NYC 9/11 Public Portal Document
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! :L . Y CERTIFICATE JOF;CORRECTION
State of New r _ . a _ _
County, of l✓ %/!/y )
Is I JMAOM I Z 50tfo ( being:duly:sworn, depose and say that I am the respondent cited in the
Notice of Violation and that t admit the existencehofithe viotatiorls(s) described in the Notice of Violation.
I nave corrected all said violations as ordered by the Commissioner
Check one
Cl-t have-only corrected Aule'Number($
and will attend heating onscheduled date _
(The:respondenti certfies that alf vioiatlohs tiaye teen corrected if no box. is checliied )
f have attached legible copies of any and alt bills receipts and-other proof-of correction to this certification as required.
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✓ate r a L ~
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(Sign only before a
~~ ... -TO-BE COMPLTED BY NOTARY ;. . ,• :•, -':
: f -LORI M. STEINHAUSER
Registration Number New York SEAL
County of , p .- '— in k 14899903
$ K . :r Qualified In Queens County
Sworn to efbra me this "day of 19 Notary Number Conun Res July. 27,1909 '
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Signature at Notary . Commission-Expires•-
The Fire Commissioner.reserves the"right'to reject; any Certificate of Correction that Is Incomplete.False certification
is punishable by a fine of not less than $1,000 nor more than $5,000 and/or up to 6 months imprisonment pursuant to -r
Administration Code Section 15-220.1 -- - .
CERTIFICATION INSTRUCTIONS
For first oNensesa = - - _ _.._.. _ t let
e1
1. ALL. offenders, must- correct the violation(s)-cited oh the NOTICE;OF. VIOLATION.
2. All offenders(must complete the Certficate of Correction above and have it notarized. Do not detach above certificate ftncrf this page
3. Attach legible copies of any and all bills, receipts and/or other pr' of compliance to thls Certificata of Correction (see correctio
requirements on reverse_ of green. copy)..and' submit them,, along with this Certificate. .
tare -~,c'.•~::a:C•;
4. Return the completed Certificate of Correction with all appropriate documentation. attached to the Bureau of Fire Preventfot
Enforcement Unit, 250 Livingston Street, Brooklyn, New York 11201-5884 by-the close of business on the date indicated o
the NOTICE-OF-VIOLATION forreturn of the certificate. (See reverse side for return date)
5 Respondents will be notified by mail,whether or not their Certificate of Correction has been approved. If the certificate-isnot approver:
you will be notified.of the-appropriate,action to.take:. 1. .. - - —
6. If it is Impossible to correct any orall violations within the time indicated, you may be eligible for a stipulation extending the tim.
to correct. A request for a stipulation extendingConipliance'time must be made at"the hearirig"and is subject to the approval c
the Fire Department and the ECB. "'
7. If you properly certify that ALL violations have been corrected, you will be excused from appearing at the scheduled ECB hearin
and no penalty will be Imposed
a -if you fail to comply with (7) above or if your arre-a repeat offender, you will be required to attend the ECB:fieanng designate
on the NOV acid bring anyand`all proof ofo toectlon to the hearing.
e ECB HEARING OFFICES
It you are required to attend an ECB hearing, check the locetton and time indicated on the face of the NOV and notethe address baton- -- - - - - -- -'
t Manhattan[Bronx: 1250 Broadwa 1h3Fl. (212) 911 000 # Queens: 91-14 Merrick BWd., 8th Fl. (718) 297-1080
* Brooldtm: 233 Schermerhorn St. 11th Fl. (718) 858.130.5 . t Staten Island: Borough Hall'Bui ding.- 10 Richmond Terrace (212) 971-9800
NYC-WTC 000166299
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