HomeMy WebLinkAboutAnnual Operational Report 2002PRESCIRBED BY STATE CITY AND TOWN FORM 225
BOARD OF ACCOUNTS - 1986
~,ity
(CITY OR TOWN)
(NAME OF UNIT)
Clark
COUNTY, INDIANA
ANNUAL OPERATIONAL REPORT
FOR LOCAL ROADS AND STREETS
(lC 8-17-4.1)
FOR THE YEAR ENDED
DECEMBER 31, 20 02
Prescribed by State Board of Accounts
Jeffersonville
City and Town Form No. 225
ANNUAL OPERATIONAL REPORT
FOR
OvO~J(l~'Y ~?,t~'Y/CITYflYo~ STREET DEPARTMENT
For Year Ending December 31, 20.9.2.
SECTION I - FINANCIAL STATEMENTS
MOTOR VEHICLE HIGHWAY FUND
Cash Balance, January 1 (Excluding Investments):
Receipts:
State Motor Vehicle Highway Distribution
Reimbursement From Construction and Reconstruction Projects
for Labor, Material, Equipment and Other Costs
Principal of Investments
Interest on Investments
Sale of Junk
Miscellaneous & Refund
Refunds and Other Reimbursements
Transfer From Other Funds:
Excavating Permits
Refunds & Reimbursements
$
3,190.00
$ 72.245.35
Total Receipts
720,080.67
Total Balance and Receipts
Disbumements:
Administration (Detail Page 5)
Maintenance and Repair (Detail Page 5)
Construction and Reconstruction (Detail Page 10)
General and Undistributed Expense (Detail Pages 5 and 6)
Purchase of Investments
46,063.35
Total Disbursements
Cash Balance, December 31
Investments on Hand, December 31 (Cost)
Balance, December 31 (cas~ and Investments)
670,705.13
122
SECTION I - FINANCIAL STATEMENTS
..... ~;~ .'.,. .........,, ~ .~ '~,. (Continued)
CUMULATIVE BRIDGE FUND
Cash Balance, January 1 (Excluding Investments)
Receipts:
Property Taxes
Principal of Investments
Interest on Investments
Refunds and Reimbursements
Total Receipts
Total Balance and Receipts
Disbursements:
Maintenance and Repairs (Detail Page 7)
Construction and Reconstruction (Detail Page 10)
Purchase of Investments
Total Disbursements
Cash Balance, December 31
Investments on Hand December 31 (Cost)
Balance, December 31 (Cash and,Investments)
LOCAL RQAD AND sTrEET FUND
Cash Balance, January I (Excluding Investments,)
Receipts:
Auditor of State - Local Road and Street Fund
Principal of Investments
Interest on Investments
Refunds and Reimbursements
Transfer From Other Funds:
Grants
Total Receipts
Total Balafice and Receipts
Disbursements:
Maintenance and Repairs (Detail Page 7)
Construction and Reconstruction (Detail Page 11)
Purchase of Investments
Total Disbursements
Cash Balance, December 31
Investments on Hand December 31 (Cost)
Balance, December 31 (Cash and Investments)
$ 65.7~R_22
317,554.74
34,135.27
6,250.00
357.~4~_nl
352,110.39
352,110.39
QZHE.B.D[~I.Q~TED.E~ND~2
SECTION I - FINANCIAL STATEMENTS
(Continued)
Fund
Cash Balance, January I (Excluding Investments)
Receipts:
3
Total Receipts
Total Balance and Receipts
Disbursements:
Total. Disbursements
Cash Balance, December 31
Investments on Han(~ December 31 (Cost)
Balance, December 31 (Cash and Investments)
ALL OTHER FUNDS USED FOR HIGHWAYS, STREETS OR B_R/D_.GES**_
Disbursements:
Fund
Maintenance and Repair (Detail Page 8)
Construction and Reconstruction (Detail Page 11)
Administration (Detail Page 8)
GeneraLNondistributed Exeense (Detail Page 8)
Total Disbursements
*To Provide for additional funds, such as bridge bond issues, etc. Attach additional sheet for other funds,
if necessary.
