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,.-• <br /> <br />• <br />Bo~:rd of Administration <br />State EmployeesF Retirement System <br />Sacrament, California <br />Gentlemen: <br />I hereby eertif;> to the following facts <br /> <br />1. That the following employees of the ~~-~R,~' r~~ ''~.~3 11ri€~ <br />(Na.me c.f Public Agency) <br />hereinafter referred to as "Agency," have expressed their approval or <br />dis~~pprova.l of the participation of said Agency in the State Employees' <br />Eetirerient System, by the following vote, ~n ballots F12~a,, F124aand F125a, <br />furnished by the Board_ of Administration, and in an election conducted rn <br />~~u u9t 2f~th __; 1°4 ~, in such rna,nner prescribed by the governing <br />body of the Agency a.s to Hermit the firemen, .the policemen, and the <br />other employees, proposed to be included in the System, separately to ex- <br />press their approval cr disapproval thereof: <br />Number of votes Number of votes <br />approving said disapproving said <br />articipa.tion participation <br />a.. Local firemen as defined in <br />Section X021 of thc~ S+,ate <br />Employees' Retirement I~aw 44' <br />b. Local policemen as defined in <br />Section X020 of thF State <br />Employees' Retirc?mer~t Ldw `~'~ 0 <br />c. Employees other than.local <br />firemen and kcal policemen 1;?7 17 <br />2. That the _ f=~~ ~~OUriC~.?, of said Agency adopted on <br />~~1ame of Governing Body) <br />uv;'~ 194 t~, a resolution with a copy of the contra.et attached, <br />giving notice of~intertion to approve a contract providing for the partici- <br />pation of said Agency in they State Employees' Retirement System, making <br />its employees members of said system, a certified copy of said resolution, <br />in the form furnished b,r said Board of Administra ion, being attached hereto. <br />3. That the CiUy at)'.:ri~:i.l <br />of s2.id AgE ncy adopted ors ~iui ;tx9t <br />~,~ ~ y (1damP of Governing Body) <br />"`-~~ ~` 194 ~ a.nd by the affirmative vote of two-thirds oi° the members <br />of said governing body, a ~~~altltion approving said contract <br />(Resolution or Ordinance) <br />providing for participation of said Agency in the State Employees' Retire- <br />ment System, making its employes members~of said System, a certified <br />copy of said =?®snl''.ztic~n in the form furnished by said Board <br />(Resolution or Ordinance) <br />of Administration, being attached hereto. <br />Yours truly, <br />City or' ~~.nt ~a 11na `~ ~~_. <br />(Name of Agency) Clerk OttX761lt~st3 <br />F130a 11-45 ( ~yC 75 <br />