Orange County NC Website
„ 347 <br /> STATE OF NORTH CAROLINA - <br /> DEPARTMENT OF STATE AUDITOR <br /> FIREMEN'S AND RESCUE SQUAD 'NOR:C.:R.5 PENSION FUND DIVISION <br /> .,00 N. SALISBURY SYRB.ET <br /> RALEIQH, N, C.27011 <br /> ANNUAL CERTIFICATION OF FIREMEN <br /> General Statutes, Chapter 118-23, requires that all, certified fire departments certify <br /> annually to the N. C. 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 <br /> June 30 of each year must be submitted to the N. C. Firemen's Pension Fund, 116 W. Jones <br /> St., Raleigh, N. C. on or before July 31. Failure to submit this certification along <br /> with a complete roster will result in the loss of the death benefit provided by the State. <br /> CERTIFICATION <br /> We, the Okange County Boa&d o4 Comma4ioneAA in our capacity as the governing <br /> (Governing Body) <br /> body of the New Hope Fire Department, certify that we have eNamir. <br /> and find that attached is a true and accurate list of all active firemen* of the <br /> New Hope \ ' 'Fire Department, address Route 2, WiatgieEd Road County of <br /> 04ange , North Carolina. —Chapa I-141Z, N.C. 2/514 <br /> Signed 12-.Z..2 <br /> \ . Ii tle ,. j \I <br /> Date e' <br /> For Fire Department Chief Only <br /> I, , Chief of the <br /> Department, certify the attached roster is a true and accurate list of all eligible fir <br /> men. (Eligible firemen are firemen who have met the required 36 hours of meetings and <br /> drills during the last calendar year (July 1 — June 30). In addition, the term "eligib <br /> firemen” shall mean those firemen who have joined the fire department within the calenda,. <br /> year and are in the process of completing the required 36 hours of meetings and drills.) <br /> , <br /> Fire Chief <br /> Date <br /> ROSTER HUSI BE ATTACHED WITH NAMES IN ALPHABETICAL ORDER. <br /> ;Firemen on authorized "Leave of Absence" are to be included on the roster. <br /> Whenever a new fireman is added to the roster during the year, his or her name should bc <br /> forward to the Pension Fund Office immediately, <br />