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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 FIRF2~EN General Statutes, Chapter 118-23, 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 comolete roster of'all active firemen* as of June 30 of each year must be submitted to thg N. C. Fireman's Pension Fund, 116 W. Jonea' St., Raleigh, N, C. on or before July 31. Failure to submit this certification along ~ with a complete roster will result in the loss of the death benefit provided by the State, CERTIFICATION We, the Cabarrus County BoArd of Conmissioners in our capaci£y as the governing (Governing Body) boBy of the Rimer Fire Depa~tment~ certify that wa have ex~nined and find that attached is a true and accurate list of all active firemen* of the Rimer Fire Department, address Rt. 5, Box 466 County of Cabarrus , North Carolina. Concord Signed Title Date For Fire Department Chief Only I, . p~ul Bust , Chief of the Rimer Fire Department, certify the attached roster is a true and accurate list of all eligible fire- men. (Eligible fireman 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 calenda~ year and are in the process of completing the required 36 hours of meetings and drills.) Fire Chief Date ROSTER MUST BE ATTACNED WITH NAMES IN ALP}btBETICAL ORDEH. *Firemen on authorized "Leave of Absence" are to be included on the roster~ kq~enever a new fireamn is added to the r6ster during the year, his or her name should be fon~'ard to the Pension Fund Office imnediatelw