HomeMy WebLinkAbout2337 f
f
• - •
8U 1:~5
STATE OF NEtC YORK C0111BINED VERIFICATION OATH AND DESIGNATION
COUNtYOF:KONROt (Individual)
Ctttr of Rocat:srea
I. the undersigned Charles P. Barletta being duly sworn. say:
(1) VERIFICATION: 1 love read the foregoing petition subscribed by me snd know the contents thereo[. and
the same is true of my own L•nowledge, except as to the natters therein stated to be alleged upon information and
belief. and as to those nutters I believe it to be true.
(Y) OATH OF EXECU?OR: I am over righteen (18) years of age and a citizen of the United States; I am
the a:eeut Dr named in the Last tti ill described in the foregoing petition and will well, faithfully
and honestly discharge the duties of such execut Or . I am not ineligible to receiYC letters.
(3) DESIG\ATION OF CLERK FOR SERY!C~Q !1F PROCESS: I do hereby designate the Chief Clerk of
ths.Surtogate's Court of Monroe County, and his or her successor in office, as a person on whom service of any psoaas
~ issuing from such Surrogate's Court may be made, in like manner and with like eRect as it it were served personally
upoa me whsnever i cannot be found and served within the State of New York after due diligence uasd.
City
liydomicilisgaddrcss is 4 Tabdoi Drive Rochester ,state of
Vil~rc
New Yor'c
- ~ -
....................•(Signature)
._.......C~`.ZL~S....P.~...BAI~LE~A......._
(Type name)
O., July 7 Ip77 ~ before me personally came Charles P. Barletta
to roe known to be the person described in snd who executed the foregoing instrument. Such person duly swore to such
instrument before nx and duly acknowledged that he the +a~•
PATRICIA CIiNNUiip
COMYta?a~waa v? wsTSS+R
~ft1 01 atll't1aaTRa, A. T.
a.rsw,Yrta, sayf ~ ?y~ 17, arip p .
Bl>~JrGU PAGE