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HomeMy WebLinkAbout1975A.C. 1387 (7/70) PRINT CODE Z · t ~ Q ~Uq JAg-~H~0 FOR AUDIT AND PLEASE MAIL REPORT TOz ,~t~Ja of New York, Department ~f Audit and Control DIVIsion of M'~nlcipal Affairs ' Bureau of Municipal Research and Statistics Governor Alfred E. Smith State Office Building Albany, New York 12225 Attention~ Mr. O. philip FNy NAME OF DISTRICT TOWN OR TOWNS OF COUNTY OF A N H~PA~L" REPORT FIRE DISTRICT TREASURER Town Board YEAR ENDED DECEMBER 31, 1977~'' ~ IN THE // THK..D.!~T.R.I.~T is ~O¥~NED.By: (chec~ one) AUTHORIZATION Article 3, Section 30, of the General Municipal law "1. *** every *** fire *** district *** shall annually make a report of its financial condition to the comptroller. Such report shall be made by the *** treasurer of each fire *** district ***." '*5. Ali reports shall be certified by the officer making the same and shah be filed with the comptroller within sixty days after the close of the fiscal year of such *** district ***." CERTIFICATE OF FIRE DISTRICT TREASURER ', /~/~4/S 4 ~.~-~/~i~;/-/ certify that ,amthe Treasurer of ~~ (Please Print or Type) Fire Oistrict and that the rallying ~port is e true and correct statement of the financial transactions of such Fire District for the year ended December 31, 19~. Name CHAIRMAN OF THE BOARD ~ Address C~~~//~ A~ STATE OF NEW YORK DEPARTMENT OF AUDIT AND CONTROL GENERAL FUND RECEIPTc~ AND BEGINNING BALANCE Al0 Real Property Taxes (same as tax computation on page 4) .... EDP CODE A1001 .......................................... Other Revenues: A20 State Aid for Loss in Railroad Tax Revenue ..................... A3007 $ / ~,~o~, ~ C~ A30 Federal Aid for Civil Defense .......................................... A4305 A40 Charges for Fire Protection, Other Services ...................... A2262 A51 Interest and Earnings ............. t ......................................A2401. ~'7 ~?' ~ A52 Rentals ................................. ~....,......,~ ................... : ..... A2410' , A53 Sale of Equipment .......................................................... A2665 A54 Gifts and Donations ...................................................... A2705 A55 Refunds of Expenses .................................................... A2701 : ~-~' ~ O A59 Miscellaneous Revenues (specify) ............ A2770 Total Other Revenues .......................... A8560 .......................................... A64 Budget Notes Issued ...................................................... A5750 $ A65 Tax Anticipation Notes Issued ........................................ A5760 A66 Revenue Anticipation Notes Issued .................................. A5770 Total Notes Issued ............................ A5799 .......................................... A81 Transfer from Capita~ Fund ............................................ A2850 $ A82 Transfer from Reserve Fund .......................................... A2882 A90 Total Transfers ................................ Sale oflnvestments ........................................................ Total Receipts ................................................ Balance at Beginning of Year .......................................... Total Receipts and Balance .............................. A5085 .......................................... A8063 '""~'"'~'~'"" ......................... A8061 .................................... : ..... A8064 .......................................... PAYMENTS AND ENDING BALANCE Al00 A400 A601 A602 A603 A610 A628 A629 A630 A633 A636 A638 Personal Services ........................................................ A3410.1 Contractual and Other Expenses ...................................... A3410.4 Hydrant Rental .............................................................. A3410.4 Fire Department ar Company Services .............................. A3410.4 Fire Protection .............................................................. A3410.4 Judgments and Claims .................................................... A1930.4 State Retirement System .................................................. A9010.8 Police and Fire Retirement System ................................ A9015.8 Workmens Compensation Insurance ................................ A9040.8 Social Security .............................................................. A9030.8 Medical, Surgical and Hospital Care ................................ A9060.8 Blanket Accident Insurance .......................................... A9060.8 Total Current Expenses ........................ A8565 A200 Equipment ...................................................................... Debt Service: A680 Interest on Bonds .......................................................... A681 Interest on Notes .......................................................... A690 Redemption of Bands ............................. ; ........................ A691 Redemption of Notes ...................................................... Total Debt Service ............................ A801 Transfer to Capitol ~und .................................................. A802 Transfer to Reserve Fund ................................................ Total Transfers .................................. A3410.2 .......................................... A9710.7 $ ,'?/~,~ '-~ ~ 1044 A9729.7 1 T44 __~/~; ~ O ~ ~ 1034 A9710.6 /0/ ~ ~,~ 1134 A9729.6 A9899.0 .......................................... A95~.9 $ A9560.9 A9699.0 .......................................... A900 Purchase of Investments .................................................... 'A9985.5 .......................................... Total Payments ................................................ A8065 .......................................... $. Balance at End of Year (Transfer to page 4) ...................... A8067 .......................................... Total Payments and Balance .............................. A8068 .......................................... NOTE: EDP codes are for Deportment of Audit and Control use. 0091 0121 $. I0~4 ANNUAL REPORT OF NOTICES OF TORT CLAIMS FOR FIRE DISTRICTS L FIRE DISTRICT Claims Pending at Beginning of Year Notices of Claims Filed During Year NUMBER Claims Disposed of During Year Prior to Commencement of Court Action: 4a By Fire District 4b By Insurance Carrier Claims Disposed of During Year After Commencement of Court Action: 5a By Fire District 5b By Insurance Carrier 5c By Judgment Other (explain) FISCAL YEAR ENDING DECEMBER 31, 19 ~ TOWN Number Amount Amount Paid of of on Claims Claims Claims 6a 6b 7 8 $ $. XXXX to XXXX NUMBER TOTAL, XXXX TOTAL CLAIMS DISPOSED OF DURING YEAR -- Claims Pending at End of Year (Line 3 minus Line 7) AUTHORIZATION Article 4, Section SO-f of the General Municipal/aw 3. a. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereof, in summary, to the governing board of such municipal corporation or of such authority or commission and shah fi~e a copy thereof in the office of the state comptroller within sixty days after the close of the fisco~ year of such municipal corporation or of such authority or commission. A munlcipal corporation, authority or commission required by section thirty of the general municipal Jaw to file an annual report of its finan- cial condition with the state comptroller shall file the report required by this subsection with such financial report. Report Prepared by: Title ~ate: It is nat necessary to furnish any addltlanal in~ormatlon or details of the above claims or notices of claims. If there were no notices of Tart Claims filed ar cllspo~ed of, please state *'NDNE" and r~turn this repart with the Annual Financial Report. DEPARTMENT OF AUDIT AND CONTROL DIVISION OF MUNICIPAL AFFAIRS COMPTROLLER'S OFFICE CAPITAL FUND RECEIPTS AND BEGINNING BALANCE H$1 H60 H61 H62 H63 H82 EDP CODE Interest and Earnings ................................................ : .......H2401 ........................................ Bonds ............................................................................ N5710 ........................................ Premium and Accrued Interest on Bonds .............................. N2710 ........................................ Capital Notes .................................................................. H5740 ........................................ Bond Anticipation Notes .................................................... H5730 .......................................... Transfer from General Fund ................................................ N2810 ........................................ Other ........................ N2770 ........................................ Total Receipts .................................................... H8063 ........................................ Balance at Beginning of Year ............................................ H8061 ........................................ Total Receipts and Balance .................................. 1'18064 ........................................ PAYMENTS AND ENDING BALANCE N200 Equipment ........................................................................ N3410.2 ........................................ NS00 Real Property (include interest during construction) ............ 'N3410~3 ........................................ H693 Redemption of Bond Anticipation Notes .............................. H9930.5 ........................................ H810 Transfe~to~c_ / .~'- '~General Fund ..... ~. ...................................... H9510.9 ........................................ ........................ N999S.S ........................................ / Total Payments .................................................. H8065 ........................................ Balance at End of Year (Transfer to page 4) ........................ N8067 ........................................ Total Payments and Balance ................................ N8068 ........................................ 0002 0182 0092 0192 -- 0072 1025 1125 /~/ 0 0~J?,O0 1135 ~ 1075 RESERVE FU RECEIPTS AND BEGINNING BALANCE M51 Interest and Earnings ........................................................ R2401 M53 Sale of Assets .................................................................. R2660 M82 Transfer from General Fund ................................................ R2810 M83 Transfer from Reserve Fund .............................................. R2882 Other .......................... R2770 Total Receipts .................................................... R8063 Balance at Beginning of Year ............................................ R8061 Total Receipts and Balance ................................ R8064 N D (S) Typo (purpose) of Reserve / Y~po (purpose) of Reserve $ $ 0173 /~-. ~ ~ 0123 0223 $. $ ?/ oo7 ~' ~7 ~' ~ 0133 PAYMENTS AND ENDING BALANCE · M200 Equipment ........................................................................ R3410.2 $. MS00 Real Property .................................................................. R3410.3 MES02 Transfer to Reserve Fund .................................................. R9560.9 M810 Tranefer to General Fund .................................................. R9510.9 Other .............................. R9995.5 Total Payments ................................................. R8065 ~ Balance at End of Year (Transfer to page 4) ........................ R8067 Total Payments and Balance ................................ R8068 $ $ O 1026 1126 1176 1076 TRUST AND AG EDP CODE T2 New York State Income Taxes T21 T3 Federal Income Taxes T22 T4 Sacial Security Taxes T26 T5 Foreign Fire Insurance Fund T50 T6 Group Insurance Deductions T20 Other (specify) TOTALS Cash Balance Bsginning of Year I $ ENCY FUNDS Cash Receipts Cash Disbursements 3 5 S. T85 T85 T808 $ $ $ 3 5 Cash Balance End of Year 7 RECONCILI.~:TI~N I;IF CA~ITAH9 J~IK BALANCES Cash Balances by Fund at End of Year: EDP CODE ~'~?__Gene~,ol Fund '(from page 2) .................................................................................. 8301 ................ ~8IiT, Reserve Fund (from page 3) .................................................................................... 8313 ................ £9~(~ Trust and Agency Funds (from page 3} ................................ :...: .................................. 8312 ~lll Total - All Funds ..................................................... ~-- .....................;.; .............. 8399 ................ £~ank Balances at End of Year: am_e and L_ocation af Bank . TOTALS Outstanding Checks Net Bank ,Bal~ce ?o .Petty Cash .......................................................................................................................................... .C.a_sh on Hand (Date Deposited T_O~TA~L BANK BALANCES AND CASH ON HAND ................................................ .... 8?gp,..%.,.;¥. ....... $. ..... INVESTMENTS HELD AT DECEMBER 31, 197 TOTAL INVESTMENT~ Description oflnvestment COMPUTATION OF REAL PROPERTY TAXES Assessed Valuation Tax Rate Amount of Tax of Fire District per $1,000 (Assessed Valuation ~ ................ T~o~wn Within Town of Assessed Valuation Multiplied by Tax Rate) ~ 2 .4.. 6 ~ .... ~ISTRICTTOTAL 855. S /~ 4~G, ~0~ $ .~ .... k*~ /~D: 17~ ~ __ ~l',F~-~4~.~ag~ee wi~aeal Property ra ....hown at top of page 2. TOTAL ASSESSED VALUATION S /r~, ~ ~-,~- ~~'0~-' DETAILED STATEMENT OF INDEBTEDNESS ,~-, ..... Bonds Year Interest Beginning During .~ During End (Show each issue separately by of Rate af Year Year Year of Year ........... T~tle~tnd Purpose ) Issue I 3 5 7 ................. TOTAL BOHDS OUTSTANDING AS OF DECEMBE~ ~] ~ -~ ~ ~ 22~0 Budget ~otes ~. 893. XXXX XXX ~ ~ Capital Notes & _ ~95.? XXXX XXX . Bond Anticipation Notes age. xxxx x~x ~ ~ ~ /~ ~ ~ :,,~ ~ ~ TOTAL NOTES OUTSTANDING AS GFDECEMBER 31 '~ ,~u~ ~',O ~ 2300 ............ RBCEI~BLES ....... CLAIMS PAYABLE ~ -~Am~uhfD~Disfr~tE~d6~Y~ar 8532 $ '--~ ' . AmountofUnpaidClalmsofDlstrictatEnd~fYear 8541