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STATE OF NORTH CAROLINA <br /> DEPARTMENT OF: STATE AUDITOR <br /> FIREMEN'S AND RESCUE SOUAD WORKER'S PENSION FUND DIVISION <br /> <br /> ANNUAL CERTIFICATION OF FIREMEN <br /> <br /> General Statutes, Chapter 118-23, requires that all certified fire departments certify <br /> annually to the N. C. Firemen's Pension Fund a complete roster of its qualified firemen. <br /> <br /> The following certification along with a complete roster of'all active firemen* as of <br /> June 30 of each'year must be submitted to.the N. C, Firemen's Pension Fund, 116 W. Jones <br /> St., Raleigh, N. C. on or before July 31. Failure to submit this certification alon$ <br /> with a complete roster will result in the loss of the death benefit provided by the State. <br /> <br /> CERTIFICATION <br /> <br /> We, the Cabarrus County Board of Commissioners tn our capacity as the governing <br /> (Governing Body) <br /> body of the WINECOFF Fire Department, certify that we have examined <br /> and find tha't attached is a true and accurate list of all active firemen* of the <br /> WINECOFF Fire Departmeut, address. ~28 S%ewa.r% S%, Concord County of <br /> Caharz~s , North Carolina, <br /> <br /> Signed <br /> <br /> Title <br /> <br /> Date <br /> <br /> For Fire Department Chief Only <br /> <br />I, CHARLES K. ~BERGER, JR. , Chief of the WINECOFF Fire <br />Department, certify the attached roster is a true and accurate list of all eligible fire- <br />men. (Eligible firemen are firemen who have met the required 36 hours of meetings and <br />drills during the last calendar ),ear (July 1 - Juue 30). I~ addition, the term "eligible <br />firemen" shall mean those firemen who have joined the fire department within the calenda~ <br />year and are in the process of completing the required 36 hours of meetings and drills ) <br /> <br /> Fire Chief 0 <br /> June 25, 1983 <br /> Date <br /> <br />ROSTER HUST BE ATTACHED WITH NAJ4ES IN ALPHABETICAL ORDER. <br /> <br />*Firemen on authorized "Leave of Absence" are to be i~cluded on the roster. <br /> Whenever a new fireman is added to the roster during the year, his or her name should be <br /> fom~ard to the Pension Fund Office immediately. <br /> <br /> c <br /> <br /> <br />