Orange County NC Website
Exhibit E <br /> Chapel Hill Institute of Cultural and Language Education, LLC (CHICLE) <br /> 101 E. Weaver Street, 3rd 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 /> � <br /> • • <br /> Signature <br /> Q ra(\Ct Coo. C, <br /> d <br /> Sworn to and subscribed before me on the f day of Ju k 1 , 2012. <br /> My Commission Expires: (4/ I a) <br /> Signature and Se Ii <br /> G re AOne� LOA' GG SIB <br /> \\\�\4E I G H G i/�� <br /> 0 R �- <br /> PUB\-\C' <br /> ",,'VGE CO'\\\\� <br /> //1111 <br />