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1.0 311 <br />TO: North Carolina Commissioner of Insurance <br />Department of Insurance <br />Raleigh, North Carolina 27611 <br />CERTIFICATION OF THE FIRE DEPARTMENT <br />BY ITS GOVERNING BODY <br />WHEREAS, G. S. 118-23 requires certification to the North Carolina <br />Commissioner of Insurance as to firemen and fire departments in compliance with <br />minimum conditions precedent to the eligibility of firemen and volunteer firemen <br />for benefits under the North Carolina Firemen's Pension Fund Act, the undersigned <br />certifies to the North Carolina Commissioner of Insurance that: <br />(1) Lemon Springs North Carolina, is a Municipality ( _ <br />County Fire District , or Sanitary District ( of this state having a bona fide <br />fire department which operates fire apparatus and equipment of the value of five <br />thousand dollars ($5,000.00) or more, and said fire department holds drills and <br />meetings not less than four hours monthly: <br />(2) The persons names on the attached roster are regular and/or volunteer <br />firemen of the fire department described in (1) above, and said firemen attend at least <br />thirty six hours of all drills and meetings of said fire department in each calendar <br />year. <br />(3) This certification was duly approved and adopted by the governing body <br />of Lee Count , North Carolina at a meeting held on the 16th <br />day of November , 19 , and the undersigned was directed to execute and for- <br />ward a copy of same to the North Carolina Commissioner of Insurance. <br />WITNESS my hand and seal, this <br />(SEAL) <br />NORTH CAROLINA <br />Lee COUNTY <br />the 16th d of November 19 81 <br />Hea~V o Gove'r ing Bow- it e <br />Chairman, Board of Commissioners for Lee <br />County, North Carolina <br />I, , a notary public of said county, do hereby <br />certify that K. S. Harmon , who is personally known to me, appeared before <br />me and, being first duly sworn, acknowledged that the foregoing certification was duly <br />adopted by the governing body of Lee County , North Carolina, and acknowledged <br />the execution of the foregoing certification on beha f of the board. <br />WITNESS my hand and official seal, this the 16th day of <br />November , 19 81. <br />My commission expires: <br />NOTARY PUBLIC <br />