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:, <^6 /J
this
■brjune72014
NjSSyPubl
CHRISTOPHER J. TESl
Notary Public, Stats Of New York
No. 01TE5045208
Qualified In Bronx County.;
Commission Expires June 12, jSSXx.
10
NYC-WTC_000159494
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