NYC 9/11 Public Portal Document
INPIViDOAL VERIFICATION
SM7ffDOREW^®©RK ))
)) 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 OP 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 I2_ 2014
SIGN HERE; X
PRINT NAME HERE:.
Sworn to before me this Q
day of June, 2014
(j) .
Nefraiy Public r
AURELIO VICTOR ©RtLLO JR.
Notery Public, Sial? ptNew Yoric
No. 01GR4g99761
Qualified in Oa^.Fi!S County
Commission Expires Nov. 30,20_Q
NYC-WTC_000159527
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