Syville v. City of New York
Opinion
USDC SDNY DOCUMENT UNITED STATES DISTRICT COURT ELECTRONICALLY FILED SOUTHERN DISTRICT OF NEW YORK DOC #: Alphonso Syville, DATE FILED:__ 6/18/2020 □□□ Plaintiff, 1:20-cv-00571 (LTS) (SDA) -against- ORDER OF SERVICE City of New York et al., Defendants.
STEWART D. AARON, United States Magistrate Judge: On June 15, 2020, Plaintiff filed a Letter titled Amended Complaint naming the two individual defendants identified by Defendant Project Renewal and requesting copies of certain cases documents. (See Letter, ECF No. 15.) Although Plaintiff was advised that his Amended Complaint would replace, not supplement, his earlier pleadings, the Amended Complaint only names the two individual defendants and does not include any substantive allegations. (See id.) However, under the unique circumstances involving this pro se Plaintiff, the Court will consider this amendment as a supplement to Plaintiff’s earlier pleadings. Thus, the Court deems both of Plaintiff’s January 21, 2020 Complaints (20-cv-00570 ECF No. 2 & ECF No.2), Plaintiff's January 24, 2020 Letter (ECF No. 4) and Plaintiff's January 15, 2020 amendment (ECF No. 15), together, as the operative pleading in this action. The operative pleading is attached to this Order as Exhibit A. Because Plaintiff has been granted permission to proceed in forma pauperis (“IFP”) (see ECF No. 5), he is entitled to rely on the Court and the U.S. Marshals Service to effect service. Walker v. Schult, 717 F.3d. 119, 123 n.6 (2d Cir. 2013 ); see also 28 U.S. C. § 1915(d) (“The officers
of the court shall issue and serve all process . . . in [IFP] cases.”); Fed. R. Civ. P. 4(c)(3) (the court must order the Marshals Service to serve if the plaintiff is authorized to proceed IFP). To allow Plaintiff to effect service on Defendants through the U.S. Marshals Service, the
Clerk of Court is instructed to fill out a U.S. Marshals Service Process Receipt and Return form (“USM-285 form”) for the newly added Defendants at the following addresses: 1. New York City Housing Authority 90 Church Street, 11th Floor New York, NY 10007
2. Mayor Bill de Blasio City Hall New York, NY 10007
3. New York State Office of Alcoholism Substance Abuse Services (“OASAS”) 501 7th Avenue New York, NY 10018-5903
4. Sera Security 2804A 3rd Ave Bronx NY 10455
5. Etta Graham Project Renewal 200 Varick Street New York, NY 10014
6. Judy Malloy Project Renewal 200 Varick Street New York, NY 10014
The Clerk of Court is further instructed to issue summonses and deliver to the Marshals Service all the paperwork necessary for the Marshals Service to effect service upon these defendants. Because Plaintiff, who has otherwise consented to receive electronic service (see ECF No. 3), has requested copies of case documents, a copy of this Order and the attached operative pleading will be mailed to Plaintiff by Chambers. If Plaintiff needs copies of additional case documents, he must identify the specific documents that he requires. SO ORDERED. DATED: New York, New York June 18, 2020 Risa hd, Car STEWART D. AARON United States Magistrate Judge
EXHIBIT A UNITED STATES DISTRICT COURT ote SOUTHERN DISTRICT OF NEW YORK □ Pxhen Mao CAS SDowald Aloeo- □□ Ne SO SYVIWRY ET, al C6ea Wai Vero) □□
Write the full name of each plaintiff. 2 Oc (Include case n if on Ss □□□□ assigned) □□ -against (- \} | ,COMPLAINT We X> Qi) [owed Do you want a jury trial? Zo wl RY C1 Yes Wo NOLSS Seawes. ) ORSES Whe Da Basra, Wella, Sora Secvenly ETA Write the full name of each defendant. If you need more space, please write “see attached” in the space above and attach an additional sheet of paper with the full list of names. The names tisted above must be identica! to those contained in Section II. \pas \O- | OW
NOTICE The public can access electronic court files. For privacy and security reasons, papers filed with the court should therefore not contain: an individual's full social security number or full birth date; the full name of a person known to be a minor; or a complete financial account number. A filing may include only: the last four digits of a social security number; the year of an individual's birth; a minor’s initials; and the last four digits of a financial account number. See Federal Rule of Civil Procedure 5.2.
I. BASIS FOR JURISDICTION Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation, and the amount in controversy is more than $75,000, is a diversity case. In a diversity case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal-court jurisdiction in your case? of Federal Question L] Diversity of Citizenship A. If you checked Federal Question Which of your federal constitutional or federal statutory mr e been violated? □□□ we ol □□□□ \ a VAS WiktsS Ao ah AD Lake el 0 \Q73 CA A Da beon Qwwos: □□□□□ Pea, ildant ok Veron dol, Wactrrmedont, □□□□□□ Ned Ty a B. If you checked Diversity of Citizenship 1. Citizenship of the parties Of what State is each party a citizen? The plaintiff , _is a citizen of the State of {Plaintiff's name)
(State in which the person resides and intends to remain.) or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
If more than one plaintiff is named in the complaint, attach additional pages providing information for each additional plaintiff.
If the defendant is an individual: The defendant, , is a citizen of the State of (Defendant’s name)
or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
If the defendant is a corporation: The defendant, , is incorporated under the laws of the State of and has its principal place of business in the State of or is incorporated under the laws of (foreign state) and has its principal place of business in . If more than one defendant is named in the complaint, attach additional pages providing information for each additional defendant.
