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Home My WebLink About1985 Supervisor's ReportRS- 9F a �[ '� UNITED STATES DEPARTMENT OF COMMERCE OMB No. 0607-0191 Bureau of the Census �� a♦J Washington, D.C. 20233 =T4rts Of r+ November, 1985 Your fife Copy Dear Local Government Official: The State and Local Fiscal Assistance Act of 1972 as amended (General Revenue Sharing) requires each local government which receives funds to submit certain information about its fiscal activities, including data on the expenditures of funds received through this program. The U.S. Department of the Treasury will be reporting to the Congress on the proposed and actual uses of revenue sharing funds by local governments in relation to their total budgets. On behalf of the Department of the Treasury, the Bureau of the Census is collect- ing the needed information. The information you supply, together with data pro- vided for your government by the New York State Comptroller's Office, will be used to meet the Treasury Department's reporting requirements for your govern- ment's fiscal year that ended between July 1, 1985 and June 30, 1986. Please complete this form and return the addressed copy in the same envelope to- gether with your completed Annual Financial Report. Please mail to: Mr. Jeffrey Madej Associate Examiner for Municipal Affairs Office of the State Comptroller Division of Municipal Affairs Bureau of Research and Statistics Alfred E. Smith State Office Building (loth floor) Albany, New York 12236 Retain the duplicate copy of this form for your records. If you have any questions, please call the Census Bureau at (301) 763-2772 for assistance. Sincerely, J`OHN R,COLEMAN Chief Governments Division Bureau of the Census Enclosures EXPENDITURES MADE FROM FEDERAL GENERAL REVENUE SHARING FUNDS ONLY (FISCAL 1986) Expenditures made from revenue sharing funds for any of the listed functions should be indicated on the appropriate lines below (OMIT CENTS). The expenditures reported should cover your government's fiscal year that ended between July 1, 1985 and June 30, 1986. CURRENT EXPENDITURES include salaries and wages, purchase of utilities and supplies, and all other expenditures exclusive of capital outlay. CAPITAL EXPENDITURES include purchase of e ucLipment, purchase of land, and construction. FEDERAL GENERAL REVENUE SHARING EXPENDITURES Function or COLUMN A COLUMN B purpose of PROPOSED (budgeted) Amounts ACTUALLY expended expenditure Revenue Sharing Expenditures from Revenue Sharing funds Current Capital Current Capital (1) (2) (3) (4) O11 " 01z 013 014 1. Fin. & general admin. 027 028 029 030 2. Education 035 036 037 038 3. Libraries 043 044 045 046 4. Welfare 051 052 053 054 5. Hospitals 059 060 061 062 6. Health 067 068 069 070 7. Roads /o� O 0 � o, � C'7 /0, C n 6 083 084 085 086 8. Police 091 092 093 094 9. Fire 099 100 101 102 10. Correction 107 108 109 110 11. Sewerage 115 116 117 118 12. Other sanitation 123 124 125 126 13. Parks and recreation 14. Utility systems - 147 148 149 150 SPECIFY TYPE -- 15. Interest on general 139 141 debt 16. Payment of principal 171 172 �-`-�`- on debt. I 17. All other 163 -.64 165 _ 166 CERTIFICATION - This is to'certify that the data contained in this report are accurate to the best of my knowledge and belief. Signature of offi-cial , lelephone Area Code Number l Extension Title - jDate j 7 % ?c1cf S�73.!5_ 1 F-21A or F-28A Assets Letter Form Approved OMB No. 41-R1529 'at,ENT OF C%, p� UNITED STATES DEPARTMENT OF COMMERCE Bureau of the Census Washington, D.C. 