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ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
ia ~e
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 thirty-first.
General Municipal Law- Section 30-31.
Town Law -- Section 181(3)
DIVISION OF MUNICIPAL AFFAIRS
DEPARTMENT OF AUDIT AND CONTROL
ALBANY, NEW YORK
RECEIPTS AND BEGINNING BALANCES
GENERAL FUND
Real Property Taxes: (Show taxes [rom each town in which fire district is located)
Town of ~Cc~TiqO~D ...... $
Town of ......
Town of ......
Town of ......
Total Real Property Taxes ................................................................................
Other Receipts:
Federal Aid for Civil Defense Equipment .............. $.
Fire Protection and Other Services Provided Outside
the District (list each District irom whom contract
payments are received):
District
District ............
All Other: (Itemize)
Total Other Receipts ........................................................................................
Notes Issued (Budget, Tax Anticipation, Revenue Anticipation) ...................................... (9)
Transfers from Other Funds: (specify)
Total Transfers .................................................................................................. (12)
Total Receipts, General Fund
Ball, nee at Beginning of Year, General Fund .................................................................. (13)
Total Receipts and Balance, General Fund ...................................................................... (14)
CAPITAL FUND
Capital Notes Issues .................................................................................................. (9)
Bond Anticipation Notes Issued ...................................................................................... ( 9 )
Bonds Issued ................................................................................................................. (8)
Premium and Accrued Interest on Bonds ........................................................................ (8)
Interest on Deposits and Investments of Capital Fund Moneys ..................................... (7)
Transfers from Other Funds: (speci[y)
.................................................... (12)
Total Receipts, Capital Fund ........................................................................................
Balance at Beginning of Year, Capital Fund ................................................................. (13)
Total Receipts and Balance, Capital Fund ..................................................................... (14)
RESERVE FUND
(Insert Title)
Interest on Deposits and Investments ........................................................................... (7)
Transfers from Other Funds: (specify)
................................................... (12)
...................................................... (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 Withholding Tax ....................................................................................
United States Withholding Tax ......................................................................................
Social Security Tax .........................................................................................................
Foreign Fire Insurance Tax ..............................................................................................
Other (specify)
Total Receipts, Trust and Ag~ney Funds ........................................................................
Balance at Beginning of Year, Trust and Agency Funds ................................................
Total Receipts and Balance, Trust and Agency Funds ...................................................
(3) $_~ -~.$~-. ~'~-
(7) ?~> ~ o
$ g. -/~'/ , /6
$ 7., ,ge ~ , cO
$
$.
PAYMENTS AND ENDING BALANCES
GENERAL FUND
Current Expenses:
Personal Services (wages and salaries) ...................... $
Hydrant Rental .....................................................
Payment to Fire Department or Company for Serv-
ices Provided Outside the District (speci[y)
Payment to Outside Agency for Fire Protection
Within the District (specify)
Other Expenses:
Total Current Expenses .................................................................................... (1) $
Purchase of Apparatus and Equipment ......................................................................... (2)
Debt Service:
Redemption of Notes ........................................ (3) $.
Redemption of Bonds ...................................... (3) .2~ ~' 73, 7oj
Interest on Notes and Bonds ......................... (4)
Total Debt Service ........................................................................................
Transfers to Other Funds: (speciIy)
Total Transfers .................................................................................................. (7)
Total Payments, General Fund ........................................................................................ (5) $
Balance at End of Year, General Fund ............................................................................ (8)
Total Payments and Balance, General Fund .................................................................... (9) $-
CAPITAL FUND
Purchase of Apparatus and Equipment ........................................................................... (2) $
Purchase and Construction of Buildings ........................................................................... (2)
Redemption of Bond Anticipation Notes ......................................................................... (3)
Interest on Bond Anticipation Notes ................................................................................ (4)
Transfers to Other Funds: (specily)
Total Payments, Capital Fund .......................................................................................... (5) $
Balance at End of Year, Capital Fund ..............................................................................(8)
Total Payments and Balance, Capital Fund ..................................................................... (9) $
Transfers to Other Funds: (specify)
Other Payments: (speciIy)
(Insert Title)
_RESERVE FUND
...................................................... (7) $
Total Payments, Reserve Fund ....................................................................................... (5) $
Balance at End of Year, Reserve Fund ............................................................................ (8)
Total Payments and Balance, Reserve Fund ................................................................ (9) $
TRUST AND AGENCY FUNDS
New York State Withholding Tax ................................................................................ $
United States Withholding Tax ......................................................................................
Social Security Tax ......................................................................................................
Foreign Fire Insurance Tax ........................................................................................
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 .......................................... $
DETAILED STATEMENT OF INDEBTEDNESS
Outstanding Issued Redeemed Outstanding
NOTES Beginning During Total During End of
of Year Year Year Year
Tax Anticipation $ $ $ $ $
Revenue Anticipation
Budget
Capital
Bond Anticipation
Total -- Notes $ $ $ $ $
BONDS Outstanding Issued Redeemed outstanding
(Show each issue separately Year of Intecest Beginning During During End of
by Title and Purpose) Issue Rate of Year Year Year Year
Total--Bonds XXXXKXXX $ $ $ $
COMPUTATION OF REAL PROPERTY TAXES
Amount of Tax
Assessed Valuation of Tax Rate per $1,000 (Assessed Valuation
TOWN Fire District within Town of Assessed Valuation multiplied by Tax Rate)
Sr_,c:Tn~p $ !, ~c?. 77,3 $3. 7~ $ & 3~-. ~
District Total $ X X X X X X X X X X $
NOTE: Amount o~ tax shown ]or each town in laxt column should agree with corresponding tax receipts shown at top o! page 2.
RECEIVABLES CLAIMS PAYABLE
Amount Due District at End of Year $ Amount of Unpaid Claims of District at End of Year $.
THE DISTRICT IS GOVERNED BY: (Check one)
__ Town Board
~// Separate Board of Fire District Commissionem
CHAIRMAN OF THE BOARD:
CERTIFICATE OF FIRE DISTRICT TREASURER
~ ~ ./E' , do hereby certify that I am the Treasurer of
Fire District located in the Town or Towns of: .~ _,~ t~ 7~9'~ z ~9
., County of ~'¢,t:f~-~(
and that the foregoing statement of the receipts and payments of such Fire District for the fiscal year ended December 31,
196.t_, is tree to the best of my knowledge, information and belief.
Dated ~?~ ~6/ 196/. P.O. Address