II. PARTIES A. Plaintiff Information Provide the following information for each plaintiff named in the complaint. Attach additional pages if needed. □□ NYoninls \ \ Nlass 4. se Dede \hseeos □□□ 5 First Name Middle Initial ast Name ot \ does KS Yo \N Lave Aol □□□ Street Address
County, City State Zip Code bb 673-3905 AposO2 97 © Aol Con Talonhone Niimmber Email Addrecc (if availahloa)
B. Defendant Information To the best of your ability, provide addresses where each defendant may be served. If the correct information is not provided, it could delay or prevent service of the complaint on the defendant. Make sure that the defendants listed below are the same as those listed in the caption. Attach additional pages if needed. Defendant 1: “Veoas C \ Canin RPA \ First Name Last Name
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USDC SDNY DOCUMENT UNITED STATES DISTRICT COURT ELECTRONICALLY FILED SOUTHERN DISTRICT OF NEW YORK DOC #: Alphonso Syville, DATE FILED:__ 6/18/2020 □□□ Plaintiff, 1:20-cv-00571 (LTS) (SDA) -against- ORDER OF SERVICE City of New York et al., Defendants.
STEWART D. AARON, United States Magistrate Judge: On June 15, 2020, Plaintiff filed a Letter titled Amended Complaint naming the two individual defendants identified by Defendant Project Renewal and requesting copies of certain cases documents. (See Letter, ECF No. 15.) Although Plaintiff was advised that his Amended Complaint would replace, not supplement, his earlier pleadings, the Amended Complaint only names the two individual defendants and does not include any substantive allegations. (See id.) However, under the unique circumstances involving this pro se Plaintiff, the Court will consider this amendment as a supplement to Plaintiff’s earlier pleadings. Thus, the Court deems both of Plaintiff’s January 21, 2020 Complaints (20-cv-00570 ECF No. 2 & ECF No.2), Plaintiff's January 24, 2020 Letter (ECF No. 4) and Plaintiff's January 15, 2020 amendment (ECF No. 15), together, as the operative pleading in this action. The operative pleading is attached to this Order as Exhibit A. Because Plaintiff has been granted permission to proceed in forma pauperis (“IFP”) (see ECF No. 5), he is entitled to rely on the Court and the U.S. Marshals Service to effect service. Walker v. Schult, 717 F.3d. 119, 123 n.6 (2d Cir. 2013 ); see also 28 U.S. C. § 1915(d) (“The officers
of the court shall issue and serve all process . . . in [IFP] cases.”); Fed. R. Civ. P. 4(c)(3) (the court must order the Marshals Service to serve if the plaintiff is authorized to proceed IFP). To allow Plaintiff to effect service on Defendants through the U.S. Marshals Service, the
Clerk of Court is instructed to fill out a U.S. Marshals Service Process Receipt and Return form (“USM-285 form”) for the newly added Defendants at the following addresses: 1. New York City Housing Authority 90 Church Street, 11th Floor New York, NY 10007
2. Mayor Bill de Blasio City Hall New York, NY 10007
3. New York State Office of Alcoholism Substance Abuse Services (“OASAS”) 501 7th Avenue New York, NY 10018-5903
4. Sera Security 2804A 3rd Ave Bronx NY 10455
5. Etta Graham Project Renewal 200 Varick Street New York, NY 10014
6. Judy Malloy Project Renewal 200 Varick Street New York, NY 10014
The Clerk of Court is further instructed to issue summonses and deliver to the Marshals Service all the paperwork necessary for the Marshals Service to effect service upon these defendants. Because Plaintiff, who has otherwise consented to receive electronic service (see ECF No. 3), has requested copies of case documents, a copy of this Order and the attached operative pleading will be mailed to Plaintiff by Chambers. If Plaintiff needs copies of additional case documents, he must identify the specific documents that he requires. SO ORDERED. DATED: New York, New York June 18, 2020 Risa hd, Car STEWART D. AARON United States Magistrate Judge
EXHIBIT A UNITED STATES DISTRICT COURT ote SOUTHERN DISTRICT OF NEW YORK □ Pxhen Mao CAS SDowald Aloeo- □□ Ne SO SYVIWRY ET, al C6ea Wai Vero) □□
Write the full name of each plaintiff. 2 Oc (Include case n if on Ss □□□□ assigned) □□ -against (- \} | ,COMPLAINT We X> Qi) [owed Do you want a jury trial? Zo wl RY C1 Yes Wo NOLSS Seawes. ) ORSES Whe Da Basra, Wella, Sora Secvenly ETA Write the full name of each defendant. If you need more space, please write “see attached” in the space above and attach an additional sheet of paper with the full list of names. The names tisted above must be identica! to those contained in Section II. \pas \O- | OW
NOTICE The public can access electronic court files. For privacy and security reasons, papers filed with the court should therefore not contain: an individual's full social security number or full birth date; the full name of a person known to be a minor; or a complete financial account number. A filing may include only: the last four digits of a social security number; the year of an individual's birth; a minor’s initials; and the last four digits of a financial account number. See Federal Rule of Civil Procedure 5.2.
I. BASIS FOR JURISDICTION Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation, and the amount in controversy is more than $75,000, is a diversity case. In a diversity case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal-court jurisdiction in your case? of Federal Question L] Diversity of Citizenship A. If you checked Federal Question Which of your federal constitutional or federal statutory mr e been violated? □□□ we ol □□□□ \ a VAS WiktsS Ao ah AD Lake el 0 \Q73 CA A Da beon Qwwos: □□□□□ Pea, ildant ok Veron dol, Wactrrmedont, □□□□□□ Ned Ty a B. If you checked Diversity of Citizenship 1. Citizenship of the parties Of what State is each party a citizen? The plaintiff , _is a citizen of the State of {Plaintiff's name)
(State in which the person resides and intends to remain.) or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
If more than one plaintiff is named in the complaint, attach additional pages providing information for each additional plaintiff.
