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~1 <br />' <br />T0: NoT.th Carolina Commissioner of Insurance <br />Department of Insurance <br />fialeigh, North Carolina 27611 <br />CERTIFICATION OF THE FIRE DEPARiP[ENT ' <br />' 'BY ITS GOVERNING BDDX <br />WHEREAS, G. S. 118-23 requires certification to the North Carolina <br />Couu'aissioner of insurance as to fireman and fire departments in compliance . <br />woth minimum conditions precedent to the eiogobility of foremen and volun-- <br />teer firemen for benefits under the North Carolina Firemen's Pension Fund <br />Act, the undersigned certifies to the North Carolina Commissioner of Insur- <br />ance that: <br />(1) West Orange _ _ _, North Carolina, 3.s a poli- - • <br />ti.cal subdivision of this State having a bona fade fire department which ' <br />operates fire apparatus and equipment of the value of five thousand dollars <br />($S,Q00.00) or more, and said fire department'hvlds drills and meetings Y.ot <br />less than four hours monthly: •, <br />- (2) The persons names an the attached roster are regular and/or <br />volunteer firemen of the fire department described in (1) above,' ar_d said <br />_ firemen attend at least thirty six hours of.a17, drills and meetings of said <br />fire department in each calendar year. - _ <br />(3) This certification was duly approved end.adopted by the govern-- <br />. ing body of Orange Gounty NvrCh Carolina at a meeting held on the <br />7th day of~ Februa 1977 , and the undersigned was directed to <br />execute and forward a copy of same to the North Carolina Commissioner of <br />'~n~~ix~n~ e. <br />"'~•''• ~i~ITNESS my .hand and seal, this the 7th day oL• February ~ lg 77 <br />'~. ~~ ~ Head of Governing Body - Ti le <br />. ~' ~?~~:2Tti~[G~AROLZNA <br />I ~Y , . l z.J COUNTY . <br />I, ~ ~ , a notary public of said county, do <br />hereby certify t a '~ _G •ZCJ who is personally know to me, <br />appeared before me an~ b ing first uly~swarn, acknawlcdge that -h fora-_ <br />~a~ng certification was duly adopted by the governing body of .~~ <br />E/~rT;~, North Carolina, and acknowledged the execution of the forego~ng <br />certif~catian on behalf of the board. ' <br />J ~~ <br />WITNESS my hand and official seal, this the ~_ day of <br />~ ~~~ r; , l9 ~_. <br />1 <br />M Commission xpires: <br />N fARY r$L-IG <br />