NYC 9/11 Public Portal Document
vwx.
INDIVIDUAL VERIFICATION
STATE OF NEW YORK )
) ss.:
COUNTY OF )
The undersigned, being duly sworn, deposes and soys, that I am a
claimant in the within action, that I have read the foregoing NOTICE OF CLAIM
/NOTICE OFJNTENTIO.N TQ.MAK^^^ 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 Z£, 2014
SIGN HERE:
PRINT NAME HERE; 6^
Sworn to before me this
day of June, 2014
Notary Public
STEPHEN I. FEDER
Notary Public, State of New Yorit
No. 02FE4784767
Qualified In Queens County
Commission Expires May 31,20 /j '
10
NYC-WTC_000159537
OCR can misread numbers and units. Confirm readings against the page image before using them.