STATE OF NEW YORK
STATE OF NEW YORK
GOVERNOR'S TRAFFIC SAFETY COMMITTEE
STOP-DWI
REPORT OF INCOME AND EXPENDITURES FOR QUARTER 1, 20 _
(JANUARY 1, - MARCH 31, 20 _ )
| |COUNTY |
INCOME
|A. |CITY, COUNTY AND DISTRICT COURT FINES RECEIVED: |$ |
| |(NET AMOUNT) | |
|B. |JUSTICE COURT FUND CHECK RECEIVED DURING QUARTER 1: |$ |
| |(NET AMOUNT) | |
|C. |OTHER INCOME (*SPECIFY SOURCE BELOW): |$ |
| |TOTAL INCOME RECEIVED DURING THIS QUARTER (LINES A+B+C): |$ |
* SOURCE OF OTHER INCOME: (NOTE: FUNDS ACCUMULATED IN STOP-DWI ACCOUNT FROM PRIOR YEARS SHOULD NOT BE INCLUDED AS "OTHER INCOME")
| |
EXPENDITURES
| |TOTAL STOP-DWI EXPENDITURES FOR THIS QUARTER: |$ |
|SIGNED: | |DATE: | |
| |STOP-DWI COORDINATOR | | |
|SIGNED: | |DATE: | |
| |COUNTY FISCAL OFFICER | | |
PLEASE RETURN COMPLETED AND SIGNED FORM BY June 15, 20 _ TO:
New York State Governor's Traffic Safety Committee
STOP-DWI Program
6 Empire State Plaza - Room 410
Albany, New York 12228
STATE OF NEW YORK
GOVERNOR'S TRAFFIC SAFETY COMMITTEE
STOP-DWI
REPORT OF INCOME AND EXPENDITURES FOR QUARTER 2, 20 _
(APRIL 1, - JUNE 30, 20 _ )
| |COUNTY |
INCOME
|A. |CITY, COUNTY AND DISTRICT COURT FINES RECEIVED: |$ |
| |(NET AMOUNT) | |
|B. |JUSTICE COURT FUND CHECK RECEIVED DURING QUARTER 2: |$ |
| |(NET AMOUNT) | |
|C. |OTHER INCOME (*SPECIFY SOURCE BELOW): |$ |
| |TOTAL INCOME RECEIVED DURING THIS QUARTER (LINES A+B+C): |$ |
* SOURCE OF OTHER INCOME: (NOTE: FUNDS ACCUMULATED IN STOP-DWI ACCOUNT FROM PRIOR YEARS SHOULD NOT BE INCLUDED AS "OTHER INCOME")
| |
EXPENDITURES
| |TOTAL STOP-DWI EXPENDITURES FOR THIS QUARTER: |$ |
|SIGNED: | |DATE: | |
| |STOP-DWI COORDINATOR | | |
|SIGNED: | |DATE: | |
| |COUNTY FISCAL OFFICER | | |
PLEASE RETURN COMPLETED AND SIGNED FORM BY September 15, 20 _ TO:
New York State Governor's Traffic Safety Committee
STOP-DWI Program
6 Empire State Plaza - Room 410
Albany, New York 12228
STATE OF NEW YORK
GOVERNOR'S TRAFFIC SAFETY COMMITTEE
STOP-DWI
REPORT OF INCOME AND EXPENDITURES FOR QUARTER 3, 20 _
(JULY 1, - SEPTEMBER 30, 20 )
| |COUNTY |
INCOME
|A. |CITY, COUNTY AND DISTRICT COURT FINES RECEIVED: |$ |
| |(NET AMOUNT) | |
|B. |JUSTICE COURT FUND CHECK RECEIVED DURING QUARTER 3: |$ |
| |(NET AMOUNT) | |
|C. |OTHER INCOME (*SPECIFY SOURCE BELOW): |$ |
| |TOTAL INCOME RECEIVED DURING THIS QUARTER (LINES A+B+C): |$ |
* SOURCE OF OTHER INCOME: (NOTE: FUNDS ACCUMULATED IN STOP-DWI ACCOUNT FROM PRIOR YEARS SHOULD NOT BE INCLUDED AS "OTHER INCOME")
| |
EXPENDITURES
| |TOTAL STOP-DWI EXPENDITURES FOR THIS QUARTER: |$ |
|SIGNED: | |DATE: | |
| |STOP-DWI COORDINATOR | | |
|SIGNED: | |DATE: | |
| |COUNTY FISCAL OFFICER | | |
PLEASE RETURN COMPLETED AND SIGNED FORM BY December 15, 20 __ TO:
New York State Governor's Traffic Safety Committee
STOP-DWI Program
6 Empire State Plaza - Room 410
Albany, New York 12228
STATE OF NEW YORK - GOVERNOR'S TRAFFIC SAFETY COMMITTEE
STOP-DWI REPORT OF INCOME AND EXPENDITURES
QUARTER 4 (OCT. - DEC. 20 _ ) AND ANNUAL REPORT - (JAN. - DEC., 20 _ )
| |COUNTY |
| |INCOME |QUARTER 4 (OCT-DEC) |ANNUAL |
|A. |CITY, COUNTY AND DISTRICT COURT FINES RECEIVED: (NET AMOUNT) |$ |$ |
|B. |JUSTICE COURT FUND CHECK RECEIVED (NET AMOUNT) |$ |$ |
|C. |OTHER INCOME (*SPECIFY SOURCE BELOW): |$ |$ |
| |TOTAL INCOME RECEIVED DURING THIS QUARTER (LINES A+B+C): |$ |$ |
* SOURCE OF OTHER INCOME: (NOTE: FUNDS ACCUMULATED IN STOP-DWI
ACCOUNT FROM PRIOR YEARS SHOULD NOT BE INCLUDED AS "OTHER INCOME")
| |
|EXPENDITURES |QUARTER 4 (OCT-DEC) |ANNUAL |
|PERSONAL SERVICES: |$ |$ |
|OTHER THAN PERSONAL SERVICES: |$ |$ |
|TOTAL EXPENDITURES: |$ |$ |
ACTUAL FULL YEAR EXPENDITURES BY PROGRAM COMPONENT
|ENFORCEMENT |$ |
|COURT RELATED |$ |
|PROBATION |$ |
|REHABILITATION |$ |
|P.I. & E. |$ |
|PROGRAM ADMINISTRATION |$ |
|TOTAL (MUST AGREE WITH TOTAL EXPENDITURES ABOVE) |$ |
|*REVENUE (rollover) - ACCOUNT BALANCE ON DEC. 31 20 _ * |$ |
|SIGNED: | |DATE: | |
| |STOP-DWI COORDINATOR | | |
|SIGNED: | |DATE: | |
| |COUNTY FISCAL OFFICER | | |
PLEASE RETURN COMPLETED AND SIGNED FORM BY March 30, 20 _ TO:
New York State Governor's Traffic Safety Committee
STOP-DWI Program
6 Empire State Plaza - Room 410
Albany, New York 12228
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