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• <br />Contract #68-2006 <br />Triangle Home Health Care, lnc. <br />ATTAC~NT E <br />OVERDUE TAXES <br />• <br />Orange County Department of Social Services and Orange County Department on Aging <br />l'~ 2008 <br />To: Orange County Department of Social Services and Orange County Department on <br />Aging <br />Certification: <br />We certify that the Triangle Home Health Caze, Inc. does not have any overdue tax debts, <br />as defined by N.C.G.S. 105-243.1, at the federal, State, or local level. VVe further <br />understand that any person who makes a false statement in violation of N.C.G.S. 143- <br />6.2(b2) is guilty of a criminal offense punishable as provided by N.C.G.S. 143-34(b). <br />Sworn Statement: <br />,`;~- l~t~- ,being duly sworn, say that I am the ~~ ~-c.cS~d ~ <br />of Triangle Home Health Care. Inc. of Durham in the State of North Carolina; and that <br />the foregoing certification is true, accurate and complete to the best of my knowledge and <br />was made and subscribed by me. I also acknowledge and understand that any misuse of <br />State funds will be reported to the appropriate authorities for further action. <br />/~ <br />Director <br />Sworn to and subscribed before me on the day of the date of said certification. <br />Expires: V ~'IL p~J! ~~ 6 <br />• <br />Overdue Taxes - (06/04) <br />O`~~~ EN ~ .~~~~i <br />~~ Q~G ~,....... ti ~i <br />•. i <br />. ~ ~• ~ .~ <br />Q: ~' ~ V ~;~Z ~_ <br />to • <br />o; o m :o= <br />6;Z QJ•'V <br />Page 1 of 1 <br />