20233 �sr'Ares o1 November, 1985 Your File Copy Dear Local Government Official: The Bureau of the Census and the New York State Comptroller's Office are engaged in a cooperative finance data collection program, the purpose of which is to reduce the reporting burden of your government. As a result of this cooperation, your government will not be required to complete a Census Bureau form F-21A or F-28A for the 1986 fiscal year (your fiscal year that ends between July 1, 1985 and June 30, 1986) . Instead of completing an F-21A or F-28A form, we ask only that you supply us with the few numbers requested on the reverse side of this letter. The remainder of the finance data needed for your government will be obtained from your Annual Financial Report which will be furnished to the Census Bureau on computer tape by the New York State Comptroller's Office. Please complete this form and return the addressed copy in the same envelope together with your completed Annual Financial Report. Please mai 1 to: Mr. Jeffrey Madej Associate Examiner for Municipal Affairs Office of the State Comptroller Division of Municipal Affairs Bureau of Research and Statistics Alfred E. Smith State Office Building (loth floor) Albany, New York 12236 Retain the duplicate copy of this form for your records. If you have any questions, please call the Census Bureau at (301) 763-2772 for assistance. Sincerely, L �01OHN R.COLEMAN Chief Governments Division Bureau of the Census Enclosures CASH AND INVESTMENT ASSETS AT END OF FISCAL YEAR Please report below cash on hand and on deposit and also investments (at par value) held by funds of your government at the end of fiscal 198E (your government's fiscal year that ended between July 1, 1985 and June 30, 1986). Report cash and investments held in sinking funds, bond funds, and all other funds (except employee retirement funds and trust and agency funds). Sinking funds are reserves held specifically for redemption of long-term debt of your government (including utility, revenue, and special assessment bonds, as well as general obligations). Report in Column (b), under bond funds, all unexpended proceeds of bond issues that were being held at the end of the fiscal year, pending their disbursement. Cash includes cash in checking accounts, on hand, C.D.'s, time deposits, petty cash and cash with a fiscal agent. Exclude receivables, amounts due from other funds or governments, fixed assets and customers' deposits. Investments consist of stocks and bonds, debentures, money market investments, warrants, mortgages, and other credit instruments. Amount at end of fiscal year - OMIT CENTS Held in SINKING Held in BOND Held in ALL OTHER FUNDS Type of asset FUNDS, as de- FUNDS, as de- except for any employee - fined above fined above retirement or trust and agency fund a) (b) (c W01 W31 W61 1. Cash and deposits - cash on hand and demand, C.D.'s and time or savings deposits. 2. Federal securities - obligations of U.S. Treasury (including short-term notes) and Federal Financing Bank. 3. Federal agency securities - obligations of government owned agencies comprising CCC, Export -Import Bank, FHA, GNMA, Postal Service, and TVA. 4. State and local government securities. 