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DocuSign Envelope ID: 79C656D4-C9CC-4E83-86DC-2586ACE20052 <br /> Dispute <br /> Settlement <br /> Center <br /> OF OPANOE COUNTY <br /> June 18, 2015 <br /> TO: Orange County Department of Social Services <br /> Certification <br /> We certify that the Dispute Settlement Center, Inc. has no overdue tax debts, as defined <br /> by N.C.G.S. 105-243.1, at the federal, state, or local level. We further understand that <br /> any person who makes a false statement in violation of N.C.G.S. 143C-6-23 c is guilty of <br /> a criminal offense punishable as provided by N.C.G.S. 143C-1.01(b) <br /> Sworn Statement <br /> Neil Offen and Frances Henderson, being duly sworn, say that they are the President <br /> and Executive Director, respectively, of the Dispute Settlement Center, Inc. in the State <br /> of North Carolina; and that the foregoing certification is true, accurate, and complete to <br /> the best of their knowledge and was made and subscribed to by them. They also <br /> acknowledge and understand that any misuse of State funds will be reported to the <br /> appropriate&arities for f r action. <br /> Neil Offen, President date <br /> Frances Henderson, Executive Director date <br /> P A S :'�+� <br /> (Neil Offen) Sworn tQ' s 'before me on the day of the date of said <br /> certification. 9 <br /> gin; A <br /> .s: U80 G <br /> t <br /> �''••,,�NGpu Notary Public <br /> (Frances Henderson) Sworpql0r;MY*,scribed before me on the of the date of said <br /> certification. r` V qy'a <br /> ; ��TAR/- D Notary Public <br /> x • <br /> AU800 -'Cj <br /> •� ��,a��. _tip., ,a,• <br /> 4 cotyki <br /> MA <br /> 9nlfed Way Hf u111 <br /> of the G—wwa" 302 West Weaver Street,Carrboro,N.C.2 7510 .(919) 929-8800 ■ lax: (919) 942-6931 r WWWAsputesettlement.org . <br />