NYC 9/11 Public Portal Document
INDIVIDUAL VERIFICATION
STATE OF NEW YORK )
) ss.:
COUNTY OF gxM
The undersigned, being duly sworn, deposes and says, that i am a
claimant in the within action, that I have read the foregoing NQTICE 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 L2, 2014
SIGN HERE: X,
PRINT NAME HERE:
SyyorrrkrbeTore me tRii
Nojdfy Public
7
CHRISTOPHER J. TESI
Notary Public, State Of New York
No. 01TE5045208
Qualified in Bronx County;
Commission Expires June 12,
10
NYC-WTC_000159521
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