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July 1, 2011 <br />Chapel Hill Institute of Cultural and Language Education, LLC (CHICLE) <br />101 E. Weaver Street, 3ra Floor <br />Carrboro, NC 27510 <br />To: Orange County Department of Social Services <br />Certification: <br />I certify that I do not have any overdue tax debts, as defined by N.C.G.S. 105-243.1, at <br />the federal, State, or local level. I further understand that any person who makes a false <br />statement in violation of N.C.G.S. 143-6.2(b2) is guilty of a criminal offense punishable <br />as provided by N.C.G.S. 143-34(b). <br />Sworn Statement: <br />I, being duly sworn, say that I am the President of Chapel Hill Institute of Cultural and <br />Language Education, L.L.C. in the State of North Carolina; and that the foregoing <br />certification is true, accurate and complete to the best of my knowledge and was made <br />and subscribed by me. I also acknowledge and understand that any misuse of State funds <br />will be reported to the appropriate authorities for further action. <br />Signatu <br />`~ 2011. <br />Sworn to and subscribed before me on the ~_ day of w , <br />c <br />tart' Signature and Seal) <br />---...._ <br />My Commission Expires: L ~ l ~ S~ ! %t~ ~S <br />~i <br />-._ <br />'~1.~ <br />'~ <br />M c' <br />