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SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK
x
WORKERS! COMPENSATION BOARD OF THE STATE OF NEW YORK, ©
Plaintiff,
-against-
METROPOLITAN 51 PARKING LLC
AFFIRMATION
Defendant(s)
OF
NON-PAYMENT
x
The undersigned, an attorney in the office of the Workers' Compensation Board of the State of New
York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon
information and belief.
This affirmation is based upon a review of the file which is maintained by the Workers' Compensation
Board in its regular course of business.
| am familiar with the status of payment in this matter. The award/penalty/assessment/demand for
deposit of security made against the defendant(s) in the amount of $8,250.00 is in default, as more than
ten days have elapsed since the demand upon the defendant(s) herein for payment. No payment has
been received nor has the aforesaid security been deposited in compliance with said demand to date,
except the sum of $0.00, leaving due and payble the sum of $8,250.00.
Dated 47th__ day of December 2007
Si
Scott A. Herron, Esq.
Judgment Unit
C-45.45E 6/2007
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK
x
WORKERS! COMPENSATION BOARD OF THE STATE OF NEW YORK, ©
Plaintiff,
-against-
METROPOLITAN 51 PARKING LLC
AFFIRMATION
Defendant(s)
OF
REGULARITY
x
The undersigned, an attorney in the office of the Workers' Compensation Board of the State of New
York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon
information and belief.
This affirmation is based upon a review of the file which is maintained by the Workers' Compensation
Board in its regular course of business.
The Workers' Compensation Board of the State of New York, in accordance with the provisions of the
Workers' Compensation Law, has made an assessment/award in the sum of $8,250.00, against the
defendant(s). Attached hereto and made a part hereof are certified copies of the Notice of Decision and
Award, and/or a certified copy of the demand for deposit of security, and/or a certified copy of the chair's.
order imposing, and the demand for payment of, assessments imposed by the chair pursuant to
subdivision five of section fifty-two of the Workers' Compensation Law, as required for filing of judgment
per Workers' Compensation Law, Section 26 and/or 219. Appeals before the Board have been
exhausted
No payment of award has been made except $0.00, leaving $8,250.00 due and payable.
WHEREFORE, it is respectfully requested that judgment be entered against the Defendant(s) herein in
the sum stated as remaining due and payable.
Dated: _ 17th day of December 2007
SI
Scott A. Herron, Esq.
Judgment Unit
C-45.1E 6/2007
STATE OF NEW YORK
WORKERS’ COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES.
JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT
fy 20 PARK STREET DISCRIMINATION.
| ALBANY, NY 12207-1674
866-298-7830
METROPOLITAN 51 PARKING LLC WCB EMPLOYER #: 2368326
211 E38TH ST VIER #. 47-84505
NEW YORK NY 10016-2704
FEIN/SS #: 204829670
Itis hereby certified that this is a true
and correct copy of the ori inal as filed
with the Workers’ Compensation Board
Sf
Scott A. Herron, Esq.
DATE: 12/03/2007 FINAL NOTICE * Judgment Unit
Certified on 427/07
Non-Compliance
Item Description Dates Accident Date | Balance Due
2007WO0008N5 Failure to Carry Workers! Comp Ins 06 /30/2006-04/25/2007 $8,250.00
Irotal Balance Due $8,250.00)
* If payment is not received immediately, judgment will be filed and the employer is subject to seizure
of assets, both business and personal, without further notice from the Board.
(Continued on reverse)
PAYMENT INSTRUCTIONS
In order to insure prompt credit of your payment, complete the following with the
Date, Number and Amount cf your check and return it, aleng with your payment to:
WORKERS' COMPENSATION BOARD
FINANCE OFFICE - ROOM 301
20 PARK STREET, ALBANY, NY 12207-1674
Please detach and return bottom portion with your payment.
- ae! owen ae! owen ae! owen
MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND".
PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK.
Employer | METROPOLITAN 51 PARKING LLC WCB Employer# | 2368326
Customer ID # 1494658
Check
Check Date Check #
Amount
C-45.37 5/2004 Page 1 of 2
Non-Compliance
Item Description Dates Accident Date | Balance Due
MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND".
Mail payment along with this form to:
WORKERS' COMPENSATION BOARD
FINANCE OFFICE - ROOM 301
20 PARK STREET
ALBANY, NY 12207-1674
C-45.37 5/2004 Page
2 of 2
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SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK
x
WORKERS! COMPENSATION BOARD OF THE STATE OF NEW YORK, © JUDGMENT
Plaintiff,
-against- EMP# 2368326
JUD# : 267873
METROPOLITAN 51 PARKING LLC
Defendant(s) INDEX #
FILING DT:
x
By order of the Chair of the Workers' Compensation Board of the State of New York, demand for the
payment of the sum of $8,250.00, representing Awards and Penalties having been made against the
above captioned Defendant(s), after due notice, having defaulted in payment thereof, except the sum of
$0.00 leaving $8,250.00 due and payable.
NOW, upon the certified copies of notices attached hereto, and upon motion of the General Counsel of
the Workers' Compensation Board of the State of New York, attorney for Plaintiff, pursuant to Section
26 of the Workers' Compensation Law of the State of New York providing for entry of judgment by the
County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, Workers' Compensation Board
of the State of New York, 20 Park Street, Albany, NY 12207 does recover from the above-captioned
Defendant(s), whose last known address(es) are; 211 E 38TH ST, NEW YORK, NY 10016-2704,
respectively; the sum of $8,250.00, and the Plaintiff have execution therefore.
Judgment signed this: day of
Clerk
Scott A. Herron, Esq.
