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I STATE OF NORTH CAROLINA DEPARTMENT OF STATE AUDITOR FIREMEN'S~AND RESCUE SQUAD WORKER'S PENSION FUND DIVISION ANNUAL CERTIFICATION OF FIREHEN 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 qualifled firemen. The following certification along with a complete roster of all active firemen* as ot 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 alon~ with a complete roster will result in the loss of the death benefit provided by the State~ CERTIFICATION We, the Cabarrus County Board of Commissioners in our capacity as the govereing -{Governing Body) body of the North East Fire Department, certify that we have examined and find that attached is a true and accurate list of all active firemen* of the North East Fire Department, address R~.-- 2. Box 163 . County of Cab~[rus , North Carolina. ~t. Pleasant. NC 2HIZ4 Signed Title Date For Fire Department Chief Onl7 I, ~ f ~...~. , Chief of the ~4~.OJ ~k~t.~,~.~C/~. Fire Department, certify t~e-atfached roster is a true and ac'curate-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 req~r,~d 36 hours of ~n~drills.) year and are in the process of completing the ~ - - - ' Chief 7-q- · Date ROSTER h'~ST BE ATTACHED WITH NAHES IN ALPHABETICAL ORDER. · Firemen on authorized "Leave of Absence" are to be included on the roster. ~Menever a new fireman is added to the roster during the year, his or her name should be 'forward to the Pension }hnd Office izmediatel),.