**Prepare separate schedules for each additional fund such as General Fund, Cumulative CapitaHmprovement
Fund, etc. Attach sheets for additional funds if necessary.
Balance, January 1
Investments Purchased ¢)
Total Balance and Purchases (2)
Investments Matured or Sold
Balance. December 31 (3)
SECTION I - FINANCIAL STATEMENTS
STATEMENT OF INVESTMENT TRANSACTIONS
January 1,20 to December 31,20
Cumulative - Local Road and
Highway Fund Bridge Fund Street Fund
$ $ $ $
$ $ $ $
Other
(1) Shall agree with amount of Purchase of Investments shown in Disbursements section of Financial Statement.
(2) Shall agree with amount of Principal of Investments shown in Receipts section of Financial Statement.
(3) Shall agree with amounts of "Investments on Hand. December 31 (Cost)."
SECTION Il - DETAIL OF DISBURSEMENTS BY MAJOR BUDGET
CLASSIFICATION AND MINOR EXPENDITURE CLASSIFICATION
(EXCLUDING CONSTRUCTION)
MOTOR VEHICLE HIGHWAY FUND
5
Administ[atJon
Personal Services
Supervisor
Assistant Supervisors
Engineer
Clerical Assistants
EA~a- sec. PERF. Hoso. Clth, Med. Travel, E~YcC
Supplies - Office
Other Services and Charges (Contractual)
Total Administration (Page 1)
Pemonal Se~ces (~cluding Ice Control and Snow Removal)
Truck D~em
Equipment Operatom
Labor
Pemonal Se~ces (ice c0ntml and Snow Removal)
Supplies
Stone, Gravel ~nd Other ~ggregates
Culve~s, Tile ahd Sewer Pipe
B~uminous (Including Mixed Aggregates)
Bddge and Struc~ral Metals
Lumber
Road S~ns
Sand and Salt (for Ice Control)
Other Supplies
Other Sewices and Charges (Contractual)
U~l~es (Intersec~on Light, Etc,)
Maintenance and Repaim by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other C/~rent Charges
Total Maintenance and Repair (Page 1)
$36,799.00
60,497.24
40,000.00
123,002.83 $ 260,229.07
597.65
260,896.72
139,940.32
29,727.76
150,949.17
21,960.45
342,577.70
15,650.58
5,516.78 21,167.36
363,745.06
SECTION II - MOTOR VEHICLE HIGHWAY FUND
General and Undistributed Expense
Personal Services
Garage Mechanics and Helpers
Supplies
Gasoline, Oil and Lubricants
Tire and Tubes
Maintainer/Grader Blades
Other Garage and Motor Vehicles
Other Services and Charges (Contractual)
Communication Expense (Telephone. Radio, Etc.)
Utilities (Garage and Service Buildings)
Repairs
Garage and Service Buildings
Trucks and Tractors
Road Equipment
Cars/Pickups
Other Repairs
Rentals
Other Cdrrent Charges
Separated Equipment Expenses/Ice Control and Snow Removal
Other
Capital Outlays
Land (G~rage and Service)
Buildings (Garage and Servia:e)
Machinery and Equipment
C~ars/Pickups
Trucks
Tractors
Graders
Street (Pavement) Sweepers
Other Road Equipment
Garage Equipment
$ $
9.475.19 33.176.99
5.228.83
7.657.53
Total General and Undistributed Expense (Page 1)
Total Motor Vehicle Highway Fund (Excluding
Construction and Reconstruction Costs)
4~.n~3_35
670,705.13
SECTION I1'
(Continued)
CUMULATIVE BRIDGE FUND
Maintenance and Repair
Personal Services
Supplies
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Other Supplies
Other Services and Charges (Contractual)
Total Maintenance and Repair (Page 1)
Total Cumulative Bridge Fired
LOCAL ROAD AND STREET FUND
Mainten'Jnce and Reoair
Personal Services (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Se~ces (Ice Control and Snow Removal)
Supplies -
· Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road signs
Sand and Salt (for Ice Control)
Other Supplies
Other Services and Charges (Contractual)
Utilities [intersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow R~,moval)
Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Total Maintenance and Repair (Page 2)
6,540,f~5
345,569.44
352,110.39
$ 352,110.
