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STATE OF NORTH CAROLINA DEPARTMENT OF STATE AUDITOR FIREMEN'S AND RESCUE SQUAD WORKER'S PENSION FUND DIVISION ANNUAL CERTIFICATION'OF FIREMEN General Statutes, Chapter 118-23, requires that all certified fire departments certify annually to the N. C. Firemee'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. Firemee's Pension Fund, 116 W. Jones St.~ Raleigh, N. C~ on or before July 31. Failure to submit this certification alon~ with a complete roster wilt result in th'~ loss of the death benefit provided by the State. CERTIFICATION We, the Cabarrus County BOard of Commissioners in our capacity as the governing (Governing Body) body of the North East Cabarrus Fire Department, certify that we have examined and find that attached xs a true and accurate list of all active firemen* of the North East Cabarrua Fire Department, address Lentz Harness Shop Road County of Cabarrus , North Carolina. blt. Pl~m~mnt. NC Signed Title Date For Fire Department Chief Only_ _~nv, ~ (: /) ~ 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 the last calendar year (July 1 - June 30). In addition, the term "eligible firemen" shall mean those firemen who have joinad the fire department within the calendar year and are in the process of completing the required 36 hours of mee~-$ngs and drills,) J Fire h' f Date ROSTER ~ST ~ ~TTACHEO WITH N~S IN ~P~BETIC~ ORDER. ~Firemen on authorized "Leave of Absence" are to be included on the roster. ~enever a new fire~n is added [o the roster duri~ the year, his or her ~e should be fo~,ard [o the Pension Fund Office ~ediatel~.