5. Other securities - bonds, notes, mortgages, etc., not included in the foregoing classes. In- clude the following privately financed former Federal agencies: FHLB, FLB, FNMA, banks for cooperatives, and Federal intermediate credit banks. Exclude amounts re- ceivable, value of real pro- perty, and any other non - security assets. W10 W40 W70 W13 W43 W73 W15 W45 W75 W24 W54 W84 CERTIFICATE OF CHIEF FISCAL OFFICER j?I 5j yam, certify that I am the Chief Fiscal Officer of the of the (Please Print) (Type of Municipality) (Name of Municipality) and that this report, to the best of my knowledge, information and belief, is a true and correct statement of the financial transactions and fiscal condition of the Municipality for the fiscal year ended �, 19 Signature Off" ial Address Yo it d Title Date Office Telephone Number e 7- F 9 Q ****k*:hhk*4A/.A4k***k*:k****4r7hkAAA 4/a/e%Ae/:**hAAk4A*AAehAAAA.AhhAA.A.AAAAt/.A/.*:k'* *4AA.A.A/.A/6AhA/.AA!.A AhAA/:AAAA/✓khk1.1./,hh/tAkhh!,l IF YOU HAVE QUESTIONS RELATING TO THE ANNUAL FINANCIAL REPORT, PLEASE CALL ALBANY: 518/474-4014 PLEASE MAIL REPORT TO: STATE OF NEW YORK OFFICE OF THE STATE COMPTROLLER DIVISION OF MUNICIPAL AFFAIRS BUREAU OF MUNICIPAL RESEARCH AND STATISTICS ALFRED E. SMITH STATE OFFICE BUILDING (loth Floor) ALBANY, NEW YORK 12236 ATTENTION: JEFFREY MADEJ 2 - 14 INDEBTEDENESS BY PURPOSE FOR CAPITAL NOTES AND BOND ANTICIPATION NOTES EDPCODE BREAKDOWN OF OUTSTANDING BALANCE BY PURPOSE State Tax Exempt Comptroller Revenue Increment From Use Only General Water Sewer Highway Producing Financing Debt Limit A F G D C M *IF ISSUE IS EXEMPT FROM DEBT LIMIT WRITE "YES", IF NOT EXEMPT WRITE "NO". Date of Issue or Latest Renewal* Montt. / Year 1 - 5 SERVICE AREA EDP CODE General Government 9Z01 Support Education 9Z02 Police 9Z03 Fire 9Z04 Other Public Safety 9Z05 Health 9Z06 Highway 9Z07 Other Transportation 9Z08 Social Services 9Z09 Other Economic Assistance 9Z10 and Opportunity Culture and Recreation 9Z11 Sewer 9Z12 Water 9Z13 Other Home and Community 9Z14 9Z 9Z TOTAL INDEBTEDNESS BY PURPOSE REDEMPTIONS OF SERIAL AND STATUTORY BONDS, BOND ANTICIPATION NOTES AND CAPITAL NOTES DEBT SERVICE EXPENDITURES (.6 and .7) SERIAL AND STATUTORY BONDS BOND ANTICIPATION NOTES* CAPITAL NOTES Principal Interest Principal Interest Principal Interest P I P I P I NOTE: The Total of the amount of debt principal as reported above for Bonds, Bond Anticipation and Capital Notes should agree with the amounts reported as debt principal redemptions within the operating funds. *DO NOT INCLUDE BAN REDEMPTIONS FROM BOND PROCEEDS 1 - 6 Claims Pending - Beginning of Year Plus: Notices Filed During the Year Less: - Claims disposed of during the year prior to commencement of court action: ° By Locality ° By Insurance Carrier - Claims disposed of during the year after commencement of court action: ° By Locality ° By Insurance Carrier ° By Judgment ° Other ( ) Equals: NOTICES OF TORT CLAIMS FOR THE FISCAL YEAR ENDING 1.9 NUMBER OF CLAIMS AMOUNT OF CLAIMS EDP CODE NUMBER EDP CODE AMOUNT 9ZTR10 9ZTR11 9ZTR20 9ZTR21 AMOUNT PAID ON CLAIMS EDP CODE AMOUNT 9ZTR30 9ZTR31 9ZTR32 9ZTR40 9ZTR41 9ZTR42 9ZTR50 9ZTR51 9ZTR52 9ZTR60 9ZTR61 9ZTR62 9ZTR70 9ZTR71 9ZTR72 9ZTR80 9ZTR81 9ZTR82 Claims Pending - End of Year 9ZTR90 9ZTR91 AUTHORIZATION Article 4, Section 50-f of the General Municipal Law 113. a. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereof, in summary, to the governing board of such municipal corporation or of such authority or commission and shall file a copy thereof in the office of the state comptroller within sixty days after the close of the fiscal year of such municipal corporation or of such authority or commission. A municipal corporation, authority or commission required by section thirty of the general municipal law to file an annual report of its financial condition with the state comptroller shall file the report required by this subsection with such financial report." Report Prepared by: Name Address Title Date Note: It is not necessary to furnish any additional information or details of the above claims.or notices of claims. If there were no notices of Tort Claims filed or disposed of, please state "NONE" and return this report with the Annual Financial Report. 