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ANNUAL CERTIFICATION OF FIR~{EN <br /> <br /> General Start]res, Chapter 118-23, resuires that ali certified fire departments celt~fy <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. Jonem <br /> St., Raleigh, N. C. on or before July 31. Failure ro 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 CabaPrus Board of Commissioners in our capacity as the governing <br /> (Governing Body) <br /> body of the Jackson Park 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 /> Jackson Park Fire Department, address Green S%. County of <br /> Cabarrus , Nort~ Carolina. Concor~ z~uzo <br /> <br /> Signed <br /> <br /> Title <br /> <br /> Date <br /> <br /> For Fire Department Chief Only <br /> <br />epartment, certity the att~hed roster is a true and a~-~e lisC 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 /> Fire Chifff <br /> ~/ Date <br />ROSTER MUST BE ATTACHED WITH NAMES IN ALPHABETICAL ORDER. <br /> <br />*Firemen on authorized "Leave of Absence" are to be included on the roster. <br /> ~enever a new fire~rmn is added to the roster durit~ the year, his or her rmme should be <br /> run. rd to the Pension ~R~nd Office immediately. <br /> <br /> <br />