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........;:.. . '' .:':~.~,'~ ............ .:,< '-'' ~¥~E'OF ~0~ CAROL NA'''~'~'''~ ''f '~. ........ ; ........ ~':": <br /> ...... DEPARTMENT OF'STATE AUDITOR '~-' · .......... <br /> . ~;:~"": "~ ":~.~IR~EN'S AND R~GUE SQUAO WORKER'S PENSION FUND DIVISION ' <br /> <br /> ~ .... . ~.*.- .. .... .. . . ~/. ~. ~/ ~: . ~ . . · .; <br /> ~/,-~ . * *~:~ ;' .:_.~.....~.,.: ....... ~ .......... ~ -* -.,..,... ~ - ~: . <br /> <br /> , ': ' .: ' . ,* ~ C~TIFI~TIOH 0F FI~ . ' ' "~ <br /> . J; ~',:, . f . -. :.,, . ~..: <br /> .,~ ~.,:..~ ~,.: ........ · . ...:~ - ~*.' ... .. · .: / <br /> <br /> ~'~&~i~'StatUt~l,' ~lpte~ 116-38)"~e~uL~el t~.t '.11'c.gtL[~ed*~Te depigt~ntl <br /> Innually to the N. C. ~ize~n'a ~ansion ~nd a co~lete goiter of 'itl qualified fige~n. <br /> ~'.~ - ....~ -.:. · . .. . . ...-',.- : <br /> <br /> ]un~ 30 of each year ~st be submitted to ~he ~, C, Fl~e~a~l ~easioa ~uad~ <br /> ~,~'~l,tahF". C, 0a or before ~uly ~lJ ~ailure :to an~it khis 'ce~ttfica~ioa <br /> · itb s c~let'~ roste~ vi11 ~e~ulr i~ t~e 1'~ of the death benefit ~r~ided by the Scare, <br /> <br /> ~. ' ". ....... '".*CER~I~I~TI0~: ..: ~-';. ,*::u...-.'._V-..: : ' ' - ' <br /> <br /> ~e, the ~s ~ ~ o~ ~Jsl~s '*in our*capacity II the s0ve~lu8 <br /> (~ve~inS Body) .- .' <br /> ~dy o'f the ~; ~ -; ' . * ' 'Fire Depart~uto c~r~[~y that ~e have ex.ned <br /> and find Char attached il'a C~e and accurate list pl. all active firemen* of the <br /> _ ~ ~ Fire ~partMnC, sddgell "*- ' ~% :U:' ' · County of <br /> <br /> . ' : . ~ Si~ed .... ~.~-*: <br /> -? -- ~lrle ". <br /> · ' "- ·DaCe (:' <br /> <br /> For Fire Da~artmeot Chief Onl~ <br /> <br />x, · , c i,f of the .*: - . . Fl,e <br /> Department, certify the &ttacheH roster ti a true and acc'e~rate-liI~ l! eligible fire- <br /> men. (Eligible firemen are firemen vho have met the required 36 hour* of meetings and <br /> drills during the last c~lendar year (July I - June 30). Xn addition,. ~he term Oell$iblc <br /> firemen~ IhalX mean those firemen ~no have joined the fire department vithln the caleoda£ <br /> year and are tn the process of complecinB the required 36 hour* o~_f ~eetimai end drillI.) <br /> <br /> ire <br /> <br /> Date <br /> <br /> ROSTER NUST SE ATTACHED VITH IC~HES IN ALPHABETICAL ORD£R. <br /> <br />eFlremen on authorized ~Leave of Absence" are to he included on the roster°- <br />l~henever a ney fir~m~n is added Co the roster during the years hi8 or. her rumba should be' <br />forward to the Pensio~ ~ Office i~-diately. <br /> <br /> <br />