SECTION II
(C0ntind6d)' '
OTHER DESIGNATED FUND OR TRUST FUND*
Maintenanc.~_and Repair
Personal Sen/ices (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Sen/ices (Ice Control and Snow Removal)
Supplies
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice Controt)
Other Supplies
Other Sen/ices and Charges (Contractual)
Utilities (Intersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Cap'[tal Outlays
Total Maintenance and Repair (Page 3)
Total Other Designated Fund or Trust Fund
*Attach sheet(s) for additional funds, if necessary.
SECTION
SUMMARY OF NET MAINTENANCE AND REPAIR EXPENSE
Motor Vehicle Highway Fudd
Cumulative Bridge Fund
Local Road and Street Fund
Other Designated Fund or Trust Fund
Total
$
49,477.09
$49=477_09
9
SECTION IV - CONSTRUCTION AND RECONSTRUCTION
(Tck Appropnate Co umn for Type of mprovement)
MOTOR VEHICLE HIGHWAY FUND
See Appendix "A"
for Defin~do~ns of
Improvement Types
Location of Number System Used: ~ ~ oe
Project IDOH Road Inv. '~ ~ -o E ~_ ~ c
Local RoadNo. ~ o .- .~ ~
Road From To e ~ ~ '~.-- ~e .c~ .== ~
~ z) ~ ~ ~m ~ m m m m Amount
m
Total MotOr Vehicle Highway Fund Construction and Reconstruction, Page 1 $
CUMULATIVE BRIDGE FUND
Road From To ~ount
I ' '
10
Total Cumulative Bddge Fund Construction and Reconstruction, Page 1
.$
SECTION IV - CONSTRUCTION AND RECONSTRUCTION.
(Tick Appropriate Column for Type of Improvement)
See Appen,_dix "A"
, ~ for Defini~ons of
t Types
LOCAL ROAD AND STREET FUND
Location of
Project ~ . ::,
Road From To
~ z ~ ~ ~ m m m ~ Amount
{olman Lane ' X~ $21,617.57
~olfview Drive ~ X ~$ 1,891.69
~lleys X $ z,zo'~ .6~
~ourt Ave X ~$ 2,589.94
~amburg Pi~e X ~ $11~264,44
~nelan X $ 9,845.82
· Total Local Road and Street Fund ~onstrucfi0n and ReconstruCtiOn, Page 2 $ 49,477.0'9
ANY OTt" --R DESIGNATED FUNDS USED FOR HIGHWAYS, STREETS OR BRIDGES
Road From To ~ount
i
Total Other Designated Funds Used for Highways, Streets and Bddges, Pages 2 and 3
REPORT OF FEDERAL AND/OR STATE PROJECTS
ADMINISTERi=D BY STATE HIGHWAY DEPARTMENT
RepOrt below all pr(~jects for which the county, city or town made payments to the State Highway Department for Federal/State
pa~cipafing projects, for which contracts were awarded and payments thereon made by the State Highway Department.
Governmental
Unit's Paid to State
Project Share of Cost During Year*
Fund
*Amounts in last column should be those costs paid from the detail project account under "Construction and Reconsb'ucflon"
of the fund affected,
SECTION V - CLASSIFICATION OF HIGHWAY OR STREET DEPARTMENT EMPLOYEES
' Number of Employees
~ =~ ~ ~ ~_ E E
Work ClassifiCaUon = ~_ :~ ~ :~ = = ~ e ~ o
~ ~ ~ ~ 0 Z
Su~or [ ......................................
