Agenda - 03-05-2003 - 8d - Laserfiche WebLink

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N.C. STATEWIDE MUTUAL AID AND ASSISTANCE AGREEMENT List of Authorized Representatives to Contact for Emergency Assistance Name of Unit & Mailing Address: Date: I. PRIMARY REPRESENTATIVE: Name: Title: Day Phone: ( ) Night Phone: ( ) Fax #: ( ) ---------------------------------- Pager #: ( ) ----------------------------------------- --------- ---------------------------------- II. FIRST ALTERNATE REPRESENTATIVE: --------------- ----------------- Name: Title: Day Phone: () Night Phone: ( ) Fax #: ~) Pager #: ( ) III. SECOND ALTERNATE REPRESENTATIVE: Name: Title: Day Phone: ( ) Night Phone: Fax #: ( ) Pager #: ( ) e 10