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REPORT YEAJ~
COUNTY CODE
CLASS CODE
TOWN NUMBER
DISTRICT NUMBER
STATE OF NEW YORK
ANNUAL REPORT
OF THE
FIRE DISTRICT TREASURER
· ow~ OR TOWNS OF ~-~'0 ~ T ~ 0 ~ ~
cousxY ov ~5' U /= /~ 0 /--
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 thir~-~
General Municipal Law--Sections 30-31
Town Law -- Section 181(3)
DIVISION OF MUNICIPAL AFFAIRS
DEPARTMENT OF AUDIT AND CONTROL
ALBANY, NEW YORK
10- 26-664M
J
AND BEGINNING
BALANCES
GENERAL FUND (Colunm 18-1)'
Real
Property Tax~xe.s ~?m each town in which/ire district is located)
Town of ~,.P0/t.~:~'~-ff.X_ $
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 /rom whom
contract payments are received)
District ..........
District ..........
All Other: Interest on Deposits .................................. Rentals ........................................................
Refund of Expenses ..................................
o d
Total Other Receipts ..................................................................................................... (7)
Notes Issued (Budget, Tax ,4nticipation, Revenue ,4nticipation) ............................................ (9)
Transfer from Capital Fund .................................................... $
Transfer from ..........
Total Transfers ......... ~ ............................................................................................... (12)
Total Receipts, General Fund ..................................................................................................
Balance at Beginning of Year, General Fund ........................................................................ (13)
Total Receipts and Balance, General Fund ............................................................................ (14)
CAPITAL
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 .................................................. $ 7~O O, 00
Transfer from ..........
Total Transfers ........................................................................................................ (12)
Total Receipts, Capital Fund ..................................................................................................
Balance at Beginning of Year, Capital Fund .......................................................................... (13)
Total Receipts and Balance, Capital Fund ............................................................................ (14)
$ IO731,.26
(Insert
FUND (Column 18-3)
Interest and Profit on Deposits and Investments .................................................................. (7)
Tmmsfer from General Fund .................................................. $ Z/O 00 , 0 C)
Transfer from Reserve Fund ..................................................
Traasfer 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: (speci/y)
Z-~ O 0 0.0 0 .-~
7. Yo
Total Receipts, Trust and Agency Funds ................................................................................
Balance at Beginning of Year, Trust and Agency Funds ......................................................
Total Receipt? and Balance, Trust and Agency Funds ........................................................
NOTE: I! more than one reserve /und has been established, attach a sheet showing the transactions o/each additional reserve.
PAYMENTS AND ENDING BAI,ANCES
GENERAL FUND
(Column 18-4)
Current l~xpenses:
l~rsonal Services ................................... ~ ......................
Hydrant Rental ................................................................
Payment to Fire Department or Company for Services
Provided Outside the District: (specl/y)
Payment to Outside Agency for Services Within the District: (specify agency)
Other Expenses:
/'/8--0 ~
Total Current Expenses ..... ~ .......................... \. .............................................. ~ .....
Purchase of Apparatus and Equipment l~/~..~.~g~....?....~-..~.:..q..~:..o..~.~. ..... (2)(1)
Debt Service:
Redemption of Bonds .......................................... (3)
Redemption of Notes .......................................... (3)
Interest on Bonds nnd Notes .............................. (4)
Total Debt Service ....................................................................................................
Trnnsfer to Capital Fund ~...y.~:~.._ff...~ ............................... $
~e Fund ..... (.~z.~Ya~.cL~ / / 6"0 o. o O
Transfer to
Transfer to ..........
Total Transfers ........................................................... --&"~ ~'<~ ...........~::~ .........................
(7)
Total Payments, General Fund ............................. ,'~..'~--.~....~.v,..Q..~..... .............................
Balance at End of Year, General Fund .............. .~. .......... "~'~'"~""~"~'- ~,~ ,r ...................................
(s)
Payments and Bhlance, General Fund ......... ..~..~..~b..". ......................................
Total
(9)
Purchase of Apparatus and Equipment .................................................................................... (2)
Construction and Purchase of Buildings ....................................................................................... (2)
Redemption of Bond Anticipation Notes .................................................................................. (~)
Interest on Bond Anticipation Notes .................. ~. ..................................................................... (4)
Transfer to General Fund .......................................................
