UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ---------------------------------------x Plaintiff, CV- ( ) -against- Defendant. ---------------------------------------x CERTFICATE I, Robert C. Heinemann, Clerk of United States District Court for the Eastern District of New York, do hereby certify that the docket entries in the above entitled action indicate that the defendant, was served with a copy of the complaint and summons by personal service upon on , 2001. I further certify that the docket entries indicate that has not filed its answer or otherwise moved with respect to the complaint herein. The default of , defendant, is hereby noted. Dated: Brooklyn, New York , 2001 ROBERT C. HEINEMANN Clerk of Court By: Deputy Clerk American LegalNet, Inc. www.FormsWorkflow.com