Orange County NC Website
2011 <br />Cherry Naw <br />405 Long Leaf Drive <br />Chapel Hill, NC 27517 <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 Cherry Naw; and that the foregoing certification is true, <br />accurate and complete to the best of my knowledge and was made and subscribed by me. <br />I also acknowledge and understand that any misuse of State funds will be reported to the <br />appropriate authorities for further action. <br />Signature <br />Sworn to and subscribed before me on the ~ day of SLu~t,Q„ 2011. <br />My Commission Expires: ~ d~ b°t c~.dls~ <br />.*- <br />'a~~'~c, Elm. SAS` <br />-•- <br />%: .. <br />