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` N. C REMEN'S PENSION FUND <br />` Dlvtslos• BOOK 54 5 <br />DEPARTMENT OF STATE AUDITOR <br />116 WEST JONES STREET <br />RALEIGH, N. C. 27603 <br />ANNUAL CERTIFICATION OF FIREMEN <br />General Statutes, Chapter 118-23, 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 />The following certification along with a complete roster of all active firemen' as 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 benefit provided by the State. <br />CERTIFICATION <br />We, the Lee County Board of Commissioners <br />County Commissioners, Bonrd of Trustees, etc. <br />1 in our capacity as the governing body of the Lee County 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 Northview Rural Volunteer Fire Department, <br />City of Sanford Countv of Lee <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 previous year. <br />SIGNED: <br />' TITLE: CHAIRMAN <br />DATE: September 4, 1979 <br />NORTH CAROLINA, LEE COUNTY day <br /> <br />ROSTER MUST BE ATTACHED WITH NAMES IN ALPHABETICAL ORDER. Pre ^ted for registration on the&'._F 1 <br />of.. . _....Qf-x..197.%.. at f.d.tr[>SP..M, <br />recorded in Boo V........~J.....__.-page.__,$. Pattie W. McGriwoj, Register of Deeds <br />Firemen on authorized "Leave of Absence" are to be included on the roster. <br />