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, 1 believe th^ to be true.
DATED: June 2^2014
SIGN HERE: X
PRINT NAME HER
Sworn to before me this
day of June, 2014
Notary Public
VICTORIA MILLER
NOTARY PUBLIC OF NEW JERSEY
eSY COMMISSION EXPIRES OCT. 28,2016
10
NYC-WTC_000159538
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