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I STATE OF NORTH CAROLINA DEPARTMENT OF STATE AUDITOR FIREMEN'S AND RESCUE SQLJAO WORKER'S PENSION FUND DIVISION ANNUAL CERTIFICATION OF FIRF~EN 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 following certification along with a complete roster of all active firemen* as of June 30 of each year must be submitted to the N. C. Firemen's Pension Fund, 300 N. Salisbury St., Raleigh, N. C. on or before July 31. Failure to submit this certification along with a complete roster will result in the loss of the death benefit provided by the State. CERTIFICATION We, the Cabarrus County Board of Colranissioners in our capacity as the governing (Governing Body) body of the Winecoff Fire Department, certify that we have examined and find that ~ttached is a true and accurate llst of all active firemen* of the Winecoff Fire Department, address Stewart Street County of Cabarrus , North Carolina. ~oncora, mC 62025 Signed Title Date For Fire Department Chief Only I, CHAI~T.'a~ K. UMBF2~GER, JR , Chief of the WINECOFF Fire Department, certify the attached roster is a true and accurate list of all eligible fire- men. (Eligible firemen are firemen who have met the required 36 hours of meetings and drills during ~he last calendar year (July 1 - June 30). In addition, the term "eligible firemen" shall mean those firemen who have joined ~he fire department within the calendar year and are in the process of completing the required 36 hours of meetings and drills.) Fire Chief June 18, 1985 Date ROSTER ~ST BE ATTACHED WI~ N~S IN ~P~BETIC~ ORDER, ~Firemen on authorized "Leave of Absence" are [o be included on [he rosier. t~enever a n~ firamn is added to [he roster duri~ ~he year, his or her ~e should ~ fo~ard to the l~ns~on f'und Office i~dia~ely.