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ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
IN THE
T0~ Ol~ ~O~S 0¥ ..... _~_O_C'_T_H_~A/) ............................
COUNTY OF ........... _~_U_E~r_~ ~.~ ~ ................................
FOR THE
FISCAL YEAR m'IDING ..... l~&cf'n,~lt_F__R__~JJ_v_/~__~J['__
This Report must be filed on or before March first.
The Fiscal Year is from January first to December thirty-first.
General Mtmicipal Law - Section 30-31
Town Law - Section 181
DIVISION OF MUNICIPAL AFFAIRS
~O~%PTROLLF2' S OFf'ICE
19
RECEIPTS:
Town of
Town of
*Property Taxes
Town of
RECK I PTS
Other Revenue:
From Services Outside District ...... $
Rentals .............................
Interest ............................
Sale of Materlal & Equipment ........
Contributions .......................
Refunds (Insurance, etc.) ...........
All Other ...........................
Total Other Revenue ............................... 62. ~
Total Revenue Receipts ......................... ~
NDN-REVENUE RECEIPTS:
Temporary Loans ....................... $
Total Non-Revenue Receipts ........................
TOTAL RECEIPTS .................................
BALANCE AT BEGINNING OF yEAR (19;~') ...... S
~Fund or Account .... /
~.~g~.~Fund or Account .... ~'.'~,g.
~ Fund or Account ....
TOTAL BALANCE ..................................
~TAL ~C~P~S ~D BALASCE .....................
* When ~istrict is located in more than one town, the property
taxes received from each town should be sho~m.
DISBURSEMENT$
GOVERN~4ENTAL% COST PAY14ENTS:
Salaries and Wages ...................
Rental of Apparatus .....................
Maintenance & Repair of Apparatus .....
Rental of Equipment ...................
Maintenance & Repair of Equipment ..... ~'?.~o 2_ !
Rent of Buildings .....................
Maintenance & Repair of Buildings .....
tiydran t Rental ........................
Insurance .............................
Total Current Expenses ............................ $~~"
Interest . .
Total Governmental Cost Payments ............... $~--
'NON-GOVERNMEnTAL COST PAYMENTS:
Capital Outlays (Purchase of Apparatus
or Equipment) ........ $
Temporary Loans...... ................ .
Redemption of Bonds ...................
Total Non-Governmental Cost Payments
TOTAL PAYMENTS .................................
BALANCE AT CLOSE OF ~EAR (19¥~') .......... Ill
or ........
d or Account .........
d or Account ........
SAUCE
TOTAL PAD~-.NTS AND BALANCE .....................
GENERAL INFORMAT ION
Is the District governed by the Town Board or a separate Board of Fire
District C~mm~ssloners? .~$A~D ~, g ~/~E
C~i~ of the B~rd ' P. 6', Address
OUTSTANDING DEBT
BONDS:
Issue ....................... $
Original
Date_/. ,, , Interest ~te
~/,I~ -i,/~ ~
To~l P~ents There~ ................
Barco Outs~ding at Close of Year~
~Y ~S - Bal~ce Un~id .........................
~T~ OUTST~DING AT CLOSE OF
TAX RATE AND ASSESSED VALUATION OF FIRE DISTRICT
(Subject to Fire District tax levy for reporting year)
T~wn of
Town of
Town of
Town of
Tax Rate Assessed Valuation
TOTAL ASSESSED VALUATIO~ ........................
~IFI~TE OF
Fire Dlstrlc~ lo~t~ In the Town or To~ of
Ce~m%y of~emd that the foregoing statement of th& receipts ~nd
of I~ Fire ~str~ct for the fis~l y~r ~dtn~ ~~ ~ .~/
Il %~e to t~e best of ~ ~owledge, infor~tion ~d belief,
~ ,~A~. /& . z,47.
P. O. ~ress_ ,