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1966
For Deoanment of Audit and Control Us~ Onl RE~ORT YEAR COUNTY CODE CLASS CODE TOWN NUMBER DISTRICT NUMBER STATE OF NEW YORK ANNUAL REPORT OF THE FIRE DISTRICT TREASURER TOWN OR TOWNS OF COUNTY OF for the YEAR ENDING DECEMBER 31, 196__~ This Report must be f~ed on or before March Ilrst The I]scsl year is from ~anuary first to December thirty.first General Municipal Law~Sectiom 30-31 Town Law ~ Section 181 (3) DIVISION OF MUNICIPAL AFFAIRS DEPARTMENT OF AUDIT AND CONTROL ALBANY, NEW YORK lO- 26-66-6M AND BEGINNING BALAN~-q Real Property Taxes: (Show taxes f~om each town in which lire district is located) Town of Town of. · ......... Town of .......... Total Real Property Taxes .................................................................................... (1) Other Receipts: State ?,id for Loss in Railroad Tax Revenue ..................... $ Federa! 3.id for Civil Defense ........................................... Fire Protection and Other Services Provided Out- side the District: (list each District /rom whom contract payments are received) District .......... District ........... All Other: Interest on Deposits .................................. Rentals ........................................................ Refund of Expenses ....... ........................... Total Other Receipts ..................................................................................................... (7) Notes Issued (Budget, Tax Anticipation, Revenue Anticipation) ............................................ (9) Transfer fiom C~.~apitni Fund .................................................... $ Transfer from ~ ~- 5 ~- ~ U~. /'~-~- /-~ 0 .......... Total Transfers ........................................................................................................ (12) Total Receipts, General Fund .................................................................................................. Balance at Beginning of Year, General Fund ........................................................................ Total Receipts and Balance, General Fund ............................................................................ (14) CAPITAL ~ (Column la-2) 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 fiom 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) RESERVE ~ (Colmnn 18-3) (/nsert Title) Interest and Profit on Deposits and Investments ...... ~ ........................................................... (7) Trnnsfer from General Fund .................................................. $ ~,7 ~) O. O~ Transfer from Reserve Fund .................................................. Ttnn sfer from .......... Total Transfers ........................................................................................................ (12) Total Eeceipta, Eeserve Fund ................................................................................................ Balance at Beginning of Year, Reserve Fund ........................................................................ (13) Total Receipts and Balance, Reserve Fund .......................................................................... (14) TRUST AND AGENCY FUNDS New Yo~k State Income Tazes Withheld .................................................................................. United States Income Taxes Withheld ...................................................................................... Social Security Taxes ......................................... ~ ...................................................................... Foreign and Alien Fire Insurance Taxes ................................................................................ Other: (sl~eci[y) Total Receipts, Trust and Agency Funds ................................................................................ Balance at Beginning of Year, Trust and Agency Funds ...................................................... Total Receipts and Balance, Trust and Agency Funds ........................................................ ~.., 706. O0 NOTE: I! more than one reserve ~und has been established, attach a sheet showing the transactions o! each additional reserve. PAYMENTS AND ENDING BALANCES G~L ~ (Column 18-4) 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) Other Expenses: .......... ~/ 7 / ,~- · 7~/ Total Current Expenses ..........................................................................................(I) $ Parchase of Apparatus and Equipment .................................................................................... (2) Debt Service: Redemption of Bonds .......................................... (3) $ ~ ~.7 o o . Redemption of Notes .......................................... (3) Interest on Bonds and Notes .............................. (4) '-'<'-,~ ~/ , 7~- Total Debt Service .................................................................................................... Transfer to Capital Fund ........................................................ $ Transfer to Reserve Fund ...................................................... ~'70 o , Transfer to .......... Total Transfers .......................................................................................................... (7) Total Payments, General Fond .................................................................................................. $ Balance at End of Year, General Fund .................................................................................... (8) Total Payments and Balance, General Fund .......................................................................... (9) $ CAISlTAL li~ (Column 18-5) 3, V. q. 73'- 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 Fond ....................................................... Trunsfer to ~-- ~ '~..--4- ~.,u~] --- ~- '// .;. ,/.~T~j~ -- Totul Transfers ........................................................................................................ (7) /-~/ ~ '~ ,~ ~r_~ _ Total Payments, Capital Fund .................................................................................................. $ Balance at End of Year, Capital Fund ................................................ ~ ................................... (8) Total Payments and Balance, Capital Fund ........................................................................... (9) (Column 18-6) (Ingrt Title) Purchase of Apparatus and Equipment .................................................................................... (2) $ Construction of Buildings .......................................................................................................... (2) Transfer to Reserve Fund ...................................................... $ , Trunsfer to ~_.-~0~./~/?/~- ~'/.~ /o I) ~/_~, ff~ ~g-/-~, ~ Total Transfers .......................................................................................................... (7) Other Payments: (specify) Total Payments, Reserve Fund .................................................................................................. $ Balance at End of Year, Reserve Fund ............................................................................... (8) Total Payments and Balance, Reserve Fund .......................................................................... (9) $ TRUST AND AGENCY FUNDS New Yo~k 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 Fonds ................................................................ Total Payments and Balance, Trust and Agency Funds ....................................................... $ RECONCILIATION OF CASH AND BANK BALANCES agh ~alanees by Fund at End of Year:. General Fund (from page 3) ...................................................................................................................................... Capital Fund (from page 3) ........................................................................................................................................ Re,erie Fund (fro~ page ~) .................................................................................................................................... ~ ~ &~e~ ~ (fr~ ~ ~ .................................................................................................................... Bank Balances at End of Year: Name and Location of Bank Bank Outstanding Net Bank B.alance Checks Balance Totals ........................ Petty Cash Cash on Hand Total Bank Balances and Cash on Hand FUND Description of Investment [ Purchase Price DETAILED STATEMENT OF ll~DEBTEDNESS Outstanding ls[ued Redeemed Outstanding NOTES Beginning During Total During End of year year Year of yen~ Tax or Revenue Anticipation Budget Capital Bond Anticipation ] ] ·otal- Notes Outstanding BONDS Year ~ Outstanding Issued Redeemed ($bo~ e~cb iszs~ sep~tely by of Interest Beginning During During Rate Title and Pm'pose) Issue of Ye~ Ye~ Year Total- Bonds X~X XXXX End of Year COMPUTATION OF REAL PROPERTY TAXES TOWN ~ o ~c T-,4 o z D Assessed Valuation of Fire District within Town Tax Rate per $1,000 of Assessed Valuation Amount of Tax (Assessed Val~tion m=ltiplied by T~c,Rate/) Is a-. e/q I$ NOTE: Amour of t~x shown/o~ e~cb town i~ l~st col~n sboul~ a~ee with cm~es~onding t~ receipts shows at top o/~ge 2. Amount Due District at End of Year $ ;~ . THE DISTRICT IS GOVERNED BY: (Check one) ~parate Board of Fire District Commissioners CLAIMS PAYABLE Amount of Unpaid Claims of District at End of Year $ CHAIRMAN OF THE BOARD: Address ~ ~-W~ CEIc~'tFiCtTE OF ~'mE DISTRICT TREASURER I, ~'~ ,,~~-- Pp ~/%~ t~ .q .~' ~,) , do hereby certify that I am the Treasurer of (Please Print or TYpe) Fire District located in the Town or Towns of: , Cou~lty of © (~ /Z;/~> /~. ~ , and ~at ~e fore.lng statement of ~e receipts and payments of such Fire District for the fisc~ ye~ ended Decem~t 31, 196~, is tree to the best of my knowledge, information and belief. 4