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HomeMy WebLinkAbout1965For Department~bf A~dit and Control Use On] COUNTY CODE C~ASS CODE TOWN NUMBER DISTRICT NUMBER STATE OF NEW YORK ANNUAL REPORT OF THE FIRE DISTRICT TREASURER NA~Vn~ OF mS~'aICT ,,COVr// OL a ,F / fiE. D/s in the TOWN OR TOWNS OF COUNTY OF for the YEAR ENDING DECEMBER 31, 196~''''~ This Report must be filed on or before March first The fiscal year is from January first to December tbJr~-r~t General Municipal Law- Sections 30-31 Town Law -- Section 181 (3) DIVISION OF MUNICIPAL AFFAIRS DEPARTMENT OF AUDIT AND CONTROL ALBANY, NEW YORK 10~26~5-3M (5Dq83) RECEH~TS AND BEGINNING BALANCES GENERAL FUND (Column 18-1) Real Property Taxes: ~acb town in which fire district is located) Town of ~ $ ~$&g:. 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 from whom contract payments are received) District .......... District .......... All Other: Interest on Deposits .................................. Rentals ........................................................ Refund of Expenses ~. ~. Total Oth;r Rec~ipts[~ .................................................................................................... (7) Notes Issued (Budget, Tax Anticipation, Revenue Anticipation) ............................................ (9) Transfer from Capital Fund .................................................... $ -~' 3/ ? ~ ~: Transfer from .......... Total Transfers ........................................................................................................ (12) Total Receipts, General Funa .................................................................................................. Balance at Beginning of Year, General Fund ........................................................................ (13) W~tal Receipts and Balance, General Fund ............................................................................ (14) $ CAPITAL FUND (Column 18-~) Bonds Issued .............................................................................................................................. (8) $ Premium and Accrued Interest on Bonds ................................................................................ (8) Capital Notes Issued .................................................................................................................. (9) Bond Anticipation Notes Issued .............................................................................................. (9) Interest and Profit on Deposits and Investments .................................................................. (7) Transfer from General Fund .................................................. Transfer from .......... Total Transfers ........................................................................................................ (12) Total Receipts, Capital Fund .................................................................................................. $ Balance at Beginning of Year, Capital Fund .......................................................................... (13) Total Receipts and Balance, Capital Fund ............................................................................ (14) ff.~d~e'~'~s~. RIZSERVE FU~ (Cohunn 18-3) ([nsert Title) Interest and Profit on Deposits and Investments .................................................................. (7) $ Transfer from General Fund .................................................. $ Transfer from Reserve Fund .................................................. Transfer from Total Transfers ........................................................................................................ (12) Total Receipts, Reserve Fund ................................................................................................ $.~ Balance at Beginning of Year, Reserve Fund ........................................................................ (13) -- Total Receipts and Balance, Reserve Fund .......................................................................... (14) $ TRUST AND AGENCY FUNDS New York State Income Taxes Withheld .................................................................................. United States Income Taxes Withheld ...................................................................................... Social Security Taxes ................................................................................................................ Foreign and Alien Fire Insurance Taxes ................................................................................ Other: (specify) Total Receipts, Trust and Agency Funds ................................................................................ Balance at Beginning of Year, Trust and Agency Funds ...................................................... Total Receipts and Balance, Trust and Agency Funds ........................................................ NOTE: If more than one reserve fund has been established, attach a sheet showing the transactions of each additional reserve. PAYMENTS AND ENDING BALANCES GENERAL FUND (Column 18-4) Current Expenses: Personal Services .......................................................... Hydrant Rental ................................................................ Payment to Fire Department or Company for Services Provided Outside the District: (specify) Payment to Outside Agency for Services Within the District: (specify agency) .'J 9 ~0. a'D __ 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 $ ~-~7,~{ff. ~ Transfer to Reserve Fund ...................................................... Transfer to .......... Total Transfers .......................................................................................................... (7) TM Total Payments, General Fund .................................................................................................. Balance at End of Year, General Fund .................................................................................... (8) Total Payments and Balance, 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 ....................................................... Transfer to .......... Total Transfers ........................................................................................................ (7) Total Payments, Capital Fund .................................................................................................. Balance at End of Year, Capital Fund .................................................................................... (8) Total Payments and Balance, Capital Fund .......................................................................... (9) ~ RESERVE FUI%~ (Column 18-6) (~ser t Title) Purchase of Apparatus and Equipment .................................................................................... (2) Construction of Buildings .......................................................................................................... (2) Transfer to Reserve Fund ...................................................... $ Transfer to .......... Total Transfers .......................................................................................................... (7) Other Payments: (specify) Total ~ayments, Reserve Fund .................................................................................................. Balance at End of Year, Reserve Fund .................................................................................... (8) Total Payments and Balance, Reserve Fund ...................................... : ................................... (9) TRUST AND AGENCY FUNDS s z._a .'/- New York State Income Taxes Withheld ................................................................................... United States Income Taxes Withheld ..................................................................................... Social Security Taxes ................................................................................................................ Foreign and Alien Fire Insurance Taxes ................................................................................ Other: (specify) Total Payments, Trust and Agency Funds .............................................................................. Balance at End of Year, Trust and Agency Funds ................................................................ Total Payments and Balance, Trust and Agency Funds ........................................................ RECONCILIATION OF CASH AND BANK BALANCES Cash Balaneea by Fudd at End of Year: General Fund (from page 3) ...................................................................................................................................... $ ~ ~'~.. /,~ Capital Fund (from page 3) ........................................................................................................................................ ~i~ Reserve Fund (from page 3) .................................................................................................................................... Trust and Agency Fund (from page 3) .................................................................................................................... Total - All Funds ........................................................................................................................................ SJ~b~L~ Bank Balances at End of Year: Bank Outstanding Net Bank Balance Checks Balance Name and Location of Bank It Petty Cash Cash on Hand Total Bank Balances and Cash on Hand FUND Description of Investment Purchase Price DETAILED STATEMENT OF INDEBTEDNESS Outstanding ] Issued Redeemed Outstanding NOTES Beglntfing During Total During End of Year year Year of year Tax or Revenue Anticipation 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 ami Purpose) Issue of year Year Year of Year Total- Bonds XXXX XXXX COMPUTATION OF REAL PROPERTY TAXEr Assessed Valuation Tax Rate Amount of Tax TOWN of Fire District per $1,000 (Assessed Valuation ~.~ ~ 1_ ~ within Town of Assessed Valuation multiplied by Tax Rate) District Total $ XXXXXXX $ NOTE: Amount o/tare shown for each town in last column should agree with corresponding ta~ receipts shown at top o/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 CI,AIMS PAYABLE Amount of Unpaid Claims of District at End of Year $~_.~_. CHAIRMAN OF THE BOARD: N me 14/A rff · C. CER'I'I~'ICATE OF ~1~ DISTRICT TREASURER I, ~- 7~_ ffI'C~O]~O , do hereby certify that I am the Treasnrer of ~aO~O~O ' ' (~l~ase Print or T~e~ Fire District located in the To~ or Towns of: '~0 ~ ~ ~ ~ ~ ., Coua~ of ~ ~ ~ ~ ~ ~ , and ~ac~e foregoing statement of ~e receipts and payments of such Fire District for the fiscal ye~ ended Decem~r 3~, 10~, ig t~e to the best of my know]edge, iRfo~m~ofl ~nd b~lief. Datdd ~° ~q Signature · 196~. 4 P.O. Address~