NYC 9/11 Public Portal Document
iNDMDUAL VERIFICATlOiM
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 7^^2014
SIGN HERE: X 0
PRINT NAME
Sworn to before me this ..tti.ii.fflt.i, lit
day of June, 2014 POLLY AJOOHA
Notary Public - State of New York
NO. 01AJ6281589
Qualified in Queens Co^_ /
My Commission Expires
Notary Pubii<
10
NYC-WTC_000159532
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