT OF THE STATE OF NEW YORK
`COUNTY
`OF QUEENS
`
`INDEX NO. 712403/2021
`
`RECEIVED NYSCEF: 06/09/2021
`
`NElL T. POWELL
`Plaintiff(s),
`
`vs.
`
`TRIUMPH
`Defendant(s).
`
`CONSTRUCTION
`
`CORP.,
`
`ET AL
`
`STATE OF New York: COUNTY OF Nassau
`
`ss:
`
`ATTORNEY:
`
`LEAV & STEINBERG LLP
`
`INDEX NUMBER:
`
`712403/2021
`
`DATE OF FILING:
`
`05/31/2021
`
`AFFIDAVIT
`
`OF SERVICE
`
`being duly sworn deposes
`I, Juliya Maiouchkina,
`in the state of New York.
`and resides
`
`and says deponent
`
`is not a party to this action
`
`and is over
`
`the age of e|ght6êñ
`
`years
`
`NY 12207,
`at 8:41 AM at c/o CSC, 80 State Street,
`That on 6/7/2021
`Albany,
`Index Number
`the Summone
`Deponent
`and Vêr|f:6d
`Complaint
`served
`bearing
`upon Safeway
`Construction
`Eñt6rpr|ses
`LLC, defendant/respondent/recipient
`
`and Date of Filing,
`herein.
`
`Notice
`
`of Electronic
`
`Filing
`
`Said service was effected
`
`in the following manner;
`
`to and leaving
`By delivering
`service
`individua!
`accepting
`
`for Safeway
`a true copy to Jane Doe personally
`Construction
`to be an/the Authorized
`for CSC thereof.
`Representative
`
`Enterprises
`
`LLC. Depüñ661
`
`knew the
`
`Dogsñéñt
`Female
`
`describes
`Skin: White
`
`the individua!
`Hair: Gray
`
`to the best of dâpõñent's
`served
`60 Height(Approx):
`Age (Approx):
`
`the time and circumstances
`ability at
`5'7" Weight(Approx):
`170-180
`Ibs
`
`of service
`Glasses:
`
`as follows:
`Yes Other:
`
`Sex:
`
`that
`I certify
`statements
`
`staterñêñts
`the ferõÿüing
`made by me are willfully
`
`made by me are true, correct
`to punishment.
`I am subject
`false,
`
`and my free act and deed.
`
`I am aware that
`
`if any of the faregc|ñg
`
`.
`Sworn to before me this
`
`June
`
`2021
`
`ALEXANDER JAMES
`NOTARY PUBLIC, STATE OF NEW YORK
`REGISTRATION NO. 01JA6029931
`QUALIFIED IN NASSAU COUNTY
`COMMISSION EXPIRES AUGUST 30, 2021
`Executive
`Attorney
`
`Juliya Maiouchkina
`
`Service,
`
`Lic# 142206(
`Inc. 585 Stewart Ave, Ste LL16, Garden City, NY 11530 516-333-3447
`Case No: 1628391
`
`1 of 1
`
`