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FIRE
ANNUAL REPORT
OF THE
DISTRICT TREASURER
IN THE
TOWN ~F___~~__ ................................
COUNTY OF___ ~ ..........................................
FOR THE
FISCAL YEAR ENDING ..... ,~_.~,~-'--/-~-'~-~ ............................
This Report must be filed on or before February first.
The fiscal Year is from January first to December Thirty-first.
Town Law - Section I 8 I.
DIVISION OF MUNICIPAL ACCOUNTS
COMPTROLLER'S OFFICE
RECEIPTS
PROPERTY TAXES ................................
EARNINGS: $ ........................................
Services Outside District .............................................................
Rentals ....................................................... Z_.._..~.. ......
Interest ....................................................... ~-,..-~-~ .......
Other (Specify) ...................................... /.d, .~{_.-~.. ......
TOTAL EARNINGS ....................
Temporary Loans ...............................
Bonds .........................................
Certificates of Indebtedness .......................
Sales of Material and Equipment ..................
Contributions ...................................
Refunds (Insurance, etc.) .........................
OTHER RECEIPTS ('Give details) ................... $ .......................................
TOTAL ...........
Total Receipts ..................................
Balance at Beginning of Year (19~*___) ............
Total Receipts and Balance .......................
DISBURSEMENTS
Salaries and Wages ..............................
APPARATUS: Purchase ...........................
Rental ............................
Maintenance and Repairs .............
EQUIPMENT: Purchase ..........................
Rental ............................
Maintenance and Repairs .............
BUILDINGS: Rental .............................
Maintenance and Repairs .............
Hydrant Rental .................................
Insurance ......................................
REDEMPTION OF DEBT:
Temporary Loans:
Bonds:
Principal ...............
Interest .................
Principal ...............
Interest .................
Certs. of Indebtedness: Principal ...............
Interest .................
Other Payments (Give details):
TOTAL .............................
Total Payments .................................
Balance at Close of Year (194___) .................
Total Paymen~ and Balance ......................
$ ................. ,2.0 ..~. ....
18 t a-s ..... _&~.~.~'...a._.
.......................................770. z, ~ $...._Z~o.. ............. a Z
113~. o ~ .../~.~...~.~..~..~
....
........... ~.~.,._.~.o.
......... ~.~.._~._.0. .....
/ 2 2 0,2 ~ ...Z_o_~_4.~,~
$....._.g.~.Zzz_.
GENERAL INFORMATION
OUTSTANDING DEBT:
BONDS:
Original Issue ~/,~ ~
Date_ __/_ ~_ ~_~__ ...... Interest l~ate_~_ _~____
Total Payments Thereon .................. ............. /...~.~_/~. ........
Balance Outstanding at Close of Year .............
CERTIFICATES OF INDEBTEDNESS:
Balance Outstanding at Close of Year .............
TEMPORARY LoANS--Balance Unpaid ...............
Total Outstanding at Close of Year ...............
ASSESSED VALUA/~ION (R_epqrting Year)
Town of_ ~d .................... $.....~..o~.-/..,.{'....~..'./...0
Town of ....................................................................
Town of ......................................................................
Town of ....................................
TOTAL ASSESSED VALUATION ...........
CERTIFICATE OF FIRE DISTRICT TREASURER
Treasurer of ....... ~.-~.-2..~ir~ Distrlct located in ~e Town or Towns
County of........~' ........................ and that the foreg~ statement of ~e receipts ~d pa~ents
of such Fire District for the fiscal year ending ................................... ~..~..~.~ ..................................................... , 194..~..
is true to t~e best of my knowledge, infomation and belief.
Treater