NYC 9/11 Public Portal Document
INDIVIPUAL VERIFICATION
STATE OF NEW YORK )
ss.:
COUNTY OF Queens )
The undersigned, being duly sworn, deposes and says, that I am a
claimant in the within action, that I- have read the foregoing NOTICE QtCLAIM
/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
Pe on information and belief, and as to those matters, I believe them to be true.
DATED: June ^.2014
SIGN HERE:
PRINT NAME HPRE: 5Amvfe.f
Sworn to before me this ,^2^
day of June, 2014
Notary Public
Ana M Urena
Notaiy Public, state of New York
No. 01UR6270387
Commission Expires Oct 2d, 2016
Qualified in Queens County
10
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NYC-WTC_000159518
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