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<br />Contract #68-2005 <br />Arcadia Health Services, Inc. <br />ATTACHII~NT E <br />OVERDUE TAXES <br />Orange County Department of Social Services and Orange County Department on Aging <br />,Tune 27 , 2008 <br />To: Orange County Department of Social Services and Orange County Department on <br />Aging <br />Certification: <br />I certify that Arcadia Health Services, Inc. does not have any overdue tax debts, as <br />defined by N.C.G.S. 105-243.1, at the federal, State, or local level. I further understand <br />that any person who makes a false statement in violation of N.C.G.S. 143-6.2(b2) is <br />guilty of a criminal offense punishable as provided. by N.C.G.S. 143-34(b). <br />Sworn Statement: <br />Cathy Sparling ,being duly sworn, say that I am the Sr. VP Admin Svs of <br />Arcadia Health Services, Inc. of in the State of North Carolina; and that the foregoing <br />certification is true, accur d complete to the best of my knowledge and was made <br />and subscrib by me. I lso.acknowledge and understand that any misuse of State funds <br />will be re rt d to the pr ~riate authorities for further action. <br />-~ <br />Director <br />Sworn to and subscribed before me on the day of the date of said certification. <br />~~n~ ~ 'R , ~ . p ~ ~~~~ My Commission Expires: / 1 l~ / 2. c~ ~ '~1 <br />otary Signa and Seal) <br />LWDSAYR g1~gq~ <br />~ STATEOFA~q <br />3~ON .AND <br />rN couHnr ~ ~0. eta <br />o~~, ~~ <br />• <br />Overdue Takes - (06/04) Page 1 of 1 <br />