NYC 9/11 Public Portal Document
JNpIVIpUAt VERIFICATION
STATE OF NEW YORK )
ss.;
COUNTY OF )
The undersigned, being duly sworn, deposes and soys, that I am a
claimant in the within action, that I have read the foregoing NOTlCE 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 foe true.
DATED: June 2014
SIGN HERE: X. _______________
PRINT NAME HERE:.
Sworn to before me this
day of June, 2014
Notary Public
PAULETTe C COCKFlELO
Now Stotfi ot New York
NO.01CO6224213
Qudlilied in Naw
10
NYC-WTC_000159492
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