UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK
x
Plaintiff, -against-
Affirmation of Service
CV Defendant.
(
)
x
I, served a copy of the attached upon whose address is:
, declare under penalty of perjury that I have
Dated: , New York
Signature
Address
City, State, Zip Code
Affirmation of Service (USDC-EDNY) - January 2003