I, _______________________ caused _______________________ to be personally served: ____________________________________ Dated: ___________________ in the matter of ________________________________________________ at ________________________ delivered by (hand), (US Postal), (Fed Ex) ________________________

NOTARY:

State of New York )

) ss

County of Monroe )

Before me ____________________________ a Notary public in and for Monroe County, State of New York; appeared ____________________________ known and made known to me and did affirm the truth of the facts herein stated and placed his signature on this document on this the ___day of _________ two thousand and two.

my commission expires:

__________________________

Notary Public Signature