Orange County NC Website
► , <br /> ' ResCare <br /> • � <br /> HawCare <br /> Respect and Care at Home <br /> August 15, 2(111 <br /> To: Orange County Department of Social Services <br /> Certification: <br /> We certify that CNC/Access, Inc does not have any overdue tax debts, as defined by <br /> N.C.G.S. 105-243.1, at the federal, state or local level. We further understand that any <br /> person who makes a false statement in violation of N.C.G.S. 143C-6-23(c) is guilty of a <br /> criminal offense punishable as provided by N.C.G.S. 143C-10-1. <br /> Sworn Statement: <br /> Patrick Kelley, President and David S. Waskey, Secretary being duly sworn, say that we <br /> are the Director& President and Secretary, respectively, of CNC /Access, Inc of <br /> Louisville, Kentucky; and that the foregoing certification is true, accurate and complete to <br /> the best of our knowledge and was made and subscribed by us. We also acknowledge <br /> and understand that any misuse of State funds will be reported to the appropriate <br /> authoriti s for further action. <br /> Director& President <br /> � W�A <br /> Secretary <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> My Commission Expires: ��/j <br /> Q46iarj Signature and tealt <br /> :LAUREN MAYER <br /> Notary blic-State at Large <br /> ENTUCKY <br /> My COmmin 1X001 July 12,2015 <br />