If the defendant is an individual: The defendant, , is a citizen of the State of (Defendant’s name)
or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
If the defendant is a corporation: The defendant, , is incorporated under the laws of the State of and has its principal place of business in the State of or is incorporated under the laws of (foreign state) and has its principal place of business in . If more than one defendant is named in the complaint, attach additional pages providing information for each additional defendant.
II. PARTIES A. Plaintiff Information Provide the following information for each plaintiff named in the complaint. Attach additional pages if needed. □□ NYoninls \ \ Nlass 4. se Dede \hseeos □□□ 5 First Name Middle Initial ast Name ot \ does KS Yo \N Lave Aol □□□ Street Address
County, City State Zip Code bb 673-3905 AposO2 97 © Aol Con Talonhone Niimmber Email Addrecc (if availahloa)
B. Defendant Information To the best of your ability, provide addresses where each defendant may be served. If the correct information is not provided, it could delay or prevent service of the complaint on the defendant. Make sure that the defendants listed below are the same as those listed in the caption. Attach additional pages if needed. Defendant 1: “Veoas C \ Canin RPA \ First Name Last Name
Current Job Title (or other idegtifying information) (o2\-, \b% Current Work Address (or other address where defendant may be served) County, City State Zip Code
Defendant 2: QD \ a \eo$ Srey | First Nam Last Name 4 Job Title (or other identifying information)
Current Work Address (or other address where defendant may be served}
County, City State Zip Code
Defendant 3: \\; CW First Name Last Name
Current Job Title (or other identifying information)
Current Work Address (or other address where defendant may be served)
County, City State Zip Code \S Porl\ “Ve \olaree Ware: se
Defendant 4: Go. First Name Last Name
Current Work Address (or other address where defendant may be served) Ik. STATEMENT OF CLAIM \\o, Place(s) of occurrence: SQ> \Ninad | § a &
Date(s) of occurrence: 6 7 { wold “Pee Se □□ FACTS: State here briefly the FACTS that support your case. Describe what happened, how you were harmed, and what each defendant personally did or failed to do that harmed you. Attach additional pages if needed. 2 Sit caro We \ ca MY wool a AD WO AL axon, We oO O49, LAK WN ANU GA: Pf WI snort wh wroranta, Tiealers woill mfsecke A athe 14. wi Ly SS I Qyao et | a Leases Bolen 1 Me lle, Gilae Yorba oy SW Bin Frees Que os late oon shoes! oh □□□ Q2t400_ Sned ALVA Os Ls ODW Dbwmen 4 □□□ 2 “OR GA. we Oesces “Wh Vala \odeote a Bisbal
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IV. RELIEF State briefly what money damages or other retief you want the court to order. ZOO WAKO Wallaes
V. PLAINTIFF’S CERTIFICATION AND WARNINGS By signing below, I certify to the best of my knowledge, information, and belief that: (1) the complaint is not being presented for an improper purpose (such as to harass, cause unnecessary delay, or needlessly increase the cost of litigation); (2) the claims are supported by existing law or by a nonfrivolous argument to change existing law; (3) the factual contentions have evidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable opportunity for further investigation or discovery; and (4) the complaint otherwise complies with the requirements of Federal Rule of Civil . Procedure 17, , I agree to notify the Clerk's Office in writing of any changes to my mailing address. I understand that my failure to keep a current address on file with the Clerk's Office may result in the dismissal of my case.
Each Plaintiff must sign and date the complaint. Attach additional pages if necessary. tf seeking to proceed,withoyt prepayment of fees, each plaintiff must,also mit an [FP application. | A) Q SEE WieNUS ) lth : ‘ Ac| Dated Plaintiff's Signature Lo KN. Ne a) “Dove 2 yA NN First Name \ aN ast Name a | -% □□ KA wos Wodlosdok sao NOS Wi 3 □ Mf __N- 106382. County, City’ State Zip Code -(73-2Q0D> aoentt.7 © Ndlecene Telephone Number Email Address (if available)
I have read the Pro Se (Nonprisoner) Consent to Receive Documents Electronically: OlYyes ONo If you do consent to receive documents electronically, submit the completed form with your complaint. If you do not consent, please do not attach the form.
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nig STATEMENT OF CLIENT RIGHTS . AND CLIENT CODE OF CONDUCT OE OL EO eee The Statement of Client Rights and Client Code of Conduct sets out the standards for staying in short-term tempora housing assistance (“shelter”). Since shelter is not a home, but rather a stepping stone to permanent housing and rejoini the community, there are certain expectations for you while in shelter. These standards ensure shelters are safe 1 everyone and that we work together to help you move as quickly as possible from emergency housing to a home. While in shelter, your rights include: The right to exercise your civil rights and religious freedoms; 2. The right to have your personal, financial, social and medical information kept confidential by DHS and shelter staff; 3. The right to meet and have written communications with your legal representatives in private; □□ □ 4. The right to receive courteous, fair and respectful treatment; 5. The right to remain in the facility, and not be involuntarily transferred or discharged except in accordance with State regulations and the DHS procedures implementing those regulations: 6. The right to present grievances on behalf of yourself and other residents to your shelter or DHS without fear of retaliation and to receive a timely response; 7. The right to manage your own finances: 8. The right to receive visitors in common areas of the facility Monday through Friday between 6 pm and 9 pm and on Saturday and Sunday between 12 pm and 4 pm; □ 9. The right to leave and return to the facility in accordance with the 10 pm curfew; 10. The right to send and receive mail without interference or interception; 11. The right to be free from physical restraint or confinement; and 12. The right to end your shelter stay at any time.