2 - 13 REAL PROPERTY TAX LEVY AND RELATED INFORMATION (WESTCHESTER COUNTY TOWNS) CURRENT YEAR TAX LEVY AND COLLECTIONS Taxes on Roll (County and Town Purposes) Add: Relevied Taxes - School - Village Add: Other - Total Taxes and Other Items on Warrant Deduct Cancellations Add: Accrued Interest, Penalties, Advertising and Other charges (added after return of warrant) Total Taxes and Other Items To be Collected Deduct Total Taxes and Other Itees Actually Collected Uncollected Taxes and Other Items EDPCODE 9ZTCP . Tax Collection Performance (A divided by B) (nearest hundredth %) ANALYSIS OF UNCOLLECTED TAXES AND OTHER ITEMS - BY YEAR A300 A320 A330 TAXES RECEIVABLE TAX SALE PROPERTY ACQUIRED PENDING CERTIFICATES FOR TAXES Current Year 19_ $ $ $ Prior Years: TOTAL 19 $ *These amounts should agree. A OTHER TOTAL 2 - 12 SCHEDULE OF TIME DEPOSITS AND INVESTMENTS MARKET VALUE BOOK VALUE (COST) AT BALANCE SHEET DATE COLLATERAL LOCATION OF OTHER THAN RESERVE FUNDS: EDP CODE AMOUNT EDP CODE AMOUNT EDP CODE AMOUNT SECURITY A B C Cash in Time Deposits (201) 9Z 2011 ^^77 $ 7 '/. ft-5 Investments: Securities (450) 9Z 4501 9Z 4502 9Z 4503 U U U Repurchase Agreements (451) 9Z 4511 9Z 4512 $ 9Z 4513 $ L-i U RESERVE FUNDS: Cash in Time Deposits (232) 9Z 2321 p Investments: Securities (452) 9Z 4521 9Z 4522 9Z 4523 �J�J U Repurchase Agreements (453) 9Z 4531 9Z 4532 9Z 4533 LEGEND Cash in Time Deposits - To include all interest bearing accounts, ie. savings, now, super now, money market accounts, and certificates of deposit. Securities - Federal government and its agencies, state or local governments. Repurchase Agreements - Securities purchased under agreement(s) to resell. Collateral - Insurance (FDIC, etc.) and securities. A - Security in possession of municipality. B - Security held by third party custodial bank. C - Security held by trading partner. 2 - 11 SCHEDULE OF FEDERAL ASSISTANCE PROGRAMS FEDERAL FUNDING AGENCY EDP CODE TOTAL PROGRAM RECEIPTS PROGRAM DESCRIPTION D FEDERAL OTHER I 1 2 DEPARTMENT OF EDUCATION Cont. Migrant Education 84011 Handicapped School Program 84027 Public Library Service 84034 Inter Library Cooperation 84035 School Assistance - Construction 84040 School Assist Impact/Dis 84041 Vocational Education - Basic 84048 Vocational Education - Program Improvement 84050 Student Incentive Grant 84069 Rehabilitation Service - Basic 84126 Transition Program - Refuge 84146 Education - Chapter 2 84151 Library Service Construction 84154 TOTAL PROGRAM EXPENDITURES FEDERAL OTHER 3 4 2 - 8 SCHEDULE OF FEDERAL ASSISTANCE PROGRAMS FEDERAL FUNDING AGENCY EDP CODE TOTAL PROGRAM RECEIPTS PROGRAM DESCRIPTION D FEDERAL OTHER I 1 2 DEPARTMENT OF TRANSPORTATION Airport Development Aid 20102 Highway Restoration Plan Const 20205 UMTA - Capital Improvement 20500 UMTA - Capital and Operational Assistance 20507 Highway Safety Program 20600 DEPARTMENT OF THE TREASURY General Revenue Sharing 21300 ENVIRONMENTAL PROTECTION AGENCY Air Pollution Control 66001 Watewater Treatment Work 66418 Construction Management Assistance 66438 DEPARTMENT OF ENERGY Weatherization Assistance 81042 Energy Conservation 81052 FEDERAL EMERGENCY MANAGEMENT AGENCY Disaster Assistance