~istant Supe~sor 2 .......................................
Engineer [ ......................................
~i~ant Engineem [ .....................................
Cledcal A~istan~ [ .....................................
Truck D~em ~ ...................................
Equipment Operatom ] .......................................
Labor 4 .......................................
Garage Mechani~
I
I
i
14
Eauiomer!t
Description
Case
Buethling
Fullsize trailer
Morbark
Mack
Chevrolet
Gallion
Peterbilt
International
International
Freightliner
Ford
SECTION VI - INVENTORY
.. Applicable
.-Year of Trade In Serial Number
Model Purchase Net Cost* Value* or ID Number
tractor 1990 0001
roller 1996 0004
1994 0511
Chipper 1993± 0910
Pumper
Pickup 1996 3205
Grader 1968 3215
Dump 1996 3891
Dump 1992 4555
Dump 1992 4556
$
Dump 1996 5539
Cargo 1995 5834
Wink-o-matic Sign Board 1989 6136
Wink-o-matic Sign Board 1989 6138
Dodge Pickup 2000 449§
Case Backhoe 1989 6312
GMC Pickup 2001
Ford Dump 1987 6653
Leaf Vac ~
GMC Sierra 1997 6785
Freightliner Leaf Trd --~ ~z'~'~
Dodge Flat Bed 1993 7165
Ford Bucket Truck
Freightliner Dump 1995 7288
Mack Roll Off
Ford Crane Truck 1979 8872
Cat Paver
Dodge Pickup 2000
Cat %0 Roller
Ford Cargo 1995 0922
Dodge Pickup 1990 9027
Surface Type
Cement, Concrete
and Brick
Bituminous
Gravel and Stone
Unimproved
Total Miles
SECTION VII - ROAD MILEAGE
Number of Miles on December 31
Actual Change Reason
142.74
145_74
15
SECTION VIII - PROPOSED CONSTRUCTION, RECONSTRUCTION AND REPAIR PROGRAM
FOR THE YEAF~ FOLLOWING THE YEAR COVERED BY THIS OPERATIONAL REPORT
(Tick Appropriate Column for Type of Improvement)
See Appendix "A"
for Definitions of
Improvement Type
Location of
Project
Roads
Bridges
* A = Motor Vehicle HighWay Fund
B = Cumulative Bridge Fund
C = Local Road and Street Fund
D = Federal Aid Fund
E = Other Designated Fund
DATE:
20
Submitted by:
County Highway Supewisor.
Approved:
Board of County Commissioners
~/~Submitted-' by:_ ~
Street Commissioner,
16
DATE:
DATE:
2O
2O
STATE OF INDIANA
AN EQUAL OPPORTUNITY EMPLOYER
STATE BOARD OF ACCOIfNTS
302 WEST WASHINGTON STREET
4TH.FLOOR. ROOM EA 18
INDIANAPOLIS, INDIANA 46204-2765
Telephone: (317) 232-2513
Fax: (317) 232-471 l
Web Site: x~vw.state.in,us/sboa
MEMORANDUM
TO: City Controllers and City and Town Clerk-Treasurers in
Municipalities with a Population of 20,000 or More
FROM: Charles Johnson, III. CPA, State Examine~_~
DATE: December 10, 2002
RE: Annual Operational Report for Local Roads and Streets for the Year 2002
lC 8-17-4.1-5 requires: 'q'he governing body shall prepare by December 31 of each year. an operational
report of the department within the county or municipality that has road and street responsibilities."
"Municipality" is defined to mean any city or town with a population of at least twenty thousand (20,000).
lC 8-17-4.1-1 (a)(2).
In the case of a city, "governing body" means the mayor; in the case of a town, it is defined to mean the
town council
lC 8-17-4.1-7 states: 'q'he annual operational report must be completed and a copy filed with the State
Board of Accounts, the governing body and the department bv February 15 following the operational report year.