Single acts of the following misconduct may lead to the loss of shelter: 1. You are forbidden to bring weapons and any illegal substances into the shelter.
<3 BY Gos - Department of Homeless Services Notice of Disability Rights ‘Title Il of the Americans with Disabilities Act (the “ADA’), as amended, the Rehabilitation Act of 1973, state and local Jaws, and regulations promulgated pursuant to these Federal, State and local.laws protect qualified individuals with . a disability from discrimination on the basis of that disability in the delivery of or access to benefits, .programs, services or activities of. the Deparment of Homeless Services (DHS”). notice is posted to inform the public of the’ privileges, protections and requirements created by Federal, State, and local laws regarding individuals with disabilities and their access to the benefits, programs, and services offered by DHS. Accommodation Procedure “Reasonable accommodation” includes modification to the program’s or □□□□□□□□□□ policies or practices, removal of impediments created by architectural, communication or transportation barriers, and the provision of auxiliary aids or services, if-you believe that you require a Reasonable Accommodation inorder.” to fully access DHS Programs ‘or services, please contact your Program/Facility Director or your Case Worker. DHS does not discriminate against any qualified individual with a physical or mental disability in its services, programs or activities or exclude.any qualified individual from participation in DHS benefits, programs and seryiges. - 3 "Hf you believe that you have been discriminated against because of a physical or mental disability with respect to DHS services, programs, or activities, you may file complaint with the DHS EEO Officer Office of Diversity & Equal Opportunity Affairs 33 Beaver Street, ™ New York, New York 10004 Tel. 212-361-7914 PTY. 212-361-8091
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Anthony Dussard From: Alphonso Syville
WARNING: The email message originated from outside Project Renewal. This is what we proposing as clients at Fort Washington Shelter for Mica Single Homeless Men ..and im working on more signature's Alphonso Syville Client Advocate
From: Alphonso Syville
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Date of Complaint: / / ¢ 8 / AO Complaint Received By: Name of Client: _ Doug ld A Lord pe Program Affiliation: □
Case Manager Mania Mckenzie _
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UNITED STATES DISTRICT COURT =) 0 . SOUTHERN DISTRICT OF NEW YORK Lo \\
Write the full name of each plaintiff. CV (Include case number if one has been assigned) -against-_ \ \) Yo COMPLAINT | ALU We (\O? □ \ Do you want alow trial? Vow meek No ~ vf \ }. QC Lo c& Washi < Ga) \ j \ nad \ Spe DPOVisoe a OpenX 0 Me \ Wastin Ten Write the fdll name of each defendant. If You need more space, please write “see attached” in the space above and attach an additional sheet of paper with the full list of names. The names listed above must be identical to those contained in Section I.
NOTICE. The public can access electronic court files. For privacy and security reasons, papers filed with the court should therefore not contain: an individual's full social security number or full birth date; the full name of a person known to be a minor; or a complete financial account number. A filing may include only: the last four digits of a social security number; the year of an individual’s birth; a minor’s initials; and the last four digits of a financial account number. See Federal Rule of Civil Procedure 5.2.
Rev. 1/9/17
I. BASIS FOR JURISDICTION Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation, and the amount in controversy is more than $75,000, is a diversity case. In a diversity case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal-court jurisdiction in your case? Federal Question [] Diversity of Citizenship
A. If you checked Federal Question Which of your federal constitutional or federal statutory rights have been violated? WA om ah, f | Nn \ Ae CA Wb \ Ds LY \ □□ cy “le ADA ‘he □□□ BAY OO 5 \-\s 20 & olbis “Venue CERES “Vid he. □□□□□□ Deaneo Mccrss \o wa S) Oi cdbioet tinia Ok Lonard 6
ws ( att Ura. ce. □□ B. If you checked Diversity of Citizenship p VQAISO MLS {ox ost | * □□ □ Vo Sak Jom \oec le □□□ 1. Citizenship of the parties ~\\e Lo \. Year of Cola, an ON Of what State is each party a citizen? The plaintiff, , is a citizen of the State of (Plaintiff's name)
(State in which the person resides and intends to remain.) or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
information for each additional plaintiff.
Page 2
Ifthe defendant is an individual: — Wy A | | \ i Von's ‘\a\\ee (sade) The defendant, CN OCA rT NOR AV we OS a citizen of the State of (Defendant’s name) wa foo or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
if the defendant is a corporation: The defendant, wae / d du , is incorporated under the laws of = %, Se the State of W235, ww og KW and has its principal place of business in the State of Won oO old. or is incorporated under the laws of (foreign state) and has its principal place of business in LZ \ oe. . If more than one defendant is named in the complaint, Stach additional pages providing information for each additional defendant.
