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3. <br />tA- <br />north Cii fW o $! tte Fheinen's Assac4it[en <br />Life Safety Management Fire Department <br />Chief Thomas David Sykes <br />510 Meadowlands Drive <br />Hillsborough, NC 27278 <br />K <br />2013 Department Roster Renewal <br />NCSFA <br />323 W. Jones St, Ste 401 <br />Raleigh, NC 27603 <br />800 - 253 -4733 Phone <br />membership @ncsfa.com <br />919 - 821 -9382 Fax <br />Department Information Roster Last Updated: 0113112011106:41 pm <br />Dept ID 100783 Paid Thru: 12/31/2012 <br />Type: FDP / Fire Dept Paid Work: (919) 245 -6100 <br />Chief: Thomas David Sykes Fax: 0r'a� �Cc�vn` n(� Jov <br />County: Orange E -Mail: dsykes �5 <br />Payment Information Department Summary <br />Paid: 2 <br />Volunteer: 0 <br />Retired: 0 <br /># SSN / ID Full Name / DOB Address Phone #/ GEN MAR PNIR CERT? <br />Email (circle one) <br />2 <br />Elizabeth F. Gregory <br />(919) 245 -6100 P P Y / N <br />egregory s-pl'0.AjGC,0!Lt i'l gOl <br />Thomas David Sykes (919) 245 -6100 M P Y1/ N <br />dsykes@se: *4">taose,►i�t?�QitO\t- + /��a�°� <br />Life Safety Management Fire Department Paid: 2 Vol: 0 Retired: 0 <br />NOTE(s): <br />Please find a blank invoice enclosed with your packet. <br />