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Home My WebLink AboutReport of Firemen Relief Funds 2005 REPORT OF FIREMEN RELIEF FUNDS, 2005 Receipts New York State Insurance Fund (City) $ 74,991.77 New York State Insurance Fund (Town) $ 17,186.65 Interest- Super Savings $ 512.82 Total Receipts $ 92,691.24 Disbursements Treasurer, Vet Volunteer Firemen $ 46,140.21 Volunteer Fire Companies $ 46,483.52 Payments to Firemen $ - Total Disbursements $ 92,623.73 Reconciliation Cash in Banks, January 1, 2005 $ 90,340.75 Receipts $ 92,691.24 Disbursements $ 92,623.73 Cash in Banks, December 31, 2004 $ 90,408.26 Deposited as Follows Firemen's Relief Fund, Fleet Checking $ 11,577.23 Firemen's Relief Fund, TTC Super Savings $ 78,831.03 $ 90,408.26 Form W-9 Request for Taxpayer Give this form (Rev. December 2000) Identification Number and Certification to the requestor. Do Department of the Treasury NOT send to IRS. Internal Revenue Service 1,13me(it a lo,nt account or you changed your name,see Specitic instructions on page 2 of e IRS Form ,available upon reques BOARD OF FIRE COMMISSIONERS 07/30/1975 Address Inumber and street) List account number(s)here(optional) City,state,and ZIP code Revised Sig. Card _ 0267010001 DDA Part I Tax a or Identification Number Part 11 For Payees Exempt nter your (n t e appropriate box. For individuals,this is your social Social security From Backup security number(SSN).However,if you are a resident alien OR a sole number proprietor,see the instructions on page 2 of the IRS W-9 Form,available Withholding upon request.For other entities,it is your employer identification number (See Instructions) (EIN).If you do not have a number,see How to get a TIN on page 2 of the OR IRS Form W-9,available upon request.Note:If the account is in more than Employer one name,see the chart on page 2 of the IRS Form W-9 for guidelines on identification number Request..s name and address(optional) whose number to enter,available upon request. 15-6 00 0407 Certification. -Under penalties of perjury,I certify that: (1)The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and(2)I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding.(3)I am a U.S.person(including a U.S. resident alien). Certification Instructions-You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions,item 2 does not apply. For mortgage interest aid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrange tr nt(IRA)and generally,payments other than interest and dividends,you are not required tolign the Certification ut you must provide your correct TIN.(See instructions on page 2 of the IRS Form W-9,available u n re uest) ease sign here Signature f LG ..v. ...__.— Date > _21 COMMERCIAL Signature Card ACCOUNT NO. DATE OPENED OPENED BY CHEX # BR # 0267010001 07/30/1975 Patsy Krueger 01 00839 Rpvi Rpa Ri(7 Card DDA/000 ACCOUNT TITLE SIGNER IDENTIFICATION BOARD OF FIRE COMMISSIONERS FIREMEN'S RELIEF FUND 7 n TAX ID#: 15-6000407 �.8IGNAIPAP TAX ID# CHEX# 1 2. - - -4 A, __ By sig l this card 1 certify that all statements true and complete and authorize you to make any inquiries you deem necessary in process`ng this account or in collection of an edit extended. Any credit investigation and information furnished by any person, organization,or reporting agency to you now or in the future in connection with periodic reviews,updates and collection activity relating to this agreement or in connection with any credit whether or not requested by me is hereby authorized,whether approved or not,and this information is to remain your property.I/we agree to the rules and regulations and to the disclosure of information for the account opened(a copy of which I received)and in such amendments as they be made pertaining to the account. COMMENTS COMMERCIAL Signature Card i ACCOUNT NO, DATE OPENED OPENED BY CHEX # BR # 0267010001 07/30/1975 Patsy Krueger 01 00839 Revised Sig. Card ACCOUNT TITLE SIGNER IDENTIFICATION BOARD OF FIRE COMMISSIONERS FIREMEN'S RELIEF FUND /^ TAX ID#• 15-6000407 TTJR TAX ID# CHEX# 1. r 2. 3. l' L -�� By sign this card f certify that all statements true and complete and authorize you to make an p y y inquiries you deem necessary in proce, ng this account or in collection of an c it extended. Any credit investigation and information furnished by any person,