IL PARTIES A. Plaintiff Information . Provide the following information for each plaintiff named in the complaint. Attach additional pages if needed. if
Xu [2 First Name Middle Initial Last Name OB Huennon( Street Address Lo | \ ah feo INC Mr County, City . State Zip Code
Telephone Number Email Address (if avgilable) . . 4k ° 4 ‘ % | Lay . bUb- b73-3 BOltooOeNn) 27 0) ke | COM Page 3
B. Defendant Information To the best of your ability, provide addresses where each defendant may be served. If the correct information is not provided, it could delay or prevent service of the complaint on the defendant. Make sure that the defendants listed below are the same as those listed in the caption. Attach additional pages if needed. Defendant 1: QE c 0h - 2s Nes. ~ \ Ww. Name Last Nam ( \e \haws > Sy : \o) 21) Current Job Title (or other identifying information)
Current Work Address (or other address where defendant may be served)
County, City State Zip Code \ YO OL, | . \ Defendant 2: QV) mets OF \WOseeyY \Qy FirstName \. Last Name =. gy . Oo bS\ Current Job Title (or other identifying information) ee Current Work Address (or other address where defendant may be served)
Defendant 3: — JON’. al \ LARA, onlay bear a Name rn Last Name
CurrentJob Title (or other identifying information) \ Vonle wl Current Work Address (or other address where defendant may be served) bSl 65 County, City State Zip Code
Page 4
Defendant 4: First Name Last Name te □ Current Job Title (or other identifying information) ,
re Current Work Address (or other address where defendant may be served) County, City State Zip Code Ill. STATEMENT OF CLAIM \ Place(s) of occurrence: : ns DD. \ose +~,\ A. Non \ et \. w\ " 3 nal □□□□□ Oo a Date(s) of occurrence: ] / / Y ) od Na) FACTS: State here briefly the FACTS that support your case. Describe what happened, how you were harmed, and what each defendant personally did or failed to do that harmed you. Attach additional pages if needed. \ Lo \ \ \ . . i tt RR
Page □
ee i
ee INJURIES: lf you were injured as a result of these actions, describe your injuries and what medical treatment, if any, you required and received. \ . i ; □ □ oooh DWansas a \DARIRECS wa □□ 24 CAUSES 87> bah “NS ~~ NA» 2 “RAL 7" j qk canal Ve □□□ Dest □□ □□ relis □□ pp See \ NA wa Poaceae □□□□ |< \\ “a □ ) \ = Jah como oe (Se Not Le
IV. RELIEF State briefly what money wv or other relief you want the court to order. oh ~ □□ < a Ow —Dal\\ee< 5
SS □□□
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V. PLAINTIFE’S CERTIFICATION AND WARNINGS By signing below, I certify to the best of my knowledge, information, and belief that: (1) the complaint is not being presented for an improper purpose (such as to harass, cause unnecessary delay, or needlessly increase the cost of litigation); (2) the claims are supported by existing law or by anonfrivolous argument to change existing law; (3) the factual contentions have evidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable opportunity for further investigation or discovery; and (4) the complaint otherwise complies with the requirements of Federal Rule of Civil Procedure 11. I agree to notify the Clerk's Office in writing of any changes to my mailing address. I understand that my failure to keep a current address on file with the Clerk's Office may result in the dismissal of my case.
Each Plaintiff must sign and date the complaint. Attach additional pages if necessary. If seeking to proceed without prepayment of fees, each plaintiff must also subm □□ {FP application.
Dafed intiff’s Signature
AA OKONSBO Aa \ First Name\ ; Middle Initial Last Name . WD □ koe is loos Mee Street Address 5 DKUSD County, City State Zip Code bub-b73- 82.64 eoun eck 1 O kali Cox Rou ect hKOke LOM Telephone Number Email Address (if available)
Thye read the Pro Se (Nonprisoner) Consent to Receive Documents Electronically: es [INo If you do consent to receive documents electronically, submit the completed form with your complaint. If you do not consent, please do not attach the form.
SSS SSS SSS SSS SSS SSS SS ===
. Page 7
CONSENT TO ELECTRONIC SERVICE I hereby consent to receive electronic service of notices and documents in my case(s) listed below. I affirm that: 1. Ihave regular access to my e-mail account and to the internet and will check regularly for Notices of Electronic Filing; 2. Ihave established a PACER account; 3. Iunderstand that electronic service is service under Rule 5 of the Federal Rules of Civil Procedure and Rule 5.2 of the Local Civil Rules, and that I will no longer receive paper copies of case filings, including motions, decisions, orders, and other documents; 4. Iwill promptly notify the Court if there is any change in my personal data, such as name, address, or e-mail address, or if 1 wish to cancel this consent to electronic service; 5. Iunderstand that I must regularly review the docket sheet of my case so that I do not miss a filing; and 6. lunderstand that this consent applies only to the cases listed below and that if] file additional cases in which I would like to receive electronic service of notices of documents, I must file consent forms for those cases. Civil case(s) filed in the Southern District of New York: Note: This consent will apply to all cases that you have filed in this court, so please list all of your pending and terminated cases. For each case, include the case name and docket number (for example, John Doe v. New City, 10-CV-01234). ne
\ N \\o Name (Last, First, MI) \\ b Noon Bonn Ng Q [BOSS Address City State Zip Code foe ‘ we bbe 89.06 apyhooDer Ke 97 O_LOW Com Telephone Number E-mail Addr, SS 1/17/20 Mill Date / Signatyire Return completed form to: Pro Se Intake Unit (Room 200) New York, NY 10007
Dussard WRVOl Abst tL Alphonso Syville
The email message originated from outside Preject Renewal. So i get up at 7.30am today..b at belluve by 9am for my appointment to get this back surgery appoi tment i trying to get sigce Jack Ryan Remember, So i get baxk aligns TAP SOSA TEA for lunch... I go to the shift supervisor and show him my Bed rest pass and ask can i be let in the room so i can rest and my meds... He tell me, i have to wait until medical open open up at 1pm so i can get a bed rest using they letterhead... So 1 oclock i go to medical and medical tells me i have to see some lady who wasnt around and who comes at 1.30.. So i go to the gray shirt security guys whi got the key to the dorms and ask them to escort me to my dorm so i get my meds... CTORBALS ICC 3\\roh Seouar\A ’) Its like 45 minutes ive been waiting to get ny meds and bed rest... Here come Jody, She tell gray shirt not to call or open the door...i tell her i need my meds.. Jody calls downstairs and igasking how we got on the second floor.. Jody dont care about my needs, she just want to know how i get up stairs..And abuse her power.. So outta frustration BECAUSE i know this is just RETALIATION AGAINST ME, i kicked the door to my dorm... Its been a whole hour try to get my meds out the room... So Jody lied and said i threatened her to get me EDP... so dhs escort me downstairs to they office.. : ot ae donna d ee had want mace anc ‘allo mea thet it cows tht mu hod 20200114_163440,jpg □
ARNING: The emall message originated from ou tside Preject Renewal.
