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2011-222 DSS - Charles House Association for Adult Day Service
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2011-222 DSS - Charles House Association for Adult Day Service
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Last modified
9/20/2012 4:52:11 PM
Creation date
7/27/2011 10:02:59 AM
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BOCC
Date
7/26/2011
Meeting Type
Work Session
Document Type
Contract
Agenda Item
Manager Signed
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CHARLES HOUSE ASSOCIATIOI`I <br />Helping Peo,ole Age the \x/ay They Ha~~e Li~~ecl <br />June 7, 2011 <br />To: Orange County Department of Social Services <br />Serving Seniors and Their <br />Families Since 1990 Certification: <br /> We certify that Charles House Association does not have any overdue tax <br />Enriching thervefofseniois at the federal <br />or local level. We <br />state <br />debts <br />as defined by N.C.G. 105-243.1 <br />Supportinyfami/ies caringfor , <br />, <br />, <br />, <br />~rther understand that any person ~~vho makes a false statement in violation of <br />oging fcr~ni/y members <br />Reprerentingthe commcmdyf N.C.G.S. 143-6-23(c) is guilty of a criminal offense punishable as provided by <br />comm~tnenft`o~re/derr N.C.G.S.143C-10-1. <br />BOARD OF DIRECTORS Melvin Hurston and Michael Luke Riggsbee, being duly sworn, say that we are <br />the-Board President and Secretary, respectively, of Charles House Association <br />PRESIDENT of Carrboro, in the state of North Carolina; and that the foregoing certification <br />Melvin Hurston is true, accurate and complete to the best of our knowledge and was made and <br />VICE PRESIDENT subscribed by us. We also acknowledge and understand that any misuse of <br />Beth Tillman State funds will be reported to the appropriate authorities for further action. <br />SECRETARY ~'~ ~ `~ <br />Luke Riggsbee - j~ ~~ ~ ~ ° { <br />TREASURER /Board President <br />Duval Byrd <br />Dickie ~~drews Boar Secretary <br />Jan Busby-Whitehead <br />Patty Hill <br />Norman Klase <br />Caroline Resnick <br />Jerry Salak Sworn to and subscribed before me on the day of the date of said certification. <br />Cindy Skocik <br />Philip Sloane <br />"Notary Signature and Seal <br />EXECUTIVE <br />DIRECTOR <br />Paul Keever My Commission Expires: l! ' ! 3 -/ S <br />109 Hillcrest Avenue, Carrboro, NC 27510; (919) 967-7570; Fax (919) 967-7576 <br />
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