The department shall make the report available to the public.'
"Department" is defined to mean the Indiana Department of Transportation. lC 8-17-1-0.1.
The annual operational report and the associated cost accounting system required by the statute were
prescribed in 1964. In 1985, the Planning Division, Indiana Department of Transportation, Highway Extension
and Research Project for Indiana Counties and Cities (HERPICC}, and Purdue University requested various
changes in the annual operational report due to reporting obligations required by federal agenc~as. A revised
report was formulated to furnish the information in a manner consistent with the federal requirement in 1986.
Since we understand public printers are not stocking City and Town Form No. 225, Annual Operational
Report for Local Roads and Streets, the State Board of Accounts is herein furnishing a copy of the report to
affected municipalities in order for them to file their 2002 reports. Photocopies of the enclosed report may be
made to satisfy the statutory filing requirements.
In addition to the sample report format, we are enclosing some instructions HERPICC (now know as
LTAP) formulated for report preparation. Also enclosed is HERPICC prepared Appendix A with definitions for the
various engineering terms used throughout the report.
December 10, 2002
Page Two
To comply with lC 8-17~4.1-7, please file copies as follows:
One copy with the Mayor or Town Council.
One copy retained in the office of the street department or the office of the city or town fiscal officer.
One copy mailed to:
State Board of Accounts
302 West Washington Street, Room E418
Indianapolis, IN 46204
Attention: Mr. Charles W. Pride
One copy mailed to:
Financial Management Unit
Indiana Department of Transportation
Indiana Government Center North, Room N725
Indianapolis, IN 46204
One copy mailed to:
Indiana Local Technical Assistance Program (LTAP)
Vision Technology 1
1435 Win Hentschel Drive
West Lafayette, IN 47906
lC 8-17-4.1-8 states: "(a) On Mamh I following the operational report year, the State Board of Accounts
shall prepare a certified list of counties and municipalities that have complied with this chapter. (bi The auditor
shall withhold the distribution of motor vehicle highway account funds from any county or municipality not
appearing on the State Board of Accounts certified list until its annual operational report is certified."
CWP: tmm
Enc.
31
Annual Operational Report.
(County Highway Form No. 16)
(City & Town Form No. 225)
A'CrENTION COUNTIES
These pages numbered 31'- 33 are to replace pages
31, 32 and 33 in the HERPIC "Guide Manual, Records
and Reports for nd~ana County H ghway Departments
issued June 1981.
A'I-['ENTION CITIES
These instructions have been prepared to give
guidance to City and Town From No. 225 in
cooperation with the Indiana State Board of
Accounts and the Indiana Department of Highways.
PURDUE
UNIVERSITY
32
ANNUAL OPERATIONAL REPORT
(County Highway Form No. 16)
(City and Town Form No. 225)
Public Law 103. Acts 1971, (lC 8-17-4.1) requires each county, city or town to prepare as of December 31
of each year an annual operational report of their highway or street department. Four (4) or mo~'e coples of this
report are to be filed or distributed on or before February 15th next following the operational report year as set forth
below. Cities and towns with a population less than 20,000 are exempt from the requirement Bu;~, they may find
many portions of the form to be helpful in the management of their municipality.
One original mailed to the State Board ol Accounts, 302 West Washington Street, Room E418,
Indianapolis, IN 46204, Attention: Mr. Charles W. Pride;
One copy filed with the Office of the Mayor/Board of County Commiss~(~ners; (to be available to the Public
and PresS);
One copy mailed to Financial Management Unit, Indiana Department of Transportation, Indiana
Government Center North, Room N725, Indianapolis, IN 46204;
One copy retained in the office of the county highway department; and,
One copy mailed to Indiana Local Technical Assistance Program (LTAP), Vision Technology 1, 1435 Win
Hentschel Drive, West Lafayette, IN 47906.