So im back in the shelter now...the psych said i didnt need to be edp and it was nothing wrong with me... Jody is the very unprofessional and me and alot of other clients feel the same...She be running the shelter like she the director.. All she had to do was allow me to get me meds out the closed dorm.. And she lied, i never threatened her..Tht was the only way to get me edp...was to lie and say i threatened her.. Again, denying me my meds hippa, lieing falsifying statement, Violation of my Rehabilitation Act, Violation of the Disability Act oo TO WHOW THIS MAY CONCERN, THIS ALL JUST RETALIATION AGAINST ME CAUSE I STAND U FOR ME AND CLIENTS RIGHTS.. A.Syville
Dussard 0 aT rom: Alphonso Syville
The email message orivinated from outside Project Renewal. G.M, I need this printed and a print out of this complaint as soon as possible for complaint and legal reasons
Tuesday, January 14, 2020 Alphonso Syville
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Cortumara UNriversiry St Mepican CENTER Discover. Edticate. Care. Leas. Main Adult Emergency Department Emergency Dept. 622 West 168th Street » New York, NY 10032 (212) 305-6204 www.nyp.org ..1 NewYork-Presbyterian Hospital “| Columbia University Medical Center EXITCARE® PATIENT INFORMATION Name: ALPHONSO SYVILLE Caregiver: Excuse from Work, School, or Physical Activity SYVILLE needs to be excused from: vA nel\ pre \ Work ' oa
School Physical activity now and through the following date: He/she may return to work or school but still avoid physical activity from now until: He/she may return to full physical activity as of. signature: — ¢ La < CI M74 [PAG __ NOTES AND INSTRUCTIONS Syville was evaluated in our Emergency Department and has no indication for acute psychiatric ntervention. He should be allowed to follow the directions of his treating physician with regards to his back
Released: 6/13/2002 Document Revised: 3/11/2013 Document Reviewed: 7/20/2015 Patient information ©2015 ExitCare, LLC. This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any you have with your health care provider.
When dack paln lasts 10onger tan o MONUIS, lt ls Caled CINODIG DaCk Pdi. es GO certain periods that are more intense (flare-ups). -s... □ □□
back pain can be caused by wear and tear (degeneration) on different, "HR □□ in your back. These structures include: | = » The bones of your spine (vertebrae) and the joints surrounding your spinal = a cord and nerve roots (facets). aa eer > The strong, fibrous tissues that connect your vertebrae (ligaments). a of these structures may result in pressure on your nerves. This can lead to constant pain. CARE INSTRUCTIONS > Avoid bending, heavy lifting, prolonged sitting, and activities which make the problem worse. » Take brief periods of rest throughout the day to reduce your pain. Lying down or standing usually is better than sitting while you are resting. > Take over-the-counter or prescription medicines only as directed by your caregiver. SEEK IMMEDIATE MEDICAL CARE IF: > You have weakness or numbness in one of your legs or feet. > You have trouble controlling your bladder or bowels. > You have nausea, vomiting, abdominal pain, shortness of breath, or fainting. Document Released: 1/25/2006 Document Revised: 3/11/2013 Document Reviewed: 12/1/2012 ExitCare® Patient Information ©2015 ExitCare, LLC. This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider. | request and hereby authorize Columbia University Medical Center to send a copy of my discharge instructions from the Emergency Department to my physician and it is my responsibility to follow-up after discharge with my doctor. Patient or Guardian Signature: Date: i / Signature acknowledges that Patient and/or Guardian has received these instructions and understands them. feof /_ □□ Patient or Guardian Signature Date/Time Witnessed & Instructed by Date/Time Columbia University Medical Center « General Information « (212) 305-6204
FS Paes ew F Sees FS The University Hospitals of Columbia and Comell ED PATIENT DISCHARGE INSTRUCTIONS
atient Name: SYVILLE, ALPHONSO MRN: 880 91 20 Visit Number: 000025357 497 of Birth: 27-Sep-1974 Visit Date and Time: 01/14/2020 14:40 D Attending MD: McDonald, Steven A Discharge Date and Time: 01/14/2020 15:52
Discharge Instructions «TO PATIENT: THIS EXAMINATION AND TREATMENT WHICH YOU HAVE RECEIVED HAS BEEN ON AN EMERGENCY BASIS ONLY AND HAS NOT BEEN INTENDED TO BE A SUBSTITUTE OR REPLACEMENT FOR COMPLETE MEDICAL CARE. FOR YOUR PROTECTION AND TO PREVENT POSSIBLE COMPLICATIONS, IT IS SUGGESTED YOU FOLLOW THE RECOMMENDATIONS CHECKED BELOW. X-RAYS The interpretation of your X-rays and other radiological test at the time of your visit to the Emergency Department is a preliminary report. Radiological tests are reviewed before a final report is issued. You will be notified if there is a change in diagnosis. If your symptoms persist or worsen you should return to the Emergency Department. Additional studies may be necessary as some abnormalities become apparent at a later time.
