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:'
Sworn to before me this
day of June, 2014
tn
Notary Public
MUHAMMAD AKHTAR
Notary Public, State of New York
No. 01AK6258310
Qualified in Queens County
Commission Expires March 26.20Js
10
NYC-WTC_000159505
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