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 /^. 2014
SIGN HERE: X, OaULx.,
PRINT NAME HERE:, kL.
Sworn to before me this _Z£
day of June, 2014
Notary Public
FLORENCE RENNA
Notety Public. State of New Yom
NO.01RE5082199
Qualified in Queens County -
Commission Expires July 21. Z.^/T' •
10
NYC-WTC_000159539
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