NYC 9/11 Public Portal Document
INDIVIDUAL VERiFICATION
STATE OF NEWARK )
) ss.:
COUNTY )
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 maters, 1 believe them to be true.
DATED; June 2014
SIGN HERE: X
PRINT NAME HERE:12o/^dy/9
Frank Pantina
Sworn to before ime this Notary Pufoifo, State of New York
day ofJmae, 2Qly Registration #01PA6028084
in Nassau CoX
My Gommission Sxpims July 19,20/J
N
10
NYC-WTC_000159541
OCR can misread numbers and units. Confirm readings against the page image before using them.