Program 83516 DEPARTMENT OF EDUCATION Adult Education 84002 Bilingual Education 84003 Education - Chapter 1 84010 TOTAL PROGRAM EXPENDITURES FEDERAL OTHER 3 4 2 - 7 SCHEDULE OF FEDERAL ASSISTANCE PROGRAMS FEDERAL FUNDING AGENCY EDP CODE TOTAL PROGRAM RECEIPTS PROGRAM DESCRIPTION D FEDERAL OTHER I 1 2 DEPARTMENT OF HEALTH & HUMAN SERVICES Cont. Preventive Health BG 13991 Alcohol & Drug BG 13992 Primary Care BG 13993 Mat & Child Health BG 13994 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Public Housing Assistance 14146 Section 8 Existing Housing 14156 Public Housing - Comm 14158 Community Development BG Entitlement 14218 Community Development BG City 14219 Urban Development Action Grant 14221 DEPARTMENT OF THE INTERIOR Fish Restoration 15605 Wildlife Recreation 15611 Land & Water Conservation 15916 DEPARTMENT OF JUSTICE Juvenille Delinquent Prevention 16540 DEPARTMENT OF LABOR Employment Service 17207 Unemployment Insurance 17225 Compensation Employment Training Act 17232 Senior Comm Service Employment 17235 Job Training Partnership Act 17246 TOTAL PROGRAM EXPENDITURES FEDERAL OTHER 3 4 2 - 6 FEDERAL FUNDING AGENCY PROGRAM DESCRIPTION DEPARTMENT OF AGRICULTURE Rural Rental Housing Loans Waste Water Disposal System Business Industrial Loans Commercial Facilities Loan Food Distribution Food Stamp Program National School Breakfast National School Lunch Food - Women Infants Children Child Care Food Program DEPARTMENT OF COMMERCE Economic Development - Public Works Facility DEPARTMENT OF HEALTH AND HUMAN SERVICES Head Start Aging - Title III Part A & B Aging - Title III Part C Work Incentive Program Community Services BG Social Services BG Child Support Enforcement Title IV-D Medicaid Assistance Title XIX Aid Families - Dependent Children Home Energy Assistance BG SCHEDULE OF FEDERAL ASSISTANCE PROGRAMS EDP CODE D I 10415 10418 10422 10423 10550 10551 10553 10555 10557 10558 11300 13600 13633 13635 13646 13665 13667 13679 13714 13808 13818 TOTAL PROGRAM RECEIPTS FEDERAL OTHER 1 2 TOTAL PROGRAM EXPENDITURES FEDERAL OTHER 3 4 2 - 5 Audit Covera&e (Concluded) Type of Component Unit or Activity EDP Code Response - Activities Municipal Hospital 9ZA502 Health Related Facility or Infirmary 9ZA582 Other (Please List By Name): 2 - 4 Audit Coverage (Continued) 3. ' For each component unit and/or activity included within your municipal reporting entity (see table below for examples), please indicate below if it was audited; and if so, the scope of such audit using the following coding scheme: AUDIT SCOPE CODE Financial Only 1 Financial and Compliance Audit of Federal Programs: ° As Required to Satisfy "Single Audit" Requirements 2 • As Required to Satisfy Federal "A-10" Audit Requirements 3 for public higher educational, hospital and other non- profit organizations ° Not Audited 4 Type of Component Unit or Activity EDP Code - Component Unit Authorities: Port 9ZC203 Water 9ZC213 Sewer 9ZC223 Bridge 9ZC233 Solid Waste and Disposal 9ZC243 Parking 9ZC253 Light, Heating and Power 9ZC263 Transportation 9ZC273 Housing 9ZC413 Sports Center 9ZC293 Community College 9ZC323 Soil and Water Conservation 9ZC593 Urban Renewal Agency 9ZC423 Community Development Agency 9ZC533 Libraries 9ZC343 Other (Please Specify): Response 2 - 3 *Audit Coverage Survey * 1. Will or have the combined financial statements for your locality been audited by an independent auditor (public accountant or certified public accountant) other than the Office of the State Comptroller? Enter 1 if yes, 2 if no. EDP CODE RESPONSE 9ZACO If the