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N. C, I:IREMEN'S PENSION FUND <br /> <br /> ANNUAL CERTIFICATION OF FIREMEN <br /> <br /> General Statutes, Chapter I18-23, requires that all certified fire departments certify annually <br /> to the North Carolina Firemen's Pension Fund a complete roster of its qualified firemen. <br /> <br /> The following certification along with a complete roster ol all active firemen* us of June 30 <br /> of each year must be submitted to the North Carolina Firemen's Pension Fund, 116 W, Jones <br /> Street, Raleigh, North Carolina on or before July 30th. Failure to submit this certification <br /> along.with a complete roster will result in the loss of the death benefii provided I~ the State. <br /> <br /> CERTIFI CATION <br /> <br /> We, the Cabarrus County Commissioners <br /> <br />~n our capacity as the governing body of the A.T All en Fire Depart- <br />ment, certify that we have examined and find that attached roster is a true and accurate list of <br /> all active firemeo* of the A.T. A1 len Fire DeparUnent, <br />City of County of Cabarrus <br />North Carolina. We further certify that the firemen listed on the roster have completed at least <br />36 hours of meetings and drills during the prewous year. <br /> <br /> SIGNED: <br /> <br /> TITLE: Chairman~ Cabarrus Co. Board of Commissioners <br /> DATE: <br /> <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 /> <br /> {,I <br /> <br /> <br />