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STATE OF NORTH CAROLINA DEPARTMENT OF STATE AUDITOR FIREMEN'S ANO RI~SCUE SOUAO WORKER'5 pENSION FUND DIVISION ANNUAL CERTIFICATION OF FIREMEN General Statutes, Chapter 118-23, requires that all certified fire departments certify annually to the N. C. Firemen's Pension Fund a complete [oster of its qualified firemen. The following certification along with a complete roster of ~ll active firemen~ as of June 30 of each year must be submitted to the N. C. Firemen's Pensioe Fund, 116 W. Jones' 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 Commisszoners in our capacity as the governing (Governing Body) bddy of the Harrisburg Fire Department, certify that we bare ex~mined and find that attached is a true and accurate list of all-active firemen* of the Harrisburg Fire Department, address Hwy 49, Harrisburg County of Cabarrus , North Carolina. Signed Title Date For Fire Department Chief Only Department, cert~l~ [he attac~d roster is a true and accurate lis~/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.) - ~'ire Chief v Date ROSTER MUST BE ATTACHED WITH NA~MES IN A~PHABETICAL ORDER. ,Firemen on authorized "Leave of Absence" are to be im~luded 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 immediately.