answer to question 1 above is yes, please indicate the following information for the principal auditor: FOR STATE COMPTROLLER'S USE ONLY INDEPENDENT Description Required Information EDP CODE AUDITOR CODE Name of Oversite Unit Name of Auditing Firm Address of Auditing Firm: Street City State Zip Code Name of Contact Person Within Auditing Firm Telephone Number 9ZIAC 2. If the answer to question 1 above is yes, will the audit satisfy the financial, internal control and compliance requirements of the Single Audit Act of 1984? Enter 1 if yes, 2 if no. EDP CODE RESPONSE 9ZC01 2 - 2 * AUDIT SURVEY * If a local government receives federal assistance equal to or greater than $100,000 in any fiscal year, a single financial and compliance audit must be performed. If a local government receives between $25,000 and $100,000, the local government has the option of doing a single audit or complying with applicable financial or compliance audit requirements for each federal grant. Federal assistance may take the form of grants, contracts, loans, loan guarantees, property, cooperative agreements, interest subsidies, insurance, etc. received directly from the federal government or indirectly through the state or any other governmental unit. In order that we may schedule audits to be conducted by the Office of the State Comptroller, Division of Municipal Affairs, and to insure audit coverage as required by the federal government, please complete the audit survey on the following pages. Based on the information obtained from this survey, the OSC will notify you if your jurisdiction is on our audit schedule. 2 - 1 Amount of Principal Redeemed in or to be Redeemed in Fiscal Year Ending in PLEASE INSERT YEARS LAST TWO DIGITS ONLY EDPCODE Total MATURITY SCHEDULE BONDS ISSUED DURING THE YEAR 1 - 8 MATURITY SCHEDULE BONDS ISSUED DURING THE YEAR EDPCODE PURPOSE OF ISSUE For State Comptroller Use Only CE TOTAL PRINCIPAL PR DATE OF ISSUE* DT INTEREST RATE (In Decimals) PC MONTH, DAY and YEAR OF FINAL MATURITY DM Amount of Principal Redeemed in or to be Redeemed in Fiscal Year Ending in (PLEASE INSERT YEARS LAST TWO DIGITS ONLY) Continue on Reverse Side *PLEASE INSERT SIX DIGITS, FOR EXAMPLE, JANUARY 1, 1985, SHOULD BE SHOWN AS 01/01/85. NOTE: If two or more purposes are combined in a consolidated issue, show the maturity schedule for each purpose. 1 - 7 List by Purpose Bonds: STATEMENT OF INDEBTEDNESS INDEBTEDNESS NOT EXEMPT FROM CONSTITUTIONAL DEBT LIMIT Month Current Outstanding Do Not Include Renewals Here EDPCODE and Interest Beginning of Issued During Paid During Year* Rate Fiscal Year Fiscal Year Fiscal Year T P 1 3 5 (Complete Page 1 - 7 for each issue listed below) Outstanding Final End of Maturity Fiscal Year Date 7 Total Bonds 877 State or Authority Loans 879 TOTAL OF ALL INDEBTEDNESS Please note callable features of bond issues and any reserve funds available to pay debt (include also in the Notes to Financial Statements). **ON NEW ISSUES, PLEASE INSERT NEW ISSUE DATE. ON RENEWAL, PLEASE INSERT LATEST RENEWAL DATE. PLEASE INSERT 4 DIGITS, IE. JANUARY 1985 WOULD BE O1/85. 1 - 4 List Separately by Date of Issue Capital Notes EDPCODE Total Capital Notes 875 Bond Anticipation Notes: V I h, C, rlr�� 1-lL 1 STATEMENT OF INDEBTEDNESS INDEBTEDNESS NOT EXEMPT FROM CONSTITUTIONAL DEBT LIMIT Month Current Outstanding Do Not Include Renewals Here Outstanding Final and Interest Beginning of Issued During Paid During End of Maturity Year* Rate Fiscal Year Fiscal Year Fiscal Year Fiscal Year Date T P 1 3 5 7 , (Complete Page 1 - 5 for each issue listed below) / (Complete Page 1 - 5 for each issue listed below) 67 Q Total Bond Anticipation Notes 876 / ** **BANS Redeemed From Bond Proceeds 888 *ON NEW ISSUES, PLEASE INSERT NEW ISSUE DATE. ON RENEWAL, PLEASE INSERT LATEST RENEWAL DATE. PLEASE INSERT 4 DIGITS, IE. JANUARY 1985 WOULD BE 01/85. 