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2013-273 Housing - Zahra Brooks Interpretation $5,000
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2013-273 Housing - Zahra Brooks Interpretation $5,000
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7/30/2013 2:56:03 PM
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7/30/2013 2:55:34 PM
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Date
7/25/2013
Meeting Type
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R 2013-273 Housing - Zahra Brooks Interpretation $5,000
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2013
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Exhibit E <br /> Zahra Brooks <br /> 1000 Discovery Way, Apt. 1017 <br /> Durham,NC 27703 <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 /> 1, being duly sworn, say that I am Zahra Brooks and that the foregoing certification is <br /> true, accurate and complete to the best of my knowledge and was made and subscribed by <br /> me. I also acknowledge and understand that any misuse of State funds will be reported to <br /> the appropriate authorities for further action. <br /> �t <br /> 'LAC <br /> Si ature <br /> Sworn to and subscribed before me on the jd day of , 2013. <br /> My Commission Expire : ( 2 O( 7 <br /> (Notary Signature and al) <br />
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