NYC 9/11 Public Portal Document
INDIVIDUAL VERIFtCATiON
STATE OF NEW YORK )
COUNTY OfdgAAjoHC j ss.:
The undersigned, being du y sworn, deposes and says, that I am a
claimant in the within action, that I hav^ 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 1^1^014
SIGN HEiJE: X. ------- -.-.X--------------------------------
PRINT N/.ME
Sworn to before me this
day of June, 2014
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