join www.mynyp.org to get your results online , Page 2 of 2 01/14/2020 By: Pelliciari, Nicholas Anthony (PA)
cio CovumBia UNIVERSITY MAS = MeEpICcAL CENTER Discover. Educate. Care. Lead. Main Adult Emergency Department Emergency Dept. 622 West 168th Street « New York, NY 10032 (212) 305-6204 www.nyp.org NewYork-Presbyterian Hospital ™| Columbia University Medical Center EXITCARE® PATIENT INFORMATION Name: ALPHONSO SYVILLE Caregiver:
is anormal human emotion. However, anger can range from mild irritation to rage. When your anger harmful to yourself or others, it is unhealthy anger.
are many reasons for unhealthy anger. Many people learn how to express anger from observing how their expressed anger. In troubled, chaotic, or abusive families, anger can be expressed as rage or even Children can grow up never learning how healthy anger can be expressed. Factors that contribute to anger include: > Drug or alcohol abuse. > Post-traumatic stress disorder. > Traumatic brain injury. COMPLICATIONS People with unhealthy anger tend to overreact and retaliate against a real or imagined threat. The need to retaliate can turn into violence or verbal abuse against another person. Chronic anger can lead to health problems, such as hypertension, high blood pressure, and depression. TREATMENT Exercising, relaxing, meditating, or writing out your feelings all can be beneficial in managing moderate anger. For unhealthy anger, the following methods may be used: > Cognitive-behavioral counseling (learning skills to change the thoughts that influence your mood). > Relaxation training. > Interpersonal counseling. >» Assertive communication skills. > Medication. Document Released: 10/14/2008 Document Revised: 3/11/2013 Document Reviewed: 2/23/2012 ExitCare® Patient Information ©2015 ExitCare, LLC. This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.
FS PAT ES FF ee ee 2 FS A University Hospitals of Columbie and Cornell ED PATIENT DISCHARGE INSTRUCTIONS Milstein Emergency Department Name: SYVILLE, ALPHONSO MRN: 880 91 20 Visit Number: 000025357 497 of Birth: 27-Sep-1974 Visit Date and Time: 01/14/2020 14:40 Attending MD: McDonald, Steven A Discharge Date and Time: 01/14/2020 15:52
Instructions Given: Anger Management - 01/14/2020 Chronic Back Pain - 01/14/2020 Form - Excuse from Work, School, or Physical Activity - 01/14/2020 Instructions: Follow-Up Location Follow-up with your Primary Care Physician - Call for Appointment.
to Emergency Department for persistent, worsening, or new symptoms including: weakness, difficulty urinating or if you do not feel well
adiology: No major radiology tests were performed in this visit tt rocedures: No major procedures were performed in this visit tS atient Signature: | Have fully understood what was explained to me:
Patient or Guardian Signature SYVILLE, ALPHONSO Signature acknowledges that Patient and/or Guardian has received this instructions and understands them. Patient and/or Guardian also understands that he/she should follow up with his/her primary care physician once discharged.
join www.mynyp.org to get your results online Page 1 of 2 01/14/2020 ®8v: Pelliciari, Nicholas Anthony (PA)
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462 First Avettue, New York, NY 10016 Pre-Procedure / Surgery Clearance Checklist _- | | a) : . . . . . ° : . ~ □ [ : oo, □□□□ □ ao Date Wie DYOo | Referring Service: LhAn AL KOVAC / 9 □□□ □ □□ Date aT a Insurance: _. 9.0. Mn “bang □ Name: ALVA Planned Procedure Date: [4 LLY} QO Ne □□□ _ | Planned Proc edure: L5-S/ wierlanwae contact fle 1.3.78 sc ea MAAR M1 IS BOGE. RANA ECP Atematé‘Contact.— , Anes. Type: \Gocal Ci General [1 Mod: Sedation (IMAC Contact #0 ee Wi | A, ed ) < Surgical Coprdinator’s Name: _Subetheg Mor _ Primary Language: — | Surgical Coordinator's Contact #_“2A?. SU. □□□□ APPOINTMENTS REQUIRED FOR □□□□□□□□□□□□□□□□□□□□□ PROCESSING □ Check Box | . | Appt. Appt. if Required | Type of Test/Appointment Date □□□□ Chest X-Ray ) □ 0 Location: Amb. Care Building; 1E “oe _ Location: Amb. Care Building; 1E 0 re ede a" | Blood Work ee Location: Amb. Care Building; { on) | \ IY . / □ 2 | other pect VLA AC AA. Location:_} V7 _ (Jt. _ i Other (Specify): Location: | other (specify), ________tocatie woe □□ -MedicalClearance (Adult O ny "he □□ te “a we plat , ey □ □□□ I PAC Pa crn fel Gaver: han rua re RNMNR Rt lia 9 ea ae] aap IRI nF □□□□ □□ ¢ Location: "© PCP Name □ : □ | Surgical Coordinating Center (SCC) | , Hospital Building 15 East 19 - (212) 562 -3208 or 3209. ,
O Pediatric Child Life/Development Pre-Hospitalization Anesthesia (Pediatric Only) (212) 562-5553 oo
information for Outpatients: . : | / . required test/ appointments must be completed at least 72 hrs.prior to your scheduled procedure / surgery.date. If you-find it to change any of your appointments or have any questions, please contact your Bellevue designated Surgical Coordinator. Thank you for choosing Bellevue ct,
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PY Ww A HEALTH + Bell 1a | Wigs 4 HosPITALS | DELICVUE © ‘ | □ First Avenue & 27th Street . | New York, NY 10016 | bo. 212-562-4141 1/14/2020 | : To whom this concerns: Alphonso Syville (9/27/1974) is a patient on mine in the pain management clinic at Bellevue hospital. Patient with severe lumbosacral radiculopathy. Patient will undergo an epidural steroid injection on 1/29/2020 and should be allowed bedrest as needed until 1/31/2020. If you have any questions, please feel free to reach out to our service. . Thank you, Angela Zangara Roberts, NP ©
. Pain Management Clinic | .
