Laserfiche WebLink
N. C. FIRE~IEN'S PENSION FUND <br /> <br /> ANNUAL CERTIFICATION OF FIRE~N <br /> <br /> General Statutes, Chapter 118-23, requires that all certified fire departments certify <br /> annually Eo the N, C. Fireman'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. Fireman's Pension Fund, 116 W. Jones <br /> St., Raleigh, N. C. on or before July 31. Failure to submit this certification along <br /> with a complete roster will result i~ the loss of the death benefit provided by the State. <br /> <br /> CERTIFICATION <br /> <br /> We, the CabaPmus Boapd of Commissioners in our capacity as the governing <br /> (Governing Body) <br /> body of the PomlaF Tent Fire Department, certify that we have examined <br /> and find that attached is a true and accurate list of all active firemen* of the <br /> p~nt~ ~n~ Fire Departmen£, address 310 Popla~ Ten~ Rd. County of <br /> C~m~,um , North Carolina. Concord <br /> <br /> Signed <br /> <br /> Title <br /> <br /> Date <br /> <br /> For Fire Department Chief Only <br /> <br />I, Ronnie b. Hums~ , Chief of the Pop!ar Ten% Fire <br />Department, certify the attached roster is a ~rue and accurate list of all eligible fire- <br />men~ (Eligible firemen are firemen who have met the required 36 hours of ~eetings and <br />drills doring the last calendar year (July 1 - June 30). In addition, the term "eligible <br />firemen" shall mean those firemen who have joined the fire department within the calendar <br />year and are in the process of completing the required 36 hours of meetings and drills.) <br /> <br /> Fire Chief <br /> 7-1~-82 <br /> Date <br /> <br />ROSTER MUST BE ATTACHED WITH NAMES IN ALPHABETICAL ORDER. <br /> <br />*Firemen on authorized "Leave of A~sence" are to be included on the roster. <br /> <br /> I <br /> <br /> <br />