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I ,. STATE OF NORTH CAROLINA '- . ' ' DEPARTMENT OF STATE AUDITOR FIREMEN*S.~ND RESCUE SOUAO WORKER'S PENSION FUND DIVISION ANNUAL CERTIFICATION OF FIREMEN General Statutes~ Chapter 118-38, requires that all certified fire departments certify annually to the N. C, Firemen's Pension Fund a complete roster of its qualified firemen. The followlng certification along with a complete roster of all active firemen* as of June 30 of each year must be submitted Co the N. C. Firemen's Pension Fund, 300.N, Salisbury St,, Raleigh, N, C. on or before July 31. Failure to submit this certification alou~ with a complete roster will result in the loss of the death benefit provided by the State, CERTIFICATION We, the Cabarrus Co. Board of Cor~missioners in our capacity as the governing ~(Governing Body) body of the Kannapolis Village . Fire Department, certify that we have examined and find that attached is a true and accurate llst of all active firemen* of the Kannapolis VillageFire Department, address ~!3-S-E- Avenue County of Cabarrus , North Carolina. Kannapolis. NC 28081 signed Title Date For Fire Department Chief Only I, Robert P. Moil ! Chief of the Kannapolis Village Fire Department, certify the attached roster xs a true and accurate llst of all allgible fire- men. (Eligible firemen are firemen who have met the required 36 hours of meetings and drills during the last calendar year (July 1 - June 30). In addltion~ the term "eliglble firemen" shall mean those firemen who have joined the fire department within the calendar year and are in the process of completing the required 36 hours of_meetings and drills.) Date ROSTER MUST BE ATTACHED WITH NAPLES IN ALPhABETICAl. ORDER, *Firemen on authorized "Leave of Absence" are to be included on the roster, Whenever a new fireman is added to the roster during the year~ his or her name should be forward to the Pension Fund Office inumdiatel¥.