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2017-335-E DSS - Charles House Association for adult day care
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2017-335-E DSS - Charles House Association for adult day care
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Last modified
7/3/2018 9:24:24 AM
Creation date
7/24/2017 9:58:17 AM
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Contract
Date
7/1/2017
Contract Starting Date
7/1/2017
Contract Ending Date
6/30/2018
Contract Document Type
Contract
Amount
$24,000.00
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R 2017-335-E DSS - Charles House Association for adult day care
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2017
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DocuSign Envelope ID: BADE4C5F-70BF-42D6-A88E-D468 1BE4OBCA <br /> CHARLES HOUSE ASSOCIATION <br /> Helping people age the way they have lived <br /> June 12, 2017 <br /> i <br /> ''-.;` <br /> .i.r. <br /> '‘,--. ::Ar5' .. % " To: Orange County Department of Social Services <br /> Serving Seniors and Their Certification: <br /> Families Since 1990 <br /> We certify that Charles House Association does not have any overdue tax <br /> Enriching the lives of seniors debts, as defined by N.C.G. 105-243.1, at the federal, state, or local level. We <br /> Supporting families caring for further understand that any person who makes a false statement in violation of <br /> aging family members N.C.G.S. 143-6-23(c) is guilty of a criminal offense punishable as provided by <br /> Representing the community's N.C.G.S. 143C-10-1. <br /> commitment to its elders <br /> Melvin Hurston and Paul Klever,being duly sworn, say that we are the Board <br /> BOARD OF DIRECTORS President and Executive Director, respectively,of Charles House Association <br /> of Carrboro, in the state of North Carolina; and that the foregoing certification <br /> PRESIDENT is true, accurate and complete to the best of our knowledge and was made and <br /> Melvin Hurston <br /> subscribed by us. We also acknowledge and understand that any misuse of <br /> VICE PRESIDENT State funds will be reported to the appropriate authorities for further action. <br /> Sheryl Zimmerman <br /> SECRETARY A/1261-4- e ": .0ji--4-4,0A"-A,.. <br /> Sheana Funkhouser 5 <br /> Board President <br /> TREASURER <br /> Bradley Fox 42444-1 --1,/ ..e.-7fr--------- - <br /> Executive Director <br /> Jesse Basnight,Jr. <br /> Michael Hill Sworn to and subscribed before me on the day of the date of said certification. <br /> Nancy Jones <br /> Suzanne Kalbas . <br /> Joel Levy /' a / ' % '7(7,,e.4-r■Ja— a2 -i 2-1 <br /> Beth Tillman /. <br /> Notary ignature and Seal <br /> mitdred witt <br /> EXECUTIVE <br /> DIRECTOR My Commission Expires: II--)3 -,.2 o <br /> Paul Klever <br /> paul@charleshouse.org <br /> G.S. 105-243.1 defines:Overdue tax debt.-Any part of a tax debt that remains unpaid 90 days or more <br /> after the notice of final assessment was mailed to the taxpayer.The term does not include a tax debt, <br /> however,if the taxpayer entered into an installment agreement for the tax debt under G.S. 105-237 within <br /> 90 days after the notice of final assessment was mailed and has not failed to make any payments due <br /> under the installment agreement. <br /> C <br /> 7511 Sunrise Road, Chapel Hill, NC 27514 (919) 967-7570 wiv.Char1esHouse.org <br />
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