Orange County NC Website
DocuSign Envelope ID:27C3F1A4-B27C-4BA8-99ED-AA998848F024 <br /> Exhibit E <br /> July 30, 2019 <br /> Tilde Language Justice Cooperative <br /> 732 9th St.,Box 681 <br /> Durham,NC 27705 <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 /> 1, being duly sworn, say that I am Ron Garcia-Fogarty; 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 acknowledge and understand that any misuse of State funds <br /> will be reported to the appropriate authorities for further action. <br /> Signature <br /> Sworn to and subscribed before me on the 3 day of )—�201ti-. <br /> M� <br /> *A V4y Commission Expires: 2— <br /> (Notary Signature and Seal) 3► 4�'+ <br /> = NOTARY z <br /> PURLIC U <br />