NYC 9/11 Public Portal Document
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INDIVIDUAL VERIFICATION
STATE OF NEW YORK j
ss.:
COUNTY OF 1
flihe 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 INT£ 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 1^2014
SIGN HERE: _______
PRINT NAME HPRE:, VA 5< ’
Sworn to before me this
day of June, 2014 '
igg.
Notary Public ••
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NYC-WTC_000159524
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