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N C. FIREMEtJ'$ PENSION FUND <br /> ' DIVISION' <br /> <br /> 116 WEST JONE, S STREET <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 roste[ of its qualified fire.eh. <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 alonE <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 Board of Commissioners in our capacity as the governing <br /> (Governing Body) <br /> body of the Odell 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 /> Odel! Fire Department, address rt. 2 Box ~63-A County of <br /> Cabarrus , North Carolina. Concord 28025 <br /> <br /> Signed <br /> <br /> Title <br /> <br /> Date <br /> <br /> For Fire Department Chief Ooly <br /> <br /> I, John R. Benson , Chief of the Odell Fire <br /> Department, certify the attached roster is a true and accurate llst 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 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 /> ' ~ire Chief <br /> 7-1~-82 . <br /> <br /> Date <br /> <br /> ROSTER MUST BE ATTACHED WITH N~ES IN ALPHABETICAL ORDER. <br /> <br /> *Firemen on authorized "Leave of Absence" are to be included on the roster. <br /> <br />! I I <br /> <br /> <br />