NYC 9/11 Public Portal Document
Jul-01-2014 03;43'PM KINGS FAM CT., OPERATIONS 347-401-9605 1/1
INDIVIDUAL VERIFICATION
STATE OF NEV/YORK |
ss.:
COUNTY OF )
The undersigned, being duly sworn, deposes and says, that 1 am a
claimant in the within action, that 1 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, 1 believe them to be true.
DATED: June^^, 2014
SIGN HERE: X.
PRINT NAME HERE:
Sworn to before me this .2^5^
day of June, 2014
Notary Puofic
. Qualified
Conmnlssion
10
NYC-WTC_000159498
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