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OFFICER'S CERT- FICATIoN <br />Form must be provided to municipal clerk on or before August 1. 1996) <br />Re, the officers of the ST. kNTHONl Firefighters Relief Association, state that the accompanying <br />schedules have been prepared in accordance with the provisions of Minn. Stat. § 69.772, subci. 4. The average amount <br />of available financing per member of the special fund for the past three years isS 875 . Further, benefit levels <br />have been established in accordance with the average amount of avtiiable financing, its is required by Minnesota law. <br />We certify that the fmancial requirements <br />municipal contribution is $ p <br />ature of President <br />Signature of Secretary <br />St, irate of re, surer <br />of the relief association special fund for 1997 purposes of required <br />DEfte <br />Date <br />Ihte <br />CLERK'S CERTIFICATION <br />I am the clerk of L1t o•C 54. AA+Aaa•�/I have received the completed Office of State Auditor Schedule I & lI from <br />ST. ANTHONY Relief Association on <br />of Schedule II. If line 12 or 18 reflects a require mtmicip<� contribution, I certify reviewed Section I o ill~3uivise¢ tl�e and verning <br />muniaptl body at it's Hein regularly scheduled meeting. If the Certification of the Officers discloses that the By —laws have <br />been amended or benefits have increased and line 12 or IS reflect a required municipal contribution, I certify that the <br />governing municipal board passed a resolution approving of the increase or' <br />change in by —laws. I have attached the Board <br />resolution, if required. <br />Date -5 - C), 9 (o <br />u�'1 _ <br />Signature of�� Business <br />Phone <br />71-. .IVG. Thu dncunw.at must be. fuijy cotnpletec( certified by the mlrf associjfion affixrg c;,rCfied be the muuicrtai c!er$ and filed with the GKtcY <br />of Slam ill man' r'a ilmiq farm as m juimd 0 Afina. Sint. §BRT71. subd. 3. Failure to file this dewntrut, al tber or not a ontn4m] coatribulion <br />is due, coil! resulf in itnaii�ijiaiiity of smw fim aid, as requited by Minnesom state jaw. <br />Page 5 <br />