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DocuSign Envelope ID:874D086C-148C-418A-B140-732EE045A830 <br /> Exhibit E <br /> ii <br /> Communication Services for the Deaf and Hard of Hearing • <br /> 1175 Revolution Mill Dr., Studio 15 <br /> Greensboro,NC 27405 <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 Director of Communication Services for the Deaf <br /> and Hard of Hearing, in the State of North Carolina; 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 cknowledge and understand that any misuse of State funds will be reported to <br /> the appro a e authorities for further action. <br /> / / 1 / <br /> Signature <br /> Sworn to and subscribed before me on the 36 day of Deo—e,201'7. <br /> a <br /> ;� - A. <br /> . My Commission Expires: I'/5r1 /9 <br /> otar Signature and S-al) ` `�to,,,p,' ,y i,.•` <br /> it ++% <br /> 11,01AR k r. <br /> �,,"/#, ND COQ‘"' ��,, <br />