NYC 9/11 Public Portal Document
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INDIVIDUAL VERIFICATION
STATE OF NEW YORK
COUNTY OF J ss.:
The undersigned,' beir?g '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 os to the matters therein alleged to
be on information and belief, and as to those matter?, I believe them to be true.
DATED: June ^.2014
SIGN HERE: X_J^ /zyyQj
PRINT NAME HERE:
Sworn to before rne t,his
day of June, 2014 .’ - "
I’-'.' t tf,’i'
/Notary Public/ ~
„ SHAROV nOBEinSON
Itetery PubMc. Statd n# New York
No. 4948117
^OuaJlfied in Querns CMJ»ty
Conjmisslon Jan. 27. jjwr . <
10
NYC-WTC_000159513
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