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NAME Of FIRE DISTRICT ~/li~rga0PP COUNTY GABARRUS <br /> <br /> DISTRICT IS SERVED BY WTi~:COPP FIRE DEPARTMENT <br /> ~.l;lil 3'o Thu North {.:m'olina St:tie Del}artn el t of ns · ct.. P. O. ]Jox ~G387. Raleigh. N. C. 27{i11 ~l~ef{,.e October 31 <br /> <br /> ~''r~'' NORTH CAROLINA ~r'"'¢ ~ <br /> REPORT Of FIRE CONDITIONS <br /> <br /> To tile COMM]SS]()N~R of'INSURANCE. <br /> Raleigh. N. C, <br /> <br /> thu folhnvin~ rol.,'t on I e ..... ~ ......................... Rural Fire Dist,'iet, Coumy of ....... ~b~.~ ..................... <br /> <br /> FIRI~ BEPARTMI';N'F INFORMATION <br /> Fire DepL Personnel ............... ~ .......................Full Time .......................................... Volunteer. ....... ~ .................. <br /> No. I,'.D. llouses or ~[~l[Jolts ..... ~. ........................... No. J'lllnpers ....... ~ ......................... No. Tallkel's ._..~ ................... <br /> No. Olher ~pe~ial Purpose Vehicles .............................................................................. 'l'o[JJJ 0o's .............................. <br /> Type W~ let ~u pply: Mobile .................................. I J)'(lr Is ................................ gombination ......... ~. .................. <br /> <br /> LOCAL FIREMEN'~ REI. IIgF FUND <br /> <br /> Names of Trustees of ~iremen's Relief Fund .ppointed by Fil'e Deparlment (two) ...................................................... <br /> <br /> 1. Mr. ~Z ~eeO 2. g'lr. Anthony Over,ash <br /> Hames of Trustees of Firemen's Relief Fund appointed by Ihe C~ unty Commissioners (two) ...................................... <br /> <br /> 3. bh'. Willi~ Pink <br /> ................................................................................ 4. Mr. S%eve McClellan <br /> Nam ~s of Trois{ce o[ F~emen's Relief Puled appoh}[ed by I nmi~'ance Commissioner (o~}e) .......................................... <br /> <br /> 5. ML Wayne McCla~on <br /> .............................................................................. i f same ~t~ h[~{ year. cheek here (X) <br /> tI'e;mur(~i, of JOirenlell'S Relief [eund Number. 1 2 3 ,I ~A bore (encircle which) <br /> Is yo ' ],'J 'e DepartmenL a member of ~he Nor[Il Carolina ~tate l"iremen's Association? ........ ~ .............................. <br /> <br /> NORTH CAROl,INA <br /> .................................................. COllll[y <br /> ....................................................................... A uditoly'l,'inanee off leer' of .................................................................... <br />Cmlnty, N, O. do hm'eby certify that the fm'e~oin~ is n I rue. fu II, anti eorl'ee[ I'epol'[ o[ the ~ire Department and fire <br /> <br /> conditions of ............................................ RurM Fire District. <br />Under Section 118-9 of the Genernl ~JJ[[~[~s o[ North Carolina. <br /> <br /> 8worn to and subscribed before me. this ..' ........................................ d ~J.~' of ........................................... 19 ............ <br /> <br />ISEALJ <br />~OTE: Tiffs report can not be accepted unless sworn to before a ~o[al'y or o[hcr officer with Seal, <br /> <br /> <br />