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~ ~ -- ~ ~ O.M.B. No. 1505-0022: Approval Expires December 31, 198,2
<br />
<br /> ¢ .~, .~ FoRMRS-gC U.S. DEP^~T~ENTO~CO~ERC£
<br /> Please provide data for your fiscal year lhat
<br /> ended between July 1, ]980 and June 30, 1981.1981 SURVEY OF LOCAL GOVERNMENT FINANCES
<br /> Mark (X) applopriate box to indicate ending MUNICIPALITIES, COUNTIES, AND TOWNSHIPS
<br /> date of your governmenl's fiscal year (12- In correspondence pertaining to this reporl, please refer
<br /> month accounting period/and report data for to the Census File Number above )'our address.
<br /> this period only. Use the fiscal year called
<br /> for by this instruction even though a more
<br /> recent one may be available.
<br /> ~80 zsa! 24 2 002 903 I O0 10093
<br /> [~ July [~ January RA~SEY CZTY /
<br /> [~] August [] February C ! T Y C L E R K- T R E A S U R E R
<br /> [~October [~April 15153 NOWTHEN OLVD NW /
<br /> ~November []May ANOKA F~INN 55303
<br /> ~)~ December [] June
<br /> Bureau of the Census
<br /> RETURN 1201 East Tenth Street
<br /> Jeffers,onviller lndia.n,a 47132 (Please correct any error in name and address Including ZIP cod,..e?_..
<br /> ~EtiSJJS IN OUT J'"
<br /> USE
<br /> I
<br /> ONLY
<br />
<br /> BASIC INSTRUCTIONS AND SUGGESTIONS
<br /> Before filling out this form please read carefully each part and all tax withholdings_);, lc) transfers of amounts between funds,
<br /> related definitions, as well as any supplementary reporting departments, or agencies of your government; and(d) receipts from
<br /> instructions that may be enclosed for your State. sale of investments and payments for purchase of investments.
<br /> Report all applicable revenue items listed, as well as all expendio The Bureau of the Census uses a separate questionnaire to collect
<br /> lures of your government and its agencies. Include the trans- pension fund information. Therefore, exclude all pension-related
<br /> actions of all funds - general fund, street and road funds, bond activities of your government except government contributions to
<br /> and interest funds, special assessment funds, utility funds, and a State retirement system or to the Federal Social Security
<br /> all other special and trust funds. (Exclude private trusts.) System (report in part IIA).
<br /> Certain receipts and payments are not defined by the Bureau of the Please complete all parts of the form. Spaces for any items which
<br /> Census as revenues and expenditures, and should not be so do not apply to your government should be marked with a dash,
<br /> reported. These are: (ap refunds of revenues or expenditures; or the word "None," please do not merely leave them blank. Do
<br /> (13) moneys collected by your government acting only as a£ent for not delay reporting to await finally audited figures if substan-
<br /> the State or other £ovemments (e.£., social security and income t_ially accurate figures can be su,6plied on a preliminary basis.
<br />
<br />Part I REVENUE - Other than tax arid Intecgovert~rnental revenues ...... ', ' : .. '
<br />
<br /> Enter below amounts of the stated types of revenue (net of refunds and tnterfund transfers) received by your government during the fiscal
<br /> year. Be sure to include revenue of ali funds other than the exceptions noted In the Instructions above.
<br />I. Utility sales revenue - Gross receipts of any water, electric, gas, or transit systems operated by your gover, n-.~ Amount - Omit cents
<br />merit from utility sales and charges. Exclude any amounts paid to such utilities by the parentgovemments. A~
<br />a. Water supply system ............. . .............. . ~ ........... T: ...... ---
<br />b. Electric power syslem ................
<br />c. Gas supply system .....
<br /> A94
<br />~I. Transit or bus system .~ '-. ' - .' ---
<br />2. Other sales and service revenue - Gross receipls from sales, rentals, maintenance assessments, and other A8S
<br />charges for municipal services, aside from utility receipts (carried in item 1.) and exclusive of amounts. ·
<br />· .. 22,117
<br />received from other governments ....... .- ~
<br />3. Miscellaneous other revenue - Revenue of your government and its agencies not covered by items above, except tax and inter-
<br />governmental revenues. Include fines and forleits, interest earnings, donations from private sources, insurance adjustments, etc.
<br />Do not include: (1) proceeds from borrowing, (2) receipts from sale of security holdings, (3) transfers between funds or agencies
<br />of your government, or (4) employee's conlributions lo, and interest earnings of, any employee pension fund..
<br /> Spec/fy major Item. s.) ............ ,
<br /> F'~nes & P'enalt'~es ll ,334 ..... : .... :: :. _'T=::,::' :-'_:' '.7:_': .... :.7. _,~':.,-- - Amount-Omrtcenl=
<br /> (~)Spec'~al Assessments 805~'Z30~ Licenses & Permfts 46~545 863~109
<br /> (bp Interest 168,848, Charges for services 7,502, Other 14,485 190,835
<br /> (c) Total I'Sum e~ ,nos ~s,~ ~nd ~'~,)) ~ ,053,944
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