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. 2011 <br />Caterina Phillips <br />1403 Woodburn Rd. <br />Durham, NC 27705 <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 Caterina Phillips and that the foregoing certification is <br />true, accurate and complete to the best of my knowledge and was made and subscribed by <br />me. I also acknowledge and understand that any misuse of State funds will be reported to <br />the appropriate auth~orit~ies~for further action. <br />~~ U <br />Signature <br />'Fa <br />Sworn to and subscribed before me on the 3 d day of S ~~. , 2011. <br />My Commission Expires: ~ o ~ v 2 ~ at o ~- <br />t~,*~',~,~ ' s <br />•r <br />l~- <br />_,. , <br />... , <br />'~t.~ <br />