NYC 9/11 Public Portal Document
INDIVIDUAL VERIFICATION
STATE OF NEW YORK )
) ss.:
COUNTY OF NASSAU )
The ixndersigned, being duly sworn, deposes and says, that I am the 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: July 28,2014
Swornto/before/me this /TTJ
N^
NORA CONSTANCE MARINO
Notary Publio, State of New York
NO.02MAS084119
Qualified in Queens County
Commission Expires September 26,2017
NYC-WTC_000159555
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