NYC 9/11 Public Portal Document
jun za KoDsrto Munoz (718)296 2616 p.2
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^j_, 2014
SIGN HERE: X
PRINT NAME HERE:.
Sworn to before me this
day of June. 2014
_^aa8B8^
•^CommtetoExpJrwOWoaaow
10
NYC-WTC_000159516
OCR can misread numbers and units. Confirm readings against the page image before using them.