Orange County NC Website
DocuSign Envelope ID:2AB3977E-79F7-4791-BA84-4BC5B3DFODF5 <br /> Exhibit E <br /> Chapel Hill Institute of Cultural and Language Education, L.L.0 (CHICLE) <br /> 109 Conner Dr, Suite 2204 <br /> Chapel Hill,NC 27514 <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 Delia Rebeca Cabrera-Navarro; and that the foregoing <br /> certification is true, accurate and complete to the best of my knowledge and was made <br /> and subscribed by me. I also cknowledge and understand that any misuse of State funds <br /> will be reported t e ppro riate authorities for further action. <br /> g a re <br /> Sworn to and subscribed before me on the S day of U , 201 <br /> My Commission Expires: 111,512w2 Z <br /> (Notary igriatke and jal � { <br /> 7 8t i c aaV <br /> C'0UIVY'� NL�a <br /> ►►►►►11f llll i 1I Nlyl'`�l� <br />