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ANNUAL REPORT
OF THE
FIRE
D ISTR I CT TREASURER
IN THE
TOW~ Oa-~-~ ,,.~ O U THO L ~ .
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COUNTY OF .3 .u.C..F..o. ~ .~. .....
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FOR THE
This Report must be filed on or before March first.
The Fiscal Year is from January first to December thirty-first.
General M~nicipal Law - Section 30-31.
Town Law - Section 181
DIVISION OF MUNICIPAL AFFAIRS
COMPTROLL~.R' S OFFICE
RECEIPTS
~'REVEN~E RECEIPTS.-
Property Taxes:
town should be sho~n. )
ro.n of ~ o u w~ ~ ~ Z) $ ~-~-o.7o
Town of
?o~n of
Town of
Total Taxes ...........................................
(When district is located in more than one
town, the property taxes received from each
Other Revenue:
Fire Protection Services Rendered
Outside District ................... $
Refunds (Insurance, Etc.) ............
Ail Other (Itemize)l.~.r~.~.~.....
I,,l o. oo
Total Other Revenue (7) $. /'/T(' ~0
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Total Revenue Receipts ............................ (10) $~~,~ O
NON-REVENUERECEIPTS:
Notes Issued (9) $ ~
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Bonds Issued ........................... (8)
Total Non-Revenue Receipts ............................
TOTAL RECEIPTS ....................................
BALANCE AT BEGINNING OF YEAR (19~5)..
Iff 7E.~E$ r ~ ~ Account ......
Ct~IT~gA I~ES£1(~E iund ~ee~nt ...... / ~ Z~ 0.~, (~ 0
TOTAL BALANCE ..................................... (13)
TOTAL RECEIPTS AND BALANCE ........................ (l&)
· . ~, ,. ;;:, '..%
2
DISBURSEMENTS
CURRENT EXPEL~SES: Salaries and Wages .....................
Maintenance and Repair (Bldgs. Equip. )..
Light and Heat .........................
Insurance ..............................
Advertising ............................
Printing ...............................
Telephone ..............................
Premium on Treasurer's Bond ............
Dues Paid to New York State
Association of F~re Districts ........
Legal Fees .......... , ..................
Other Expenses (Specify) ...............
.... · ~..~m.~. ~:~. ~..~f~.~.~. .......
.... ../311.~ ¢,E.¢~.A'r,.'.g,--$ ............
$ /0-~.0 ,o o
~oo. 0o
7~. g3
Total Current Expenses (1) $
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CAPITAL OUTLAY:
Purchase of Apparatus
or E~m~,nt ......................... ~
Purchase or Erection of Buildings ......
Total Capital Outlay ........................... - ......... (2) $
DEBT SERVICE:
Payment of Notes - Principal ........... (3) $
Payment of Bonds - Principal ........... (3)
Interest on Notes and Bonds ............ (~)
BALANCE AT CLOSE OF YEAR (19~) .......... $
I I~-~/~E $7 ~l-er Account .........
C//Pr/'&L ~YEFund e~zmznt .........
Total Debt Service ...................................... $
TOTAL
TOTAL
GENERAL INFORMAT ION
Is the District governed by the Town Board or a separate Board of Fire District Corem1 ssioners?~P, $ F F/~ Co/v~
O'7'TO /..,.
- (.,'h~.irman of the Board
DETAILED STATEMENT OF INDEBTEDNESS
Notes (Principal Only): Outstanding Issued Redeemed Outstandingt
Types of Notes Beginning During Total During End of
of year Year Year Year
Bond Anticipation $ .......... $ .......... $ ......... $ ......... $ ..........
Capital ..................... ? ..........................
Budget ................................................
Tax Anticipation ................................................
Revenue Anticipation ................ , ........... ~ ....................
TOTAL - NOTES
Bonds (Principal Only): Year Interest Outstanding Issued Redeemed Outstanding
(Show Each Issue Separately by of Rate Beginning During During End of
Title and Purpose of Each) Issue ~ of Year Year Year Year
..................... $ .......... $ ......... ~ ......... $ ..........
.TOTAL - ~O~s ~,
TAX RATE AND ASSESSED VALUATI()N OF FIRE DISTRICT
(Valuation which was used for Spreading the Property Taxes Collected and Shown on Page 2)
Tax Rate
Per $1,000 ASsessed Valuation
Town of
Town of
Town of
Town of
'TOTAL - ASSESSED VALUATION
CERTIFICATE OF FIRE DISTRICT TREASURER
I_~{]~-~ ~ O/L~I~'~.,~L~' [/,~/do hereby certify that I am the Treasurer of
Print Name
Fire District 'located in the Town o~-$e~s of: ~ O ~ ~'~ O,g--~/
County of-~ {,~ ~' ~ 0 ~-year ~ and $~at the fo3~in~
District for the fiscal endin~,_ J~(~,
information~a~d belief.
Dated: ~~ ~_ ~ , 19~.
statement of the receipts and payments of such Fire
, 19,.~, is true to the best of my knowl~ed~e,