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HomeMy WebLinkAbout1967]For Departmen! of Audit and Control Use On] COUNTY CODE c~Ass CODE TOWN NUMBER DISTRICT NUMBER STATE OF NEW YORK ANNUAL REPORT OF THE NAME OF DISTRICT .~c,'T']'/O~ f~ I" I R ff- It~ } ~ "~ f~ / (L. '~ '~ in the TOWN OR TOWNS OF COUNTY OF YEAR ENDING DECEMBER 31~ 196¢ This Repo~ must be fded on or before March first The ~ year is from Januai7 first to December thlriy.~t General Municipal Law--Sections 30-31 Town Law ~ Section 181 (3) DIVISION OF MUNICIPAL AFFAIRS DEPARTMENT OF AUDIT AND CONTROL ALBANY, NEW YORK 10- 26-66,.6M AND BEGINNING BALANCES GENF.~*AL FUND (Column 1~-1) Real Property Taxes: (Show taxes from eacb to~vn in wblcb fire district is located) Town of ,%'0 ~' '7' ti ~/-/9 Town of .......... Town of .......... Town of .......... Total Real Property Taxes .................................................................................... (1) $ Other Receipts: State Aid for Loss in Railroad Tax Revenue ..................... $ Federal Aid for Civil Defense Fire Protection and Other Services Provided Out- side the District: (list each District /rom whom contract payments are received) District .......... District .......... Ail Other: .Interest off Deposits .................................. 'Rentals Refund of Expenses .................................. Total Other Receipts ........................................................................................ ' ............. (7) Notes Issued (Budget, Tax Anticipation, Revenue Anticipation) ............................................ (9) Transfer from Capital Fm~d .................................................... Transfer from .......... Total Transfers ........................................................................................................ (12) Total Receipts, General Fund .................................................................................................. Balance at Beginning of Year, General Fund ........................................................................ (13) Total Receipts and Balance, General Fund ............................................................................ (14) CAPITAL FUNI} (Column 18-2) Bonds Issued .............................................................................................................................. (8) $ Premium and Accrued Interest off Bonds ................................................................................ (8) Capital Notes Issued .................................................................................................................. (9) Band Aflricipatlon Notes Issued ..............................................................................................(9) Interest and Profit an Deposits and Investments .................................................................. (7) Transfer from General Fund .................................................. T~ansfer from .......... Total Transfers ........................................................................................................ (12) Total Receipts, Capital Fund .................................................................................................. $ Balance at Beginning of Year, Capital Fund .......................................................................... (13) Total Receipts and Balance, Capital Fund ............................................................................ (14) $ FUND (Column 18-3) Interest and Profit on Deposits and Investments .... I..~.~3,'..~..~....~.......Zff.~:L,(.~. ............. (7) Transfer from General Fund .................................................. $ Transfer from Reserve Fund .................................................. Transfer from .......... Total Transfers ........................................................................................................ (12) Total Receipts, Reserve Fund ................................................................................................ S g '~ ~'.~, ~:g~ Balance at Beginning of Year, Reserve Fund ........................................................................ (13) ,~"~ ~,-'~ C'~ Total Receipts and Balance, Reserve Fund .......................................................................... (14) $ /~' / _9 ~ ~ ~ ~ TRUST AND AGENCY FUNDS New Yosk State Income Taxes Withheld .................................................................................. $ United States Income Taxes Withheld ...................................................................................... Social Seettrity Taxes ................................................................................................................ Foreign and Alien Fire Insurance Taxes ................................................................................ Other: (specily) Total Receipts, Trust and Agency Funds ................................................................................ $, Balance at Beginning of Year, Trust and Agency Funds ...................................................... Total Receipts and Balance, Trust and Agency Funds ..................................................... ... $~ NOTE: I! more than one reserve /und has been established, attach a sheet showing the transactions o! each additional reserve. 2 PAYMENTS AND ENDING BALANCES GENERAL FUND (Column 18-4) Versan.l Services .......................................................... , Hydrant Rental ................................................................ 7 Payment to Fire Department or Company for Services Provided Outside the District: (specify) Payment to Outside Agency for Services Within the District: (specify agency) Other Expenses: .......... Total Current Expenses ...................................................... Purchase of Apparatus and Equipment ................................................ ?....~,..~..-~..~..~...-~- ....... (2) Debt Service: Redemption of Bonds .......................................... (3) Redemption of Notes .......................................... (3) Interest on Bonds and Notes .............................. (4) Total Debt Service .................................................................................................... Transfer to Capital Fund ........................................................ $. Transfer to Reserve Fund ...................................................... Transfer to .......... Total Transfers .......................................................................................................... (7) Total Payments, General Fund ...................................................... : .......................................... Balance at End of Year, General Fund .................................................................................... (S) Total Payments and Bhlance, General Fund .......................................................................... (9) CAPITAL FUND (Column 18-5) Purchase of Apparatus and Equipment .................................................................................... (2) $ Construction and Purchase of Buildings ...................................................................................... (2) Redemption of Bond Anticipation Notes .................................................................................. (3) Interest on Bond Anticipation Notes ........................................................................................ (4) Transfer to General Fund ....................................................... $ Tru~s let to .......... Total Transfers ........................................................................................................ (7) Total Payments, Capital Fund ....................... . .......................................................................... Balance at End of Year, Capital Fund .................................................................................... (8) Total Payments and Balance, Capital Fund ............................ ~_~.'~'F~_-~ RESERVE FUND (Column 18-6) On~rt Title) Purchase of Apparatus and Equipment .................................................................................... (2) Construction of Buildings .......................................................................................................... (2) Transfer to Reserve Fund ...................................................... Transfer to .......... Total Transfers .......................................................................................................... (7) $. Other Payments: (speci/y) Total Payments, Reserve Fund .................................................................................................. Balance at End of Year, Reserve Fund ................................................................................. (8) Total Payments and Balance, Reserve Fund .......................................................................... (9) TRUST A_ND AGENCY FUNDS New York State Income Taxes ~ithheld ................................................................................... $ United States Income Taxes ~ithheld ..................................................................................... Social Security Taxes ................................................................................................................ Foreign and Alien Fire Insurance Taxes ................................................................................ Other: (speci/y) Total Payments, Trust and Agency Funds .............................................................................. Balance at Emi of Year, Trust and Agency Funds ................................................................ Total Payments and Balance, Trust and Agency Funds ....... RECONCILIATION OF CASH AND BANK BALANCES Cash Balances~by Fund at End of Year: General Fund (from page 3) ...................................................................................................................................... Capital Fund (from page ~) ........................................................................................................................................ Reserve F~d (~om page 3) .................................................................................................................................... Trust and Agency F~d (kom page 5) .................................................................................................................... Total- All Funds ........................................................................................................................................ Bank Balances at End of Year: Name and Location of Bank Bank Outstanding Net Bank B~alance Checks Balance Petty Cash Cash on Hand Total Bank Balances and Cash on Hand FUND Description of Investment Purchase Price . DETAILED STATEMENT OF INDEBTEDNESS Outstanding I IsSued Redeemed Outstanding NOTES Beginning During Total During End of Year Year year of year Tax or Revenue Anticipation I$ $ $ S $ Budget Capital Bond Anticipation Total - Notes $ BONDS Year Outstanding Issued Redeemed Outstanding (Show each issue separately by of Interest Beginning During During End Rate Title and Purpose) Issue of year Year year of Year S Total- Bonds ~/~d~.~ XXXX ×x×× Is Is ls COMPUTATION OF REAL PROPERTY TAXES Assessed Valuation Tax Rate Amount of Tax TOWN of Fire District per $1,000 (Assessed Valuation within Town of Assessed Valuation multiplied by T~x Rate) / District Total [ $ XXXXXXX NOTE: Amount of tax shown for each town in last column should agree witb corresponding tax receipts shown at top of page 2. RECEIVABLES Amount Due District at End of Year $ THE DISTRICT IS GOVERNED BY: (Check one) [] Town Board [] Separate Board of Fire District Commissioners CLAIMS PAYABLE Amount of Unpaid Claims of District at End of Year CHAIRMAN OF THE BOARD: $.me Whl TEft C, / - CERTIFICATE OF ~H~E DISTRICT TREASURER I, ~/,~7~, ~I'~H AA t~ ~l D doherebycertifythatI amtheTreasurerof ~O ff~ D ' (Please'P~in~ o~ T~e) ' ' ~ Fire District located in the To~ or Towns of: ~ L, '~ ~ ~ , cou. of K . of payments of such Fire District for the fiscal ye~ ended Deeem~r 31, 196~, is tree to the best of my knowledge, information and belief.