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ANNUAL CERTIFICATION OF FIREMEN 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 complete roster of all active firemen* as of June 30 of each year must be submitted to the N. C. Firemen's Pension Fund, 116 W. Jones St., Raleigh, N. C. on or before July 31. Failure to submit this certification aion~ with a complete roster will result in the loss of the death benefit provided by the State. CERTIFICATION We, the Cabarrus Board of Commissioners in our capacity as the governing (Governing Body) body of the North East Fire Department, certify that We have examined and find that attached zs a true and accurate list of all active firemen* of the North East Fire Department, address Et. 2 Box 163 County of Caba~rus , North Carolina. blt. ~easant 28~2~ Title Date For Fire Department Chi~ ~:~Jv i ," ./~.i'..'i' ;.' ,. ,~'?r z~.-/:.__ Fire De~A~e~t, certify the attached roster is a t~ue an~ accurate' list o~ all el'igib)e fire- men. (gligible firemen are fireme~ ~ho have met the require~ 36 hours of meetings an~ d~ills during the last calendar year (JuIy i - June 30). In additio~ the ter~ "eligib!e fire~en" shall mean those fireme~ ~ho have joined the fire department ~ithin the calendar year and are in the process of completing the required~6 hours of meetings and dril'~.)' [- -- ,j_ . Date ROSTER h~$T ~E ATTACHED ~lTH NA]'~BS Z~ A]bP~Agg~ICA~ ORDEr. *Firemen on authorized "Leave of Absence" are to be included on the roster. %~9~enever a new f~reman is ad,ed to the roster during the year, his or her ~ne should be fon4ard to the Pension Fund Office immediately_.