Browse
Search
2018-479-E DSS - Chatham Transit Network non-emergency Medicaid services
OrangeCountyNC
>
Board of County Commissioners
>
Contracts and Agreements
>
General Contracts and Agreements
>
2010's
>
2018
>
2018-479-E DSS - Chatham Transit Network non-emergency Medicaid services
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/25/2019 2:04:34 PM
Creation date
8/27/2018 10:15:58 AM
Metadata
Fields
Template:
Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Contract
Amount
$0.00
Document Relationships
R 2018-479 DSS - Chatham Transit Network non-emergency Medicaid services
(Message)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
28
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
DocuSign Envelope ID: EECFF652- EBBA- 43BD -9l B3- 20B28775BFD8 <br />Transit <br />OVERDUE TAXES <br />June 1$, 2018 <br />To: Orange County Department of Social Services <br />Certification: <br />We certify that Chatham Transit Network does not have any overdue tax debts, as defined by <br />N.C,G.S. 105- 243.1', at the federal, State, or local level. We further understand that any person <br />who makes a false statement in violation of N.C.G.S. 1430- 6 -23 (c) is guilty of a criminal <br />offense punishable as provided by N.C.G.S. 1430- 14 -1(b). <br />Sworn Statement: <br />Timothy Mounce and Anna Testerman being duly sworn, say that we are the Hoard Chair and <br />Executive Director, respectively, of Chatham Transit Network of PiYtsboro in the State of North <br />Carolina; and that the foregoing certification is true, accurate and complete to the best of our <br />knowledge and was made and subscribed by us. We also acknowledge and understand that any <br />misuse of State funds will be reported to the appropriate authorities for further action. <br />CJ r^t.ytr�, <br />Board Chair <br />Executive Director <br />Sworn to me and subscribed before me on the day of the date of said certification. <br />My Commission Expires: 0C A Q0 19 <br />Notary Signature and Seal <br />l7ebortrh H. Brown <br />Nam Public <br />11 b rai Igo <br />t ;q>sfp�wtt[h debt. — Any part of a tax debt that remains unpaid 90 days or more after the <br />natibe4jFt"mtti ^aS 4 < < e to [lte taxpayer, rite term does not include a tax debt, however, if the taxpayer <br />entered into an installment agreement Far the tax debt under G.S. 105 -237 within 90 days after the notice of final <br />asscssmont was mailed and has not failed to make any payments due under the installment agreement." <br />480 Hillsboro Street, Suite 130 www.chathamtransit.org <br />PO Box 1032, Pittsboro, NC 27312 919.542.5136 1 Fax 919,545.0672 <br />
The URL can be used to link to this page
Your browser does not support the video tag.