Free Motion for Extension of Time - District Court of Connecticut - Connecticut


File Size: 47.9 kB
Pages: 2
Date: March 17, 2004
File Format: PDF
State: Connecticut
Category: District Court of Connecticut
Author: unknown
Word Count: 376 Words, 2,083 Characters
Page Size: 612.72 x 1008 pts
URL

https://www.findforms.com/pdf_files/ctd/22967/25-2.pdf

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Case 3:03-cv-01037-JCH Document 25-2 Filed 03/12/2004 Page 1 of 2 I
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AFFIDAVIT OF GREG SANEK
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STATE OF COLORADO )
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COUNTY OF ARAPAHOE )
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BEFORE ME, the undersigned authority, personally came and appeared GREG
SANEK, who, after being first duly sworn, did depose and state as follows: I
1. My name is Greg Sanek. I am an employee of Great-West Life & Annuity
Insurance Company. I am over the age of 21 years and competent to make this Affidavit. I
2. I suffer from a medical condition that renders me tmable to travel. The last I
time I attempted to travel, I was hospitalized due to complications resulting from my medical
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condition. I
3. Attached as Exhibit A to this Affidavit is a true and correct copy of a letter I
written by my personal physician, Dr. Mark Edward Elles, M.D.
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G SANEK I
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Swo o and subsc `bed befor me I
this in day of ,1]/ , [ , 2004. I
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I ’ Denver Internal Medicine Gr0up`" “ I
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DENVER, COLORADO 80209 I
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ALAN J. SPEES, M.D. JUDY M. HELLER, M.D. `
INTERNAL MEDICINE ARTHFIITIS SI RI-IEUMATIC DISEASES I
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