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N. C. FIREMEN'S PENSION FUND <br /> <br /> DEPARTMENT OF STATE AUDITOR <br /> t t6 WEST ]ONE.~ STREET <br /> <br /> ANNUAL CERTIFICATION OF FIREMEN <br /> <br />General Statutes Chapter 118-23, requires that all certified fire departments certify annually <br />lo the North Carolina Fir*men's Pension Fund a complete rbster of its qualified firemen. <br /> <br />The following certification along with a complete roster of all active firemen* as of June 30 <br />of each yearmusl be submitted to the North Carolina Fir*men's Pension Fund, 11§ W. Jones <br />Street, Raleigh, North Carolina on or before July 30lb. Failure to submit this certification <br />along.with a complete roster will result in the loss of.the death benefit provided b~ the State. <br /> <br /> CERTIFICATION <br /> <br /> We, the Cabarrus County Commissioners <br /> <br /> in our capacity as the governing body of the Midland Fire Depart- <br />ment, certify that we have examined and find that attached roster is a true and accurate list of <br />all active firemen* of the Midland Fire Department, <br />City of County of Cabarrus , <br />North Carolina. We further certify thht the firemen listed on the roster'have completed at least <br />36 hours of meetinl~s anddril[s during the prewousyear. <br /> <br /> SIGNED: <br /> <br /> TITLE: Chairman, Cabarrus Co. Board of Commi'ssioners <br /> <br /> DATE: <br /> <br /> ROSTER MUST BE AT[ACHED WITH NAMES IN ALPHABETICAL ORDER. <br /> <br /> Firemen on authorized "Leave of Absence" are to be included on the roster. <br /> <br /> II <br /> <br /> <br />