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.. STATE OF NORTI'{ 'CAROL. INA DEPARTMENT OF STATE AUDITOR FIREMEN°S.~ND RESCUE SQUAD 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 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. Firements Pension Fund, ~00.N. Salisbury St., Raleigh, N. C. on or before July 31. Failure to submit this certification alon~ vlth a complete roster viii result in the loss of the death benefit provided by the State. CERTIFICATION We, the Cabarrus Co. Board o£ Comisstoners in our capacity as the governing .-(Governing Body) body of the Rimer . Fire Department, certify that ye have examined and find that attached is a true and accurate list of all active firemen* of the Rimer Fire Department, address R't~ 5, Box 46~..: County of Cabarrus , North Carolina. Concord~ MU z~UZ~ Signed Title Date For Fire Department Chief Only Department, certlf~-[~'~ attached roster is a tr~e and acch~ate' list of all eligible"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 addition~ the term "eligible 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 ~IUST BE ATTACHED WITH NAHES IN ALPHABETICAL ORDER. eFiremen on authorized "Leave of Absence" are to ~e included on the roster. Whenever a ne~ fireman is added to the roster durir~ the year~ his or her name should be forward to the Peuslon Fund O£fice i~medlatel~.