Attorney for Plaintiff
Workers' Compensation Board
20 Park St.
Albany, NY 12207
C-45 6/2007
Preview
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK x WORKERS! COMPENSATION BOARD OF THE STATE OF NEW YORK, © Plaintiff, -against- METROPOLITAN 51 PARKING LLC AFFIRMATION Defendant(s) OF NON-PAYMENT x The undersigned, an attorney in the office of the Workers' Compensation Board of the State of New York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon information and belief. This affirmation is based upon a review of the file which is maintained by the Workers' Compensation Board in its regular course of business. | am familiar with the status of payment in this matter. The award/penalty/assessment/demand for deposit of security made against the defendant(s) in the amount of $8,250.00 is in default, as more than ten days have elapsed since the demand upon the defendant(s) herein for payment. No payment has been received nor has the aforesaid security been deposited in compliance with said demand to date, except the sum of $0.00, leaving due and payble the sum of $8,250.00. Dated 47th__ day of December 2007 Si Scott A. Herron, Esq. Judgment Unit C-45.45E 6/2007 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK x WORKERS! COMPENSATION BOARD OF THE STATE OF NEW YORK, © Plaintiff, -against- METROPOLITAN 51 PARKING LLC AFFIRMATION Defendant(s) OF REGULARITY x The undersigned, an attorney in the office of the Workers' Compensation Board of the State of New York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon information and belief. This affirmation is based upon a review of the file which is maintained by the Workers' Compensation Board in its regular course of business. The Workers' Compensation Board of the State of New York, in accordance with the provisions of the Workers' Compensation Law, has made an assessment/award in the sum of $8,250.00, against the defendant(s). Attached hereto and made a part hereof are certified copies of the Notice of Decision and Award, and/or a certified copy of the demand for deposit of security, and/or a certified copy of the chair's. order imposing, and the demand for payment of, assessments imposed by the chair pursuant to subdivision five of section fifty-two of the Workers' Compensation Law, as required for filing of judgment per Workers' Compensation Law, Section 26 and/or 219. Appeals before the Board have been exhausted No payment of award has been made except $0.00, leaving $8,250.00 due and payable. WHEREFORE, it is respectfully requested that judgment be entered against the Defendant(s) herein in the sum stated as remaining due and payable. Dated: _ 17th day of December 2007 SI Scott A. Herron, Esq. Judgment Unit C-45.1E 6/2007 STATE OF NEW YORK WORKERS’ COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES. JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT fy 20 PARK STREET DISCRIMINATION. | ALBANY, NY 12207-1674 866-298-7830 METROPOLITAN 51 PARKING LLC WCB EMPLOYER #: 2368326 211 E38TH ST VIER #. 47-84505 NEW YORK NY 10016-2704 FEIN/SS #: 204829670 Itis hereby certified that this is a true and correct copy of the ori inal as filed with the Workers’ Compensation Board Sf Scott A. Herron, Esq. DATE: 12/03/2007 FINAL NOTICE * Judgment Unit Certified on 427/07 Non-Compliance Item Description Dates Accident Date | Balance Due 2007WO0008N5 Failure to Carry Workers! Comp Ins 06 /30/2006-04/25/2007 $8,250.00 Irotal Balance Due $8,250.00) * If payment is not received immediately, judgment will be filed and the employer is subject to seizure of assets, both business and personal, without further notice from the Board. (Continued on reverse) PAYMENT INSTRUCTIONS In order to insure prompt credit of your payment, complete the following with the Date, Number and Amount cf your check and return it, aleng with your payment to: WORKERS' COMPENSATION BOARD FINANCE OFFICE - ROOM 301 20 PARK STREET, ALBANY, NY 12207-1674 Please detach and return bottom portion with your payment. - ae! owen ae! owen ae! owen MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND". PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK. Employer | METROPOLITAN 51 PARKING LLC WCB Employer# | 2368326 Customer ID # 1494658 Check Check Date Check # Amount C-45.37 5/2004 Page 1 of 2 Non-Compliance Item Description Dates Accident Date | Balance Due MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND". Mail payment along with this form to: WORKERS' COMPENSATION BOARD FINANCE OFFICE - ROOM 301 20 PARK STREET ALBANY, NY 12207-1674 C-45.37 5/2004 Page 2 of 2 Ors aan ac Z5 oa a = ear 55a ZO7n Se Oo 2 nt at te oz mo Ba pa m6 ae Sa oe Nn SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NEW YORK x WORKERS! COMPENSATION BOARD OF THE STATE OF NEW YORK, © JUDGMENT Plaintiff, -against- EMP# 2368326 JUD# : 267873 METROPOLITAN 51 PARKING LLC Defendant(s) INDEX # FILING DT: x By order of the Chair of the Workers' Compensation Board of the State of New York, demand for the payment of the sum of $8,250.00, representing Awards and Penalties having been made against the above captioned Defendant(s), after due notice, having defaulted in payment thereof, except the sum of $0.00 leaving $8,250.00 due and payable. NOW, upon the certified copies of notices attached hereto, and upon motion of the General Counsel of the Workers' Compensation Board of the State of New York, attorney for Plaintiff, pursuant to Section 26 of the Workers' Compensation Law of the State of New York providing for entry of judgment by the County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, Workers' Compensation Board of the State of New York, 20 Park Street, Albany, NY 12207 does recover from the above-captioned Defendant(s), whose last known address(es) are; 211 E 38TH ST, NEW YORK, NY 10016-2704, respectively; the sum of $8,250.00, and the Plaintiff have execution therefore. Judgment signed this: day of Clerk Scott A. Herron, Esq. Attorney for Plaintiff Workers' Compensation Board 20 Park St. Albany, NY 12207 C-45 6/2007