NYC 9/11 Public Portal Document
INDiVIDUAL VERIFICATION
STATE OF NEW YORK )
ss.:
COUNTY OF }
The undersigned, being duly sworn, deposes and says, that I am a
claimant in the within action, that I have read the foregoing NOTICE OF CLAIM
/NOTICE OF INTENTION TO MAKE CLAIM and know the contents thereof; that the
same is true to my own knowledge, except as to the matters therein alleged to
be on information and belief, and as to those matters, I believe them to be true.
DATED; June 2014
SIGN HERE: X ______
PRINT NAME HERE:, ^A^ 6^l;L rf
Sworn to before me this
dayof Jwoe, 2014
-^N&ry Public f
------- X jamesa.lessl^//; y y
Qualified in Queens CoW
Sammieeton forptres March SO, StW
10
NYC-WTC_000159473
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