HomeMy WebLinkAbout1967For Department of Audit and Control Us~ Only
REPORT YEAR
COUNTY CODE
TOWN NUMBER
DISTRICT NUMBER
STATE OF NEW YORK
FIRE
ANNUAL REPORT
OF THE
DISTRICT TREASURER
NAME OF DISTRICT
ia the
TOWN OR TOWNS OF
COUNTY OF
for the
YEAR ENDING DECEMBER 31, 196~
This Report must be fled on or before March first
The fiscal year is from January first to December thJrt~-Iirst
General Municipal Law--Sections 30-31
Town Law -- Section 181(3)
DIVISION OF MUNICIPAL AFFAIRS
DEPARTMENT OF AUDIT AND CONTROL
ALBANY, NEW YORK
10-26-66-6M
~IIYI'S AND BEGINNING
BALANCES
GENERAL FUND (Column 1~-1)
Real Property Taxes: (Show taxes ~rom each town in which fire district is located)
Town of ..........
Town of ..........
Town of ..........
Total Real Property Taxes .................................................................................... (l)
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 .............. ~ ...................
Refund of Expenses -K'"~],
Total Other Receipts ....................................... iiiiiiiiii .................................................... (7) /3 ~° ~'~-
Notes Issued (Budget, Tax Anticipation, Revenue Anticipation) ............................................ (9)
Transfer from Capital Fund ....................................................
Transfer from ..........
Total Transfers ................... : ..................................................................................... (12)
Total Receipts, General Fund .................................................................................................. $ ,7...
Balance at Beginning of Year, General Fund ........................................................................ (13)
Total Receipts and Balance, General Fund ............................................................................ (14) $
Bonds Issued .............................................................................................................................. (8) $
Premium and Accrued Interest on Bonds (8)
Capital Notes Issued ' (9)
Bond Anticipation Notes Issued
(9)
(7)
Transfer from General Fund .................................................. $ ~'~OO-00
Transfer from ..........
Total Transfers ........................................................................................................ (12) ~'~-O 0 · 00
Total Receipts, Capital fund .................................................................................................. $
Total Receipts and Balance, capital Fund ............................................................................ (14) $ ._~Z
C-~ /3r [') l T /9- /.- RESERVE FUND
(Insert Title)
on Deposits and Investments ................ ....... ................... (7) $ /a--/
Interest
and
Profit
..................................................................
Transfer from General Fund .................................................. $ ~ O O O.00
Transfer from Reserve Fund ..................................................
Transfer 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 Yo~k State Income Taxes ~ithheld .................................................................................. $
United States Income Taxes ~ithheld ......................................................................................
Social Security Taxes ................................................................................................................
Foreign and Alien Fire Insurance Taxes ........... .....................................................................
Other: (specify)
Total Receipts, Trust and Agency Funds ................................................................................ $
Balance at Beginning of Year, Trust and Agency Funds ......................................................
Total Receip.ts and Balance, Trust and Agency Funds ........................................................
NOTE: 1! more than one reserve /und has been established, attach a sheet showing the transactions o! each additional reserve.
PAYMENTS AND ENDING BALANCES
%
GENERAL ~ (Column 18-4)
Current ExpenseS:
Personal Services ....~...~...: ........ ...~..'...~. .....................
Hydrant Rental ................................... ; ............................
Payment to Fire Department or Company for Services
Provided Outside the District: (speci/y)
Payment to Outside Agency for Services Within the District: (specify agency)
Other Expenses:
Total Current Expenses
Purchase of Apparatus and Equipment ................... : ................................................................
Debt Service:
Redemption of Bonds .......................................... (3) $
Redemption of Notes .......................................... (3)
Interest on Bonds and Notes .............................. (4)
Total Debt Service ....................... .z ...........................................................................
Transfer. to
Capital~
Transfert~Reserve Fund r~.0. f~.../~, ff.P...~...(~..T..9.~ .............. ~-~ OO 0 . 00
Transfer tb ..........
Total Transfers ..........................................................................................................
Total Payments, General Fund ..................................................................................................
Balance at End of Year, General Fund ....................................................................................
Total Payments and B~lanee, General Fund ..........................................................................
(2) o o
o¥
(7) // ~-O 0. 00
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 Fund
Transfer to ..........
Total Transfers ........................................................................................................ (7)
Total Payments, Capital Fund ..................................................................................................
Balance at End of Year, Capital Fund ..................................................................................... (8)
Total Payments and Balance, Capital Fund ..................................................................... : ..... (9)
C
(Insert Title)
Purchase of Apparatus and Equipment (2)
Construction of Buildings .......................................................................................................... (2)
Transfer to Reserve Fund $
Transfer to ..........
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 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 ........................................................ $
$
3
RECONCILIATION OF CASH AND BANK BALANCES
Cash Balances by Fund 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 - Ail Funds ........................................................................................................................................ $
Bank Balanees at Endof 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
FUND Description of Investment P urcha se Price
l
DETAILED STATEMENT OF INDEBTEDNESS
] IsSued Redeemed Outstanding
Out st andin g
NOTES Beginning During Total During End
of Year Year Year of Year
Tax or Revenue Anticipation $ $ $ $
Budget
Capital
Bond
Anticipation
8
Total- Notes $ 8 8
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
$ 8 8 8
Total- Bonds XXXX XXXX :8 * 18 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)
Sou'£W-o -l) 8 $ , 0o7
District Total $ [ XXXXXXX 15
NOTE: Amount of 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 $ C3
THE DISTRICT IS GOVERNED BY: (Check one)
Town Board
Separate Board of Fire District Commissioners
CLAIMS PAYABLE
Amount of Unpaid Claims of District at End of Year $
CHAIRMAN OF THE BOARD:
0?7-0 6
Address ~ /Or]T"(' /7 (-/C. tO'-_, N'~
O
CERTIFICATE OF FIRE DISTRICT TREASURER
I, DOt~tq'l~) E' ~[g'l~EJ~L'l~t'~l,~-foherebycertifythatI amtheTreasurerof ~l~7'7 /7- gd("/~ (Please Print or Type)
Fire District located in the Town or Towns of: ~ C) ~J ~- 1-/- O/--J~ , -,
, County of '~ O /~/r-~(..)/_.~K~ , and that the foregoing statement of the receipts and
of such Fire District for the fiscal year ended December 31, 196/is true tq..the best of my knowled.ge, information and belief.
payments
Signature