NYC 9/11 Public Portal Document
INPIVIPUAL VERIFICATION
STATE OF NEW YORK )
) ss.:
COUNTY OF )
The undersigned, being duly sworn, deposes and says, that I am a
clalrnant In the within action, that I have read th© foregoing NOTICE Of a™
/NOTICE OP MI TION 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: } 1 e-(l O
Sworn to before me this 30
day of June, 2014
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NYC-WTC_000159509
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