NYC 9/11 Public Portal Document
INDiyiDUAL 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 OFJNTENTJON TP 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: ’
PRINT NAME HERE:_LUiXXiLLL_Jij.ii^^ ’ ■.. ■;>
Sworn to before me this
day of June, 2014
(4,,
NotqryKjblic
SYLVIA BALOGH
MoUry Pubik
Qualified in Bergen County
Commission Expires s j ji g
10
NYC-WTC_000159493
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