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Home My WebLink About19693,000 o 10/68 FOP, AUDITAND CONTROL USE Report Year Col. I- 2 County No. Col. 3- 4 Col. S- 6 '!'/~Tii I I Class Town No. Col. 7- 9 District No. Col. 10-12 Control (X) Col. 13 STATE OF NEW ¥O[K~ DEPARTMENT OF AUDIT AND CONTROL DIVISION OF MUNICIPAL AFFAIRS ALBANY, NEW YORK ANNUAL REPORT OF THE FIRE DISTRICT TREASURER FOR THE YEAR ENDED DECEMBER 31, 196_ /_ IN THE TOWN OR TOWNS OF ~ THE DISTRICT IS GOVERNED BY: (Check one) ~' Separate Board of Fire Commissioners or [] Town Board AUTHORIZATION Article 3, Sect/on 30 of the General Municipal /aw '*1. *** every *** fire*** district*** shall annually make areport of its financial condition to thecomptroHer. Such report shall be made by the *** treasurer of each fire *** district ***. S. All reports shall be certified by the officer making the same and shall be filed with the comptroller within sixty days after the close of the fiscal year of such *** district ***. Every such officer shall also, within sixty days after the expiration of his term of office, or his resignation or removal therefrom, make a report to the comptroller of the financial condition of such *** district *** on the date of the expiration of his term of office, or his resignation or removal from office, as the case may be. The refusal or wHfut neglect.of such officer to file a report as herein prescribed shall be a misdemeanor and subject the financial officer so refusing or neglecting to a penalty of five dollars per day for each day's delay beyond the sixty days to be paid on de- mand of the comptroller." CERTIFICATE OF FIRE DISTRICT TREASURER (Please Print or Type) Fire District and that the following report is a true and correct statement of the financial transactions of such Fire District for the year ended December 31, 196 ~ --Signature o,t.d . ,.O. Add,ess Name GENERAL FUND RECEIPTS AND BEGINNING BALANCE Al0 Real Property Taxes (must agree with Total Tax Computation on page 4) ........................ (00l l) $ Other Revenues: A20 State Aid for Loss in Railroad Tax Revenue ........ $ A30 Federal Aid for Civil Defense .............................. A40 Charges for Fire Protection, Other Services .......... ASI Interest, Earnings on Deposits and Investments /~/,/~,~ A52 Rentals A53 Sale of Equipment . ................................................. A54 Gifts and Donations A55 Refunds of Expenses ............................................ A59 Miscellaneo~ds Revqnues (spe¢ify~ I Total Other Revenues ........................................................(0071) Notes Issued: A64 Budget .................................................................... S A65 Tax Anticipation A66 Revenue Anticipation ASI Transfer from Capital Fund ...................................... A82 Transfer from Reserve Fund Total Transfers .................................................................. (0~21) Sale of Investments Total Receipts .............................................................................................................. $ Balance at Beginning of Year ..~..! (0131) Total Receipts and Ba ante ............................... (0141) $ PAYMENTS AND ENDING BALANCE Current Expenses: Personal Services .................................................. $ ~ ~/. Contractual and Other Expenses ............................ ,~'4,,~'~. Hydrant Rental ...................................................... Fire Department or Company Services .................. Fire Protection Judgments and Claims ............................................ State Retirement System ........................................ Police and Fire Retirement System ...................... Workmen's Compensation Insurance Social Security ...................................................... Medical, Surgical and Hospital Care ...................... Blanket Accident Insurance .................................. Total Current Expenses ......................................................(1014) $ A200 Equipment .................................................................................................................. (1024) Debt Service: A680 Interest on Bonds .................................... (1044) $. A681 Interest on Notes .................................... (I 144) A690 Redemption of Bonds ................................ (I 034) A691 Redemption of Notes .............................. (1134) Total Debt Service ............................................................................ AS01 Transfer to Capital Fund ............................ $ A802 Transfer to Reserve Fund Total Transfers .................................................................. (1074) Purchase of Investments ........................................................................................................ Total Payments ............................................................................................................ $. Balance at End of Year (should agree with page 4) ~9~3~..~.J.,...L~.~. ....................... (1084) Total Payments and Balance .............................................................................. (1094) $ AIO0 ,~A400 A60 I A602 A603 A610 A628 A629 A630 A633 A636 A638 NOTE: Numbers in parenthesis are for Department of Audit and Control use only. CAPITAL FUND RECEIPTS ~,ND BEGINNING BALANCE HSI Interest and Earnings on Deposits and Investments .................................................. (0072) $ H60 Bonds .......................................................................................................................... (0082) H61 Premium and Accrued Interest on Bonds .................................................................. (0182) H62 Capital Notes ............................................................................................................ (0092) H63 Bond Anticipation Notes ............................................................................................ (0192) H82 Transfer from General Fund ...................................................................................... (0122) Other (specify) Total Receipts .................................................................................................. S- Balance at Beginning of Year .................................................................................... (0132) Total Receipts and Balance ............................................................................ (0142) $: PAYMENTS AND ENDING BALANCE H200 Equipment ................................................................................................................ (1025) $. HS00 Real Property .......................................................................................................... (I 125) H681 Interest on Bond Anticipation Notes ...................................................................... (11'15) H693 Redemption of Bond Anticipat'ion Notes .................................................................. (I 135) HSI0 Transfer toGeneral Fund ........................................................................................ (1075) Other (specify) Total Payments .............................................................................................. $ Balance at End of Year (should agree with page 4) ................................................ (1085) Total Payments and Balance .......................................................................... (1095) $ RESERVE RECEIPTS AND BEGINNING BALANCE M51 Interest, Earnings on Deposits and Investments ...... (0073) M53 Sale of Assets .......................................................... (0173) M82 Transfer from General Fund .................................... (0123) M83 Transfer from Reserve Fund .................................... (0223) Other (specify) ( ) Total Receipts .............................................. Balance at Be[inning of Year ~o~./...Z~/,.~. ............. (0133) Total Receipts and BalanceV .......................... (0143) PAYMENTS AND ENDING BALANCE M200 Equipment .............................................................. (1026) M500 Real Property ........................................................ (1126) M802 Transfer to Reserve Fund ...................................... (I 176) M810 Transfer to General Fund ...................................... (1076) Other (specify) ( ) Total Payments .......................................................... Balance at End of Year (should agree with page 4] ,. (1086) Total Payments and Balance .......................... (1096) F U N D (S) $ ~-nsert Title of Reserve TRUST AND AGENCY FUNDS RECEIPTS New York State Income Taxes .......................................... T2 $ Federal Income Taxes ...................................................... T3 Social Security Taxes ...................................................... T4 Foreign Fire insurance Taxes .......................................... T5 Group Insurance Deductions .............................................. T6 Other (specify) PAYMENTS $ Total Receipts ........................................................ $. $ Balance at Beginning of Year .......................................... Total Receipts and Balance .................................. $. Total Payments ..................................................................................................................... $ Balance at End of Year (should agree with page 4) ....................................................................... Total Payments and Balance ................................................................................................. $ RECONCILIATION OF CASH AND BANK BALANCES (~ash Balances by Fund at End of Year: General Fund (should agree with page 2.) ................................................................................ $ Capital Fund (should agree with page 3) ................................................................................ Reserve Fund (should agree with page 3) ................................................................................ Trust and Agency Fund (should agree with page 3) ................................................................ ~an k Bal~ Is 'a~ n~U~ ~e ::: ......................................................................................................... $ Name and Location of Bank Bank Balance Outstandins Checks Net Bank Balance .9,,.~. ~.9 Totals ....................................$ $ Petty Cash ............................................................................................................................ Cash on Hand (date deposited ) .................................................. Total Bank Balances and Cash on Hand ........................................................................ Fund INVESTMENTS HELD AT DECEMBER 31,196 Description of Investment Purchase Price COMPUTATION OF REAL PROPERTY TAXES Assessed Valuation Tax Rate Amount of Tax Town of Fire District per $[ ,000 (Assessed Valuation within Town of Assessed Valuation multiplied by Tax Rate) Audit and Control Use Only - Total Assessed Valuation ............................................ (2100) $ NOTE: Total amount of tax shown in last column should agree with the real property taxes shown at top of page 2. DETAILED STATEMENT OF INDEBTEDNESS Bonds Year Outstanding Issued Redeemed Outstanding (Show each issue separately by of Interest Beginning During During End Title and Purpose) Issue Rate of Year Year Year of Year $ S $ Total Bonds XXXX XXX $ $ S. Audit and Control Use Only - Total Bonds as of December 3{ ..................................... (2200) Nates Tax or Revenue Anticipation I XXXX I XXX I$ I$ Capital J XXXX J XXX Bond Anticipad;n .... l~xxx J xXx J I Total Notes JS . Audit and Control Use Only - Total Notes as of December 31 .................................... (2300) $ RECEIVABLES CLAIMS PAYABLE Amount Due District at End of Year $ ~ . Amount of Unpaid Claims of District at End of Year