1 - 3 STATEMENT OF INDEBTEDNESS WATER AND OTHER PURPOSES EXEMPT FROM CONSTITUTIONAL DEBT LIMIT Month Current Outstanding Do Not Include Renewals Here List Separately by Date of Issue EDPCODE and Interest Beginning of Issued During Paid During Year* Rate Fiscal Year Fiscal Year Fiscal Year T P 1 3 5 Bond Anticipation Notes: (Complete Pale 1 - 5 for each issue listed below) Y / Y / Y / Y / Y / Y / Y / Total Bond Anticipation Notes 866 ** **Bans Redeemed From Bond Proceeds 888 Bonds (List by purpose) (Complete Page 1 - 7 for each issue listed below) Outstanding Final End of Maturity Fiscal Year Date 7 Total Bonds 867 / Authority Loans 869 *ON NEW ISSUES, PLEASE INSERT NEW ISSUE DATE. ON RENEWAL, PLEASE INSERT LATEST RENEWAL DATE. PLEASE INSERT 4 DIGITS, IE. JANUARY 1985 WOULD BE 01/85. 1 - 2 (-List Separately by Date of Issue Tax Anticipation Notes: Total Tax Anticipation Notes Revenue Anticipation Notes: Total Revenue Anticipation Notes Budget Notes: Total Budget Notes Urban Renewal Notes Total Urban Renewal Notes Capital Notes: STATEMENT OF INDEBTEDNESS WATER AND OTHER PURPOSES EXEMPT FROM CONSTITUTIONAL DgBT LIMIT Month Current Outstanding Do Not Include Renewals Here Outstanding Final EDPCODE and Interest Beginning of Issued During Paid During End of Maturity Year* Rate Fiscal Year Fiscal Year Fiscal Year Fiscal Year Date T P 1 3 5 7 861 862 863 864 (Complete Page 1 - 5 for each issue listed below) X / X / X / Total Capital Notes 865 *ON NEW ISSUES, PLEASE INSERT NEW ISSUE DATE. ON RENEWAL, PLEASE INSERT LATEST RENEWAL DATE. PLEASE INSERT 4 DIGITS, IE. JANUARY 1985 WOULD BE 01/85. 1 - 1 BANK BALANCES (Identify bank balances with funds by listing the applicable code letters) NAME AND LOCATION OF BANK -HeJ SaV�NRs Yi ► r� y S FUND BANK LESS CODE BALANCE OUTSTANDING CHECKS $ nCF" ,�- 9, ,7 / /Y q3 /,r/, n o —6�z% 338, %/ J�LA Add:Petty Cash Fund(s) Adjustments TOTAL ADJUSTED BANK BALANCE AND PETTY CASH S , -2 6 Q , 5-3 ADD ADJUSTED CASH ON HAND BANK BALANCE $ $3: 3U f 7, 9-S' 3//1 lei 9 -713- X: eJ.1 7. / a--V-v, , ;Z 73. 2 7 -5] 7 $ 77. %/ $ `yY 343- , .s-i S / :7 s (Please specify) NOTE: The Office of the State Comptroller may confirm bank balances directly with the bank. /0 L1, 610 $ `74�.5; //Q d Coll ) �/ %/Gl�! r�� / gel' /1 4 O �4Y1 2 - 10 BANK RECONCILIATION CASH BY FUNDS, PER BALANCE SHEETS (Include Petty Cash) FROM A General Fund - Townwide B General Fund - Part Town DA Highway Fund - Townwide DB Highway Fund - Part Town CD Special Grant Fund (Formerly: Community Development Fund) CF Federal Revenue Sharing Fund F Water Fund G Sewer Fund L Public Library Fund C Special Revenue Fund SL Lighting District Fund SW Water District Fund SF Fire Protection District Fund SS Sewer District Fund SD Drainage District Fund SR Refuse and Garbage District Fund SP Park District Fund ST Public Parking District Fund SM District Fund V Debt Service Fund H Capital Projects Fund P Special Assessment Fund E Enterprise Fund M Internal Service Fund T Trust and Agency Fund TOTAL - ALL FUNDS 11 *This amount should agree with the Total Adjusted Bank Balance and Petty Cash. TOTAL CASH i '% o '7. '7 .4/ `7 q /7 $ 7/ .s�� 2 - 9 Claims Pendin}; lk(- inninf� of Yenr PI lis - Notices Filed lour inp tho