NYC-WTC_000166105

NYC 9/11 Public Portal Document

.,:, CERTII CATE OF CORRECTIOlN": Y. State of New York ) ; ss County of lluew we C ~ .,) .,

I h eSk, -' - , being duly sworn, depose and say that I am the respondent cited in the

Notice o₹ ViolaUon and-that f admit the-existence of the -violations(s) described-in the Notice of Violation

I have corrected all said violations as ordered by the Commissioner_ _ e Check one._ _ - .-- - _ 0 I have only correctedRule Number(s) and will attend hearing on scheduled date.

(The respondent certifies that all violations have been corrected if no box i checked.) -I have attached legible copies of any and all bills, receipts and other pro f correction to is c ication as required.

(Sig on before a notary)

TO BE COMPLETED BY NOTARY

County of H/ Xi /`— gi Registration Number SEAL t' ~ YVETTE KEYES Sworn to before me this h da r/ 19~ C(yy Notary Number NOTARYaUBUC,StstedNewYarlt No. 31-4935341 - Signature of Notary Commission Expires Qualified in New York Cow ► Wires 27.1

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 S5,000 and/or up to 6 months imprisonment pursuant to Administration Code Section 15-220.1

CERTIFICATION INSTRUCTIONS For first offenses: 1. ALL offenders must correct the violation(s) cited on the NOTICE OF VIOLATION. 2. All offenders must complete the Certificate of Correction above and have it notarized. Do not detach above certificate from this page 3. Attach legible copies of any and all bills, receipts and/or other proof of compliance to this Certificate of Correction (see correctior requirements on reverse of green copy) and submit them along with this Certificate. 4. Return the completed Certificate of Correction with all appropriate documentation attached to the Bureau of Fire Prevention Enforcement Unit, 250 Livingston Street, Brooklyn, New York 11201-5884 by the close of business on the date indicated or the NOTICE OF VIOLATION for return of the certificate. (See reverse side for return date) -- 5. Respondents will be notified by mail if their Certificate of Correction has been disapproved and of the appropriate action to take to correct same. 6. fl it is impossible to correct any or all violations within the time indicated, you may be eligible for a stipulation extending the time to correct. A request for a stipulation extending compliance time must be made at the hearing and is subject to the approval o 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 hearinc and no penalty will be imposed.. 8. It you fail to comply with (7) above or if your are a repeat offender, you will be required to attend the ECB hearing designater on the NOV and bring any and all proof of correction to the hearing. .

ECB HEARING OFFICES !1 you are required to attend an ECB hearing, check the location and time indicated or, the face of the NOV and note the addtess below, • Manhattan'B'enx 250 Broadway 7th F1 '?12i 9V•.35^.B S + Oueens. 96.05 Horace Harding Expressway—Man Floor (718) 595-4584 1 • Brocoryn 233 Schermarhern S:., firth Ft. (7181 85&1305 • Staten Island. Boroug.r Hail Building, 10 Richmond Terrace (2121 971-3600

NYC-WTC 000166202