Transfer to ..........
Total Transfers .............................................................. i ......................................... (7)
Total Payments, Capital Fund ....................................................
Total Payments and Balance, Capital F-trod .../.g. ............ (..~ ...... .~....f~ ........... .~.7 .....................
(Insert-T~e)
I'
// ~--00,00
$ :2'7:z_o.:v.., ~"o
$
Purchase of Apparatus and Equipment .................................................................................... (2)
Construction of Buildings .......................................................................................................... (2)
Transfer to Reserve Fund ......................................................
Transfer to ..........
Total Transfers ............................. .. .......... L' ................................................................ (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 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 Balances 'by Fnnd at End of Year:
General Fund (from page 3) ......................................................................................................................................
Capital Fund (from page 3) ........................................................................................................................................
Reserve Fund (from page 3) ....................................................................................................................................
Trust and Agency Fund (from page 3) ....................................................................................................................
Total - All Funds ........................................................................................................................................
Bank Balances at End of Year:
Bank Outstanding
Name and Location of Bank Balance Checks
$ $ $
Net Bank
Balance
Totals ..............................................................
Petty Cash .........................................................................................................................
Cash on Hand ..........................................................................................................................................
Total Bank Balances and Cash on Hand ......................................................................................... $
I
FUND Description of Investment I Purchase Price
DETMLED STA~~ O~ ~EB~D~
Outstanding ' I IsSued Redeemed Outstanding
NOTES Beginning During Total During End
of Year Year Year of Year
Tax or Revenue Anticipation $ $ $ $ I$
Budget [
Capital I _.
Bond Anticipation [
Total- Notes $ $ $ $ [$
BONDS Year Outstanding Issued Redeemed Outstanding
(Show each issue separately by of Interest Beginning During During End
Title and Purpose) Issue Rate of Year Year Year of Year
Total - Bonds XXXX XXXX $ $ $ I $
COMPUTATION OF REAL PROPERTY TAXES
Assessed Valuation Tax Rate Amount of Tax
TOWN of Fire District per $1,000 (Assessed Valuation
within Town of Assessed Valuation multiplied by Tax Rate)
District Total
NOTE: Amountof tax shown for each town in last column should agree with corresponding tax receipts shown at top of page 2.
RECEIVABLES
Amount Due District at End of Year
THE DISTRICT IS GOVERNED BY: (_Check or, e)
' I-'~ Town Board ~"~-- OC~
~ Separate Board of Fire District Comm&sk~'W'' s Name O 770
~oner Address /'~'1/:1- 7' '7" / 7" (.) ~_.~ [<~/.
0ONALD R. GILD~ CERTIfiCATE OF IqRE DISTRICT TREASIJRER
I ·, .... ' '* ~' ~' . do hereby certify that I am the Treasurer of
Fire District ,oc.~ted in the Town or Towns of: ~"~")//5~"~'~2 ....
, County of /~;/-'~/i~"~d.~&."[~'~ , and that the foregoing statement of the receipts and
payments of such Fire District for the fiscal year ended Decem~er~l, 196~is true to the best of my knowledge, information and belief.
CLAIMS PAYABLE
Amount of Unpaid Claims of District at End of Year
CHAIRMAN OF THE BOARD:
RECONOILIATION OF G~:SH ND B~NK BALANCES
Cash B~l~nces by F~md bt End of Xear
~eneral Fund (From Page
C~p Ital ~eeerve Fund for Apparatus .....
Capital aeserve Fund for Firehouse ........
5~36.49
31770.2,5
79896.94
Total -- ~1~ Funds
Bank B~:,lances at End
~ North Fork BarJ~
Yattituck, N.Y.
General F~nd, Cheek ~coount
Bank
Bs'~lance
10766
Oap.aes.~und for Apparatus
Iht.Acct. 6770~28
T~e Deposit
177o
Cap.~es.Zund for Firehouse
Int,aoct. 14896.94
Time Deposit ~-cct. 65000.00
........ $ 117203,71
.utst~di~ank
$ 31770.2~ ~
~ 7989e.94~
Casa on Hand
PStty Gash
Total Bank Balances and Cash on Hand
. O0
.00
$-i1'72o3,'?! '