Justice of the Peace of Ward/District First District. Financial Statements As of and for the Year Ended December 31, 2004

Transcription

1 of Ward/District First District Ascension Parish, Louisiana Financial Statements As of and for the Year Ended December 31, 2004 Required by Louisiana Revised Statutes 24:513 and 24:514 to Be filed with the Legislative Auditor Within 90 days after the close of the fiscal year. AFFIDAVIT Personally came and appeared before the undersigned authority, (your name) Andrew Falcon ^ wnoj duly sworrii deposes and says that the financial statements herewith given present fairly the financial position of the Court of Ascension Parish, Louisiana, as of December 31, 2004, and the results of operations for the year then ended, on the cash basis of accounting. In addition, (your name) Andrew Falcon t wno duly sworn, deposes, and says that the of Ward/District First District and Ascension Parish received $200,000 or less in revenues and other sources for the year ended December 31, 2004, and accordingly, is not required to have an audit or a review/attestation for the previously mentioned fiscal year. Sworn to and subscribed before me, this NOTAR^TOBLIC Please Complete this Section: Justice of Peace Name Andrew Falcon Street or P.O. Box look Madison St. City Donaldsnnv-m o La. Zip Code 7031*6 ^Signature Telephone, Number, ^ Jjhauf provisions, u» a,, /V XAA^r/ f75q<2% FAXNumb^f rnrt1pntar. oov 0 [ ihe reporfha& been submitted to ("Print Name) (ID number) ee cnt'ty and other appropriate public official^ The TMJOTTTV ri PRk- nftottrt DEPUTY CLbKKU^UUKl report is available ior public inspection atme Baton RJ U g eofficeo f the Legislative ALditorMateri»rt as td Slg^^ ASCENSION PARISH appropriate, at the office of the panshc^t'fe^fonn or content Release Dale

2 Statement A Andrew Falcon of Ward/District District 1 Ascension Louisiana (Your Name) Balance Sheet, on December 31, 2004 General Garnishment Fund Fund Total (if applicable) ASSETS: Cash and cash equivalents on hand Investments (fair value) on hand Office furnishings (Cost of desks, etc) Equipment (Cost of fax machine, etc) Total Assets LIABILITIES AND FUND BALANCE: Liabilities: Cash overdraft Garnishments due to others Other liabilities Total Liabilities **Fund balance Total Liabilities and Fund Balance $0-0, tlo,039 $10,039-0» 110, *LO, fc.0, , $0.0,039 "This amount should agree with the fund balance at the end of the year on Statement B PREPARE STATEMENT A ONLY IF YOU HAVE MONEY CARRIED OVER FROM PRIOR OR CURRENT YEAR

3 Statement B Andrew Falcon of Ward/District District 1 Ascension t Louisiana (Your Name) Statement of Cash Receipts and Disbursements For the Year Ended December 31,2004 General Garnishment Fund Fund (if applicable) CASH RECEIPTS: 1. State salary supplement received (required if received) ft 900-0~ 2. Parish salary received (required) 8,UOO Garnishments collected (if applicable) Fees collected (if collected) 2,300 *0^ Total cash receipts A $11, OFFICE DISBURSEMENTS: 5. Fees paid to constable (if total included in No. 4, above) 6. Other operating services (cost of fax line, etc) ~~~^^~~~~ 7. Materials and supplies (stationery, postage, etc) 1^561 _Q, 8. Travel and other charges For yourself For employees (if applicable) 9. Capital outlay (cost of purchases of equipment, etc) 10. Garnishments paid to others (if total included in No. 3) ^^~~~~ Total office disbursements B $ l» 6l -0- Available for salaries (A less B) 11. Salary and related benefits: Amount retained by yourself, as salary Amount paid to other employees (if applicable) Total salaries paid C Increase or (decrease) in fund balance (A less B less C) D $10, Fund Balance at the beginning of the year E Fund balance (deficit) at end of the year (D plus E) F $10, E This is the amount of the fund balance at the end of the prior year (see your copy of last years report)

4 THE FIRST JUSTICE COURT OF ASCENSION PARISH 100» MADISON 3THBBT - PONALDSONVILLB, 1A. 703^6 STATEMENT OF CONDITION - (BALANCE 3HBET); Other A»set«. Total Aasets For The Period Endins- Dfi«estber 31» 200U, Liability: Expenses Payable - (Fro* Rerenwes Re»elTed). Other Liabilities. " Total Liability: Entity'* Eg_«ltyi Equity Total Egj^ityi *LO, «10,039 Total Liability And Entity- '«Eqwityl For The Period EwcTinr - December ^1, 20 OU 1 $3.0,039 $LO, Headset.fulJ,v; Submitted* 10,039 Judge Andrew Falcon February. 18, 2005

5 THS FIRST JUSTICE COURT OF A3CSNSIOET PARISH MADISON 3TRBET - DONALDSONVILLB. LA. STATEMENT 0? REVENUES AND EXPENSES (OPERATING' STMT.) of Ascension" (Tm. W- mpplcmewtal Pay (Far. Fee* Re«eired For Clril Eriiition Smlta, And Gross Rerennet: 8,UOO 900 2,300 iaj.,6oo laamrred Im With The Forecoims Re"Tcnmes! Office Insurance (Comwcrl»al & Business Liability)., s (Business Use of Telepho&e). $ Total Year - Lass Srpeases ~- Desenber H 1, ,039 Submxtted: Juclge Andrew Falcon Telephone-. February- 18 t 200g_