NYC 9/11 Public Portal Document
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INDIVIDUAL VERIFICATION
STATE OF NEW YORK )
) ss.:
COUNTY OF )
The undersigned, being duly sworn, deposes and says, thal 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 7 .2014
SIGN HERE:
PRINT NAME E;
Sworn to before me this 7__
day of June, 2014
Notary Public
I VINCENT RSflVARESE
, Notary Public - State of New Tork
, NO. 0tSAS283898
Qualified tn Nassau County
' My Commission Expires Jun 17.2<H7
NYC-WTC_000159485
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