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DocuSign Envelope ID:88E4269D-F3C3-446D-8882-E8681643C2C4 <br /> Exhibit E <br /> Friday Lumu <br /> 3201 Perrin Drive <br /> Haw River,NC 27258 <br /> To: Grange 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 /> 1, being duly sworn, say that I am Friday Lumu; 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 acknowledge and understand that any misuse of State funds will be reported to <br /> the appropriate authorities for further action. <br /> Z" <br /> Signature <br /> Sworn to and subscribed are me on the day ofU 201_I. <br /> ••```����PR��'+��9 <br /> o �`g <br /> _ i r h Z- <br /> V z My Commission Expires: r ' <br /> (Notary Sig ArS.Wn )lC �a <br /> �''• [bUNT41 +�a <br /> 40101Ii11111111N�� <br />