Verb less. Claims disposed of during the year prior to co miticncc,ment of court action: ° By Locality, ° By Tnsiirnnt-c Carr i e►- Claims disposed of during the year after commencement of court action: By Locality By insurance C;irrier ° By Judgment ° Other ( ) NO'CICES OF TORT C1,A 1 MS FUR THE' FISCAL YEAR ENDTNG 19 DUMBER OF CI.A I MS AMOUNT OF CLAIMS EDP CODE NUMBER EDP CODE AMOUNT 9ZTR10 9ZTR11 G 91TR20 /Y6)A/ F 9ZT121 e AM01INT PA 1I) ON CLAIMS EDP COHE, AMOUNT 9ZTR30 NAl 9ZTR31 a 9Z'IR32 0 9ZTR40 1) 9ZTR41 G 9Z I'P.42 0 9ZTR50 %V Q AIF, 9ZTR51 6 9ZTR52 Q 9ZTR60 AfA91( 9ZTR61 a 9ZTR62 O 9ZTR70 9ZTR71. p 9ZTR72 e 9ZTR80 Aliff 9ZTR81 Q. 9ZTP82 0 Equals: Claims Pending -- i'nd of- Year 97.TR90 N5 9ZTR91 O AUTHORIZATION Article 4, Section 50-f of the Ceneral Municipal Law 113. a. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereof, in summarv, to the governing board of such municipal corporation or of such authority or commission and shall file a copy thereof in the office of the state comptroller within sixty days after the close of the fiscal year of such municipal corporation or of such authority or commission. A municipal corporation, authority or commission required by section thirty of the general municipal law to file an annual report of its financial condition with the state comptroller shall file the report required by this subsection with such financial report." Report Prepared by: Name Address v Title Date Note: It is not necessary to furnish any additional information or details of the above claims or notices of claims. If there were no notices of 'fort Claims filed or disposed of, please state "NONE" and return this report- with the Annual Financial Report. 0 A104UAL Hcr'UH [ Ur 1w i +L CJ Ur 1 Litt 1 LL.AIM FISCAL YEAR ENDING 191Y -� �-� COUNTY t ( Name o' MwLicipati ty) L Number Amount Amount Paid f of of on a Claims Claims Claim* o I Claims Pending at Beginning of Year M v-» XXXX 2 Notices of Claims Filed Outing Year to it XXXX NUMBER NUMBER TOTAL -n XXXX Claims Disposed of During Year Prior to Commencement of Court Action: 4a By Municipality f $ 4b By Insurance Carrier n Claims Disposed of During Year After Commencement of Court Action: So By Municipality r Sb By Insurance Carrier C 5c By Judgment hL*YNf-. Other (explain) 6 a C-^ f_- 6 b 1, w, r. 7 TOTAL CLAIMS DISPOSED OF DURING YEAR 8 Claims Pending at End of Year (Line 3 minus Line 7) �1�r AUTHORIZATION Article 4, Section 50-f of the General Municipal Law "xxx. 3. a. Each officer charged with the duty of making and keeping the record of claims shall make an annual report thereof, in summary, to the governing board of such municipal corporation or of such authority or commission and shall file a copy thereof in the office of the state comptroller within sixty do -As after the close of the fiscal year of such municipal corporation or of such authority or commission. A municipal corporation, authority or commission required by section thirty of the general municipal low to file on annual report of its finan- cial condition with the state comptroller shall file the report required by this subsection with such financial report. xxx��. Dated: Report Prepared by: memo Title 7&17 Address Note: It is not necessary to furnish any additional information or details of the above claims or notices of claims. If there were no notices of Tort Claims filed or disposed of, please state "NONE" and return this report with the Annual financial Report. OFFICE OF THE STATE COMPTROLLER DIVISION OF MUNICIPAL AFFAIRS ALBANY, NEW YORK 12236