1984 - 07-16-84 Regular Meeting - Laserfiche WebLink

Home Browse Search

I 52 STATE OF NORTH CAROLINA 13 DEPARTMENT OF STATE AUDITOR FIREMEN'S AND RESCUE SQUAD WORKER'S PENSION FUND DIVISION ® 500 N. SALISBURY STREET RALEIGH, N. c• 59511 ANNUAL CERTIFICATION OF FIREMEN 'General Statutes, Chapter 118-38, requires that all certified fire departments certify annually to the N. C. Firemen's Pension Fund a complete roster of i•ts.qualified firemen. The following certification along with a complete roster of all activefiremen* as of June 30 of each year must be submitted to the N. C. Firemen's Pension iund,300.N. Salisbury St., Raleigh, N. C. on or before July 31. Failure to submit this certification along with a complete roster will resin t the loss of the death benefit.provided' by the State. CERTIFICATION We, the - in our capacity as the governing Governing Body ` body of the and find that attached is a true and Fire Department, North Carolina. is Fire Department, certify that we have examined accurate list of all active firemen* of the address County of Signed Title Date For Fire Department Chief Only I. f ii R T- 1 ,,J G.R E y Chief of the l q PALi JA /R AGI" VOL. Fire Department, certify the attached roster is a true and accurate list of all eligible-fire- men. (Eligible firemen are firemen who have met the required 36 hours of meetings and drills during the last calendar year (July 1 - June 30). In addition, the term "eligible firemen" shall mean those firemen who have joined the fire department within the calendar year and are in the process of completing the required 36 hours of meetings and drills.) Q Fire Chief v Date ROSTER MUST BE ATTACHED WITH NAMES IN ALPHABETICAL ORDER. *Firemen on authorized "Leave of Absence" are to be included on the roster. 19 Whenever a new fireman is added to the roster during the year, his or her name should be forward to the Pension Fund Office immediately.