Bellevue Hospital 212-562-5363 ! Angela Zangara, 337951 | .
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I a a | Patient Instructions for Paih Procedures. . Before Spinal Injections with Local Anpsthetics and/ or Steroids You | uecided with your doctor to have a special probedure to help control your pain. Please read thése instructions and follow them for your safety. If you have any questions about these instructions, please tell your nurse or doctor. - : | . The special procedures to relieve pain include epidural, spinal, facet joint, and other nerve injections. These injections are given near your spine to provide pain relief and help diagnose your condition. Sometimes more than one injection is needed in order for the pain relief to last. . : The side effects from these injections may be: headache, backache, redness, allergic reaction, temporary nerve injury, bleeding around the injection site, and very rarely injury to the spinal cord or bleeding around the spinal cord. The possibility of headache is less than 1%; all other side effects are even less likely. The possibility of bleeding around the spinal cord is less than 1/100, 000. - i . ESj The procedure you are having is ly. S in [AA [RAM S / 7 . | 27 ‘ You are going to have the pain procedure on J 9 20 LOCATION: AMBULATORY SURGERY, 15 South, 15" floor, Hospital Building (A) Your Surgical Coordinating Appointment ison. _| □ (15East-19, 15" Floor, Hospital Building) You can’t proceed with the procedure without going to this appointment)
1. Medications | You may take your current pain medications as prescribed, including on the day □ of your procedure. You can also take your other medications including your heart and blood pressure medicines with sips’of water, . Talk to your doctor if you are taking any anticoagulation medications like Coumadin, Heparin, Lovenox, etc. Youpare advised to stop Aspirin & its derivatives 1 week before your scheduled procedure unless otherwise instructed by your medical provider. | . . . Diet ao. The Morning of the Procedure, you may have a light breakfast. For example: _ □ toast and tea or coffee. If you must take medications, take them with a few sips of □ water. Wear loose clothing, do not bring or wear any jewelry, watches or valuables. “~ | □
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SOCIAL SECURITY NUMBER DATE OF BIRTH CASE# - STATEMENT OF CLIENT RIGHTS : AND CLIENT CODE OF CONDUCT The Statement of Client Rights and Client Code of Condu t sets out the standards for staying in short-term temporary housing assistance (“shelter”). Since shelter is not a home, but rather a stepping stone to permanent housing and rejoining the community, there are certain expectations for you vied in shelter. These standards ensure shelters are safe for everyone and that we work together to help you move as quickly as possible from emergency housing to a home. While in shelter, your rights include: 1. The right to exercise your civil rights and religious freedoms; The right to have your personal, financial, social and medical information kept confidential by DHS and shelter staff; 3. The right to meet and have written communications with your legal representatives in private; The right to receive courteous, fair and respectful treatment; © The right to remain in the facility, and not be involuntity transferred or discharged except in accordance with State regulations and. DHS procedures implementing those regulations; The right to present grievances on behalf of yourself and other residents to your shelter or DHS without fear of retaliation and to receive a timely response; i 7. The right to manage your own finances; 8. The right to receive visitors in common areas of the facility Monday through Friday between 6 pm and 9 pm and on Saturday and Sunday between 12 pm and4 pm; The right to leave and return to the facility in accordance with the 10 pm curfew; 10. The right to send and receive mail without interference or interception; Cp right to be free from physical restraint or confinement; and 12. The right to end your shelter stay at any time. Single acts of the following misconduct may lead to the loss, of shelter: 1. You are forbidden to bring weapons and any illegal ws stances into the shelter. 2. Violence, threatened violence, or other illegal conductlis not permitted and will be reported to law enforcement authorities.
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From: sohoodent27@aol.com, To: Anthony.Dussard@projectrenewal.org, constituentaffairs@dss.nyc.gov, DisabilityAffairs@dss.nyc.gov, Elba. Mendoza@projectrenewal.org, Etta. Graham@projectrenewal.org, Ombudsman@dss.nyc.gov, ombudsman@dhs.nyc.gov, otda.sm.css.bss@otda.ny.gov, Subject: Clients at Mica Fort Washington Single adult shelter Date: Wed, Feb 26, 2020 40:08 am BTroenenoT □□□□□□□□□□□□□□□□□□□□□□□ (747K)
my case manager Anthony and Supervisor of case managers and the director of Fort Washington... our right to have a client meeting amongst ourselves to talk about better conditions and treatment in fort
and the Clients would like to know when we can have our meeting? wanna create a CAB
SOMGOUETILe f itl, To: Anthony.Dussard@projectrenewal.org, Elba. Mendoza@projectrenewal.org, Etta.Graham@projectrenewal.org, sgresi@mfjlegal.org, Ombudsman@d¢ss.nyc.gov, info@cfihomeless.org, Subject: Alphonso Bed Date: Fri, Mar 6, 2020 6:06 pm
thought i was suppose to get my bed back like the assistant director said.... told them i dont get no bed and im number 13tn on the bed list... serious? I gotta sit out there for the whole weekend with food poisoning and stomach still hurt... yall suppose to hold my bed for 48 hours me tell yall right now..i dont feel good, my back is killing me from my operation... just sent tht email..
as dd \2 DOA
Syville v. City of New York (Syville v. City of New York) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.