NYC 9/11 Public Portal Document
tNPIVIPUAL VERIFICATION
STATE OF NEW YORK }
) ss.:
COUNTY OF )
The undersigned, being duly sworn, deposes and says, that I am a
claimant in th© within action, that I have read the loregoing 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:
PRINT NAME HERE: CCv«^CCCrX
CAiWCCfA
Sworn to before me this
day of June. 2014
Notary Kubtic ' /
■nMOTHYLHUGELMBYEg
WDTARYPUBLIC. S-- iCFNEWlOK
NO. Oil •
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10
NYC-WTC_000159514
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