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2012-219 DSS - Premier Home Health Care
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2012-219 DSS - Premier Home Health Care
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Last modified
11/17/2015 3:55:44 PM
Creation date
8/1/2012 9:02:45 AM
Metadata
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Template:
BOCC
Date
7/30/2012
Meeting Type
Work Session
Document Type
Contract
Agenda Item
Mge Sogmed
Document Relationships
2012-219 S DSS-Premier Home Health Care Services Inc for In Home Services $415,647
(Linked To)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2012
Agenda - 06-05-2012 - 5f
(Linked To)
Path:
\Board of County Commissioners\BOCC Agendas\2010's\2012\Agenda - 06-05-2012 - Regular Mtg.
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1kk w 3 <br /> " w <br /> } t <br /> � iF , <br /> V . <br /> Y rs <br /> i, a? <br /> pREMIER <br /> , <br /> ,r. <br /> home health care services,inc. <br /> June 14, 2012 <br /> i <br /> jt. <br /> To: Orange County Dcpall ment of Social Services <br /> , <br /> Certification: <br /> We certify that the Premier Home Health Care Services does not have any overdue tax <br /> debts, as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. We further <br /> understand that any person who makes a false statement in violation of N.C.G.S. 143C- #1 <br /> a ry <br /> 6-23(c) is guilty of a criminal offense punishable as provided by N.C.G.S. 143C-10-1. s <br /> i <br /> Sworn Statement: <br /> t 41 <br /> Arthur Schwabe and Paul Schwabe being duly sworn, say that we are the <br /> President/CEO and Vice President, respectively, of Premier Home Health Care Services, <br /> Inc. of White Plains in the State of New York; and that the foregoing certification is true, <br /> accurate and complete to the best of our knowledge and was made and subscribed by , <br /> us. We also acknowledge and understand that any misuse of State funds will be <br /> reporte. o the appropriate authorities for further action. <br /> i <br /> a <br /> 'IA i A ✓AAALAl—∎ <br /> Board Chair <br /> /4 0c4L,X. .14Abt,e27//z(._ <br /> Vice President <br /> Sworn to and subscribed before me on the day of the date of said certification. <br /> r <br /> r' t <br /> My Commission Expires: 6 - i 1 l 1 � 4 f <br /> (Notary Sig ture and Seal) .0 <br /> ALICE J.LOUSSEFp � ��� rx <br /> NOTARY PUBLIC STATE OF NEW YORK ( i : i,:t <br /> NO 01L06043539 .� fir , ' <br /> QUALIFIED IN DUTCHESS COUNTY <br /> COMMISSION EXPIRES JUNE 19,20/__V <br /> 445 Hamilton Avenue, 10th Floor,White Plains, New York 10601 Phone 914-428-7722 Fax 914-428-2404 w' `'';. y ,,,; <br /> ,p <br />
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