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CERTIFICATION BI' SEL'R.ET.a~R¥ MN-D I'R.L~P~ OF R~.IJr.¥ ASSOCIATION <br />L.'N'ICIlPA_L FIRE DEPARTML'N'I' OR LN'DEPL-'N~L'A"I' NON'PROFIT FIR.E~GH/TNG CORPORATION <br /> <br />: .mnif7 that to the bext of our imowiedge and t~.iief, the ~z ~~ N ~ ~n ~ ~e ~d ~t. <br /> <br />~ of S~ of Rebel ~on B~ Phone ~ <br /> <br />5.m-o.re of Mtmici.ml Clerk OR if <br />~en~t Nonprofit Firefighting Corporation <br />: Mm=il=al Clerk of largest munic/pality <br /> <br />~_,~=ndent Ncmprots~ Firefighling Cortxxxfion <br /> <br />Phone Date <br /> <br />~;-7- / ~/o <br /> Phone <br /> <br />-nature of S~'rem.W of Independent Norrprofit <br />~fighting C.o~n (-~ appli .robie) <br /> <br />Phone Date <br /> <br />ATIESTATION BY IN!D~~,~'T FUBLIC ACCOU~'TA_N'T <br /> <br />Note: ~ons with as.sets or ~i~hilitiez $200,000 or more must furnSSh <br />~m:mmts ~ in accordzn= w/th gmerally accepted ac. torturing principle~ <br />(including foomote disclorares). : (See Auditor's Pacer furni~ m Relief <br />~cm's for Sample Opirdon ;md Note Disclo .sm-~). <br /> <br />Eh%s the independent public acconnmnt' s atmstmion rePOrt been subm2med with <br />re~g fonm? ~. ~-_~ ff not, plea~ e. XTl~in: <br /> <br />se of independent public aec. otmtant: <br /> <br /> <br />