UNITED STATES BANKRUPTCY COURT
SOUTHERN DISTRICT OF NEW YORK
In re:
INNKEEPERS USA TRUST, et al./
Debtors.
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Chapter 11
Case No. 10-13800 (SCC)
Jointly Administered
AFFIDAVIT OF SERVICE
I, Mario E. Diaz, am employed in the city and county of Los Angeles, State of
California. I hereby certify that on September 21, 2010, I caused true and correct copies
of the following document(s) to be served via (i) first-class mail, postage pre-paid to the
parties listed in Exhibit A attached hereto:
NOTICE OF DEADLINES AND PROCEDURES FOR FILING PROOFS
OF CLAIM [Docket No. 440]
PROOF OF CLAIM FORM
Dated: November 4, 2010
{State of California }
{ } ss.
{County of Los Angeles }
Omni Ma ent Group, L.L.C.
16501 Ventura Boulevard, Suite 440
Encino, California 91436
(818) 906-8300
Subscribed and sworn to (or affirmed) before me on this of AJov. , 20 JO , by
Mario E. Diaz, proved to me on the basis of satisfactory evidence to be the person(s) who
appeared_\Jefore me.
NotaryPublic
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CATHERINE A. ROJO
Commission# 1804344
j Notary Public - California 1
Los Angeles County
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The list of Debtors in these Chapter 11 Cases along with the last four digits of each Debtor's federal tax identification
number can be found by visiting the Debtors' restructuring website at www.omnimgt.com/innkeepers or by contacting
Omni Management Group, LLC at Innkeepers USA Trust c/o Ornni Management Group, LLC, 16161 Ventura
Boulevard, Suite C, PMB 606, Encino, California 91436. The location of the Debtors' corporate headquarters and the
service address for their affiliates is: c/o Innkeepers USA, 340 Royal Poinciana Way, Suite 306, Palm Beach, Florida
33480.
EXHIBIT A
Innkeepers USA Trust, et al. U.S. Mail
JORGE PIRES PAULO
1211 PACIFIC BEACH DR 8
SAN DIEGO, CA 92109
Page 1 of 1
Served 9/21/2010
Creditors: 1