Laserfiche WebLink
NAME (~F FIRE DISTRICT Jackson Park COUNTY Cabarrus <br /> <br /> DISTRICT IS SERVED BY Jackson Park FIRE DEPARTMENT <br /> M alt T. The North C;wolina State Delntrtment of [ ns)il;anti,, P. O. Ilex 9(iil87, Raleigh, N. C. 2761 l--Before October 3 Is), <br /> <br /> t 0 fl.. I I s rope 't must.he hlled out eom leteb, must be s~gnel ant sworn to, and returm,d to tile Insurance Departmeiit before <br /> Oct~lber ;{1 st. or the fire departme.t will lose their par t of the Firemen's Roller Pund tax rot this ycar.--I nsurance Commi.~sioner. <br /> <br />  --~) NORTH CAROLINA ~)~ <br /> RURAL FIRE DISTRICT <br /> <br /> > REPORT Of FIRE CONDITIONS <br /> <br /> To 'ril~ COMMISSIONER 01,'INSURANCE, <br /> Raleigh, N. C. <br /> <br /> :ks reqnired b.¥ section liS-9 of the General Statutes o{'Norfl~ Carolina, I. Auditor of said County do hereby make <br /> <br /> Hte folh)wing relmrt on the .....J.~..k..s. 9..n....P.P-r_k- .................. Rural Fire D st' ct County cf .....C..abarru~ ............... <br /> <br /> FIRE DEPARTMENT INFORMATION <br /> I"h'c Dept. Personnel .............. .3..0. ........................ Full Time .......................................... Vohmteer ..........3..0. ................. <br /> No. F.D. IIosscs or Stations ............ .1. .................... No Pumpers ....... .2. ......................... No. Tankers ....... .1. ............... <br /> No. Other Special l)urpose Vehicles ........ ~.u..s..h....T..r_u, c. k. ............................................... Total Co's ..............6. ............... <br /> Type Wtter SuppLy: Mobile ..................................Hy( 'ants ................................ Corn bination X <br /> <br /> LOCAL FIREMEN'S RELIEF FUND <br /> <br /> Numcs of Trustees of Firemcn's Relief Fund appointed by Fb'e Department (two) ...................................................... <br /> <br /> I Mr ..... .D..a.y..J:.d...~]:.a_y. ........................................................ 2. Mr. t4a.l, ter Burr <br /> Names of Trl] stets, of Firemen's Relief Fund appointed by the Cnunt.~ Commissioners (two) ...................................... <br /> 3. Mr. gerr~ Sverhardt 4. Mr. Ben Mabre~ <br /> <br /> Numcs of Trnstcc of Firemen's Relief Fund uppointed by Insurance Comm~ssioscr {one) .......................................... <br /> <br /> 5. Mr.s__..Lt. sa..rJ, sher .................................................... If same ~Ls bk';t year. check here( ,-9 <br /> TreasurcrofFiremen'sReliefFundNun~ber. I 2 3 4(? Above(eneirclewhicb) <br /> Is your Fire Depm'tment a member of the North Curolina State Firemen's Association? ............................................ <br /> <br /> NORTII CAROLINA <br /> .................................................. County. <br /> <br /> ....................................................................... Auditor/I,'inanec officer )f ........................ <br />County, N. C. do I erebv certify that tile foregoing is a true, full, and correct report of the Fire Department and fire <br /> <br />comlitions of ............................................ Rural Fire District. <br />Under Section 118-9 of tile General Statutes of Nnrth Curolina. <br /> <br /> Sworn to and subscribed before mc, this .......................................... day of ........................................... 19 ............ <br /> <br />[SEAL] <br />N ( fI~: .Phs report can not bo accepted unless Sworn to before a Notary Or other officer with Seal. <br /> <br /> <br />