Affidavit and Revenue Certification. (City), Louisiana

Transcription

1 Affidavit and Revenue Certification ENTITY NAME (City), Louisiana ANNUAL SWORN FINANCIAL STATEMENTS AND CERTIFICATION OF REVENUES $50,000 OR LESS (if applicable) j^o NOT <- (Xerox nt copies fro oop> ^r>j The annual sworn financial statements are required by Louisiana Revised Statute 24:514 to be filed with the Legislative Auditor within 90 days after the close of the fiscal year. The certification of revenues $50,000 or less, if applicable, is required by Louisiana Revised Statute 24:513(l)(1)(c)(i). Perso/ally cameand appeared before the undersigned authority, (name), who, duly sworn, deposes and says that financi.herewith piven present fairly the financial ^ (entity name) as. an <J the results of operations for the year then ended, in accordance with the basis of accounting described within the accompanying financial statements. (Complete i In addition, and says that, (name), who, duly sworn, deposes _(entityjianteyreceived SSO.OQQ, less in revenues and for the year ended t&n&lj*, 19_ and accordingly, is not required to have an audit for the previously mentioned year. Sworn to and subscribed before me this ****************************************************************** jnaer provisions of state law! report is a public copy of the report f - v ted to the rr.;, -: \ enti!:y ar: ; :... :;;.:.... -;.;- J '::" officials, /no u^port is av6 public inspk3ction at the Baton Rouge office of the Legislative Auditor and, wh«re appropriate, at the office of the parish c1erk,of court

2 Sworn Statement Saline Lake Game and Fish Commission Winn Parish, Winnfield, Louisiana Statement of Benny Long, President Before me, Notary, personally came and appeared: Benny Long, President of the Saline Lake Game and Fish Commission, known to me, who after being duly sworn did depose and say that: The amendments to the previously filed statement of financial affairs for the Commission are true and correct to the best of his knowledge, information and belief, fairly present the financial position of the Commission and the results of the operations for the year then ended, in accordance with the basis of accounting described in the accompanying financial statements. Benny Ldng; President Sworn to and subscribed before me, Notary, on this 17 th day of March, 2000, in Winnfield, Louisiana.

3 RFr.FIVFfl LEGISLATIVV AUDITOR 00 MAR 20 AH 10:12 JAMES E. LEWIS ATTORNEY AT LAW 108 Trails End Winnfield, Louisiana March 17, 2000 Daniel Kyle, Auditor P O Box Baton Rouge, La Attention: JoAnne Sanders Dear Folks: Attached please find the additional information you requested in connection with the annual report of the Saline Lake Commission for We have identified the information requested by highlighting it. Please note that all revenue for the Commission came solely from duck blind a permits and interest earned and is reflected on the bank statements and previously submitted list of permittees. There were no expenditures. Sincerely yours, jel/as

4 MEMBER FDIC EQUAL HOUSING OPPORTUNITY LENDER SflBINE STflTE BflNKttJ fitustgompoty MBW R O. BOX 670 MANY, LA STATEMENT SEE REVERSE SIDE FOR IMPORTANT INFORMATION SALINE LAKE FISH & GAME RESERVE ICO RAYFORD ROARK 1407 E ELM ST WINNFIELD LA MUNI SUPER NOW 12/31/ BRANCH SUMMARY FOR MUNI SUPER NOW c 12/31/99 ** BEGINNING 12/01/99 DEPOSITS / MISC CREDITS 1 WITHDRAWALS / MISC DEBITS 0 ENDING 12/31/99 SERVICE CHARGE INTEREST PAID INTEREST PAID YEAR TO AVERAGE AVERAGE COLLECTED MINIMUM AVERAGE RATE / CYCLE DAYS MISCELLANEOUS DEBITS AND CREDITS AMOUNT DESCRIPTION CR INTEREST EARNED 7, , ,407 7,407 7, / 31 12/31/99 DAILY SUMMARY 7, ea rned * 00 none ) /

5 SALINE LAKE FISH GAME RESERVE ICO RAYFORD ROARK 1407 E ELM ST WINNFIELD LA SUMMARY FOR MUNI SUPER NOW 12/31/ BRANCH-035 BEGINNING 12/01/98 DEPOSITS / MISC CREDITS 1 WITHDRAWALS / MISC DEBITS 0 ENDING 12/31/98 SERVICE CHARGE INTEREST PAID INTEREST PAID YEAR TO AVERAGE AVERAGE COLLECTED MINIMUM AVERAGE RATE / CYCLE DAYS 6, , ,534 6,534 6, / 31 12/31/98 MISCELLANEOUS DEBITS AND CREDITS AMOUNT DESCRIPTION CR INTEREST EARNED 12/31/98 DAILY SUMMARY 6, ^.' v *r *r»"i 1 ''"" '.''. ; g-'

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