NYC 9/11 Public Portal Document
INDIVIDUAL VERIFICATION
STATE OF NIE\^YORK )
I ! ss.:
COUNTY Ol
Th© 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 th© 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 HPRE:
Sworn to before me this
day of June, 2014
Notary Publicx
CONNIE T STABH.g '
Notary Public, State of New York
jNo. 01ST5O83186
Quafified in Queens County /
Commission Expires July IS,
10
NYC-WTC_000159500
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