NYC 9/11 Public Portal Document
INDIVIDUAL VERIFICATION
STATE OF NEW YORK )
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 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 2^, 2014
SIGN HEREty ____________
PRINT NAME HERE;. Qni
Sworn to before me this I
day of June, 2014
No/ary Public
LISAMARiE CORTESE
NOTARY PUBLIC, STATE OF NEW YORK
qualified in SUFFOLK COUNTY
REG. #01006243630
MY COMM. EXP. JUNE 20,2015
10
NYC-WTC_000159531
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