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AFFIDAVIT OF SERVICE
A
ITY , FLORIDA
Insert name of court, judicial district or branch court, if any:
IN THE CIRCUIT COURT OF THE - TWENTIETH JUDICIAL CIRCUIT -IN AND FOR CHARLOTTE Ci
CASE NUMBER:
DEPOSITION/COURT DATE:
PLAINTLFY/PETITIONER:
SALLY SIMON, AS PERSONAL REPRESENTATIVE OF THE ESTATE OF MICHAEL
DEFENDANT/RESPONDENT:
‘SAMUEL ESTEPA, M.D.
DOCUMENTS SERVED:
SUBPOENA FOR TRIAL WITH WITNESS CHECK
Received on 08/20/2001 at 10:32 AM to be served on:
DANIEL TUFARIELLO, M.D., C/O BON SECOURS - ST. JOSEPH HOSPITAL
1 do hereby affirm that or! 08/21/2001 at 12:50 PM | served this process by:
NON-SERVICE: For the reason(s) listed in the comments below:
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ANNO9 I LoTwyH
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£92 Hd $2 190 1M
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FOR(Ciieat):
KOLTUN & LAZAR, P.A.
MIAMI, FL 33173
das
LOCATION OF SERVICE:
sant’
2500 HARBOR BLVD.,
PORT CHARLOTTE, FL-
DESCRIPTION OF PERSON SERVED:
COMMENTS:
NOT AT ABOVE ADDRESS.. OFFICE LOCATED AT SHARPER IMAGING,2122 OLEAN BLVD. PORT CHARLOTTE FL. DOCTOR
OU…
