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DocuSign Envelope ID:246A3B97-8291-4A09-9B7C-80AF9135F8B9 <br /> Exhibit E <br /> August 8, 2019 <br /> Refugee Community Partnership <br /> 117 W Main St. <br /> Carrboro NC 27510 <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 Madison Hayes; 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 /> Signature ~' <br /> Sworn to and subscribed before me on the U day of 201_1. <br /> �.� My Commission Expires: <br /> (Notary Signatur and SE <br /> S}, eL IC ss` <br /> +' y <br /> I••r'`��rVflli451i1i�V.. <br />