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Contract #68-2007 <br />Touched by Angels Home Healthcare II, Inc. <br />ATTACI~~NT E <br />OVERDUE TAXES <br />Orange County Department of Social Services <br />June 21, 2007 <br />To: Orange County Department of Social Services <br />Certification: <br />We certify that Touched by Angels Home Healthcare II, Inc. does not have any overdue <br />tax debts, as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. We <br />further understand that any person who makes a false statement in violation of N.C.G.S. <br />143-6.2(b2) is guilty of a criminal offense punishable as provided by N.C.G.S. 143-34(b). <br />Sworn Statement: / <br />~~~~/F I~I~C-r~~+.~N ,being duly sworn, says that I am the Executive Director of <br />Touched by Angels Home Healthcare II of Graham in the State of North Carolina; and <br />that the foregoing certification is true, accurate and complete to the best of my knowledge <br />and was made and subscribed by me. I also acknowledge and understand that any misuse <br />of State funds will be reported to the appropriate authorities for further action. <br />xecutive Direct <br />Sworn to and subscribed before me on the day of the date of said certification. <br />M Commission Ex ire • ~~~~ <br />y p s. <br />(Notary Signature and Seal) <br />Overdue Taxes - (06/04) Page 1 of 1 <br />