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, 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 th© 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 30. 2014
SIGN HERE: X.
PRINT NAME HERE:,
Sworn to before me this ,
day of June, 2014
Nj iry Public
John E. Durante
Notary Public Slate of New York
Lie, #02DUei84449
Comm. Exp. 03/31/2011^
Commission In Westchester County
NYC-WTC_000159490
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