The law also requires that the report must be made available to the Public and the Press. Th~ copy
furnished to LTAP, while not required by law, provides for a state-wide companson of highway costs for counties,
cities and towns which should be of interest and benefit to all such highway or street departments.
The report is divided into eight (8) sections and the following instructions should be obse~e~ in preparing
each section:
Section I - Financial Statement~. Compiled from the fund ledgers an(: shall show the receipts by'source,
disbursements for each major classification and the balances in each of the respective funds listed in the report.
A so includes any bond,, issu,es or other funds related to the county highways/city streets and their bridges.
Designed to show the cash balance in each fund. If any fund has investments at th.at date, not~ below thb fand
~alance the words and figures "Investments (Principal) at December - $
Section II - Details of Disbursements. Compiled from the "Detailed Ledger Of Disbursements" showing the
expend tures by minor expense classification (excluding constructioni for each fund Note that some of the minor
expense accounts have been combined into a single classification and in s°me cases' expend tures w be rep0~ted
only by major budget classification. The totals disbursed for administration, maintenance and repair, and for
general and undistributed expense shall agree with the totals for those classifications in Section I.
it is required to differentiate between Other Highway Physical Maintenance Expenditure and expenditures
for Traffic Services. Traffic Services includes ice control and snow removal, traffic signs, signals and street light
repairs where applicable. Traffic Signals and Street Light Repairs are reported ur~der "Util!ties". For Ice Control and
Snow Removal changes have been suggested to isolate this expenditure into two categories:
a. Ice Control and Snow Removal by County Forces: Time costs for personnel involved in this activity
should be noted and recorded as indicated on the form. Sand and salt expenses should also be noted
under Supplies as shown;
b. Ice Control and Snow Removal by Contract: If Ice Control and Snow Removal is undertaken by
Contract, then it should be separated from Other Maintenance and Repair Expenses Undertaken by
Contract as shown;
c. Maintenaner/Grader Blades: The expenditure on maintainer or grader blades should be i0dicated as
shown under Garage Supplies;
33
Repairs - Cars and Pickups: Costs of repairs for cars and pickups should be separated from other
equipment repair costs as indicated on the form. This would enable road equipment costs to be
separated from that of cars/pickups;
e. Expenses on equipment for Ice Control and Snow Removal should also be separated and recorded in
the appropriate section under General and Undistributed Expense;
Section itl - Maintenance and Repair Expense. Compile and summarize all of the expenditures for
"Maintenance and Repair" as distinguished from the costs of construction and reconstruction' in Section IV. The
total expenditures under each fund should agree with the totals in Section II
Section IV - Construction and Reconstruction. Compile the disbursements for construction and
reconstruction. Show the details on improvement types, location and amount for each fund as described below.
a. Definition of improvement Types. It is recommended that counties and cities should study and use the
definition of various improvement types listed in Appendix A. Under the changes, Construction and
Reconstruction Expenditure Should indicate the appropriate fund;
Location of Proiect. This should indicate the beginning and end of the project as well as length to
nearest 0.1 mile on the road section. The system of numbering adopted should be indicated in the
section provided: (1) IDOH Road Inventory Classification and Numbering Scheme or (2) County
Numbering System (after Purdue Scheme) e.g., 100N, 200W, etc,;
Type of Improvement. ldentifytype of improvement andtick appropriated column for each p~Oject;
d. Amount. The total amount spent on each project should be recorded and summaries provided as
shown on the form; .
Applicable Funds. The information on Construction and. Reconstruction should be completed for each
appropriate fund (1) Motor Vehicle Highway Fund; (2) Local Road and Street Fund; (3) Cumulative
Bridge Fund; and [4) Other Designated Fund to be specified by each county or Federal Revenue
Sharing Fund.
Section V - Classification of Employees. Reoort the number of persons employed by the highway
department each month during the calendar year and the work classifications of the employees, as required in
Public Law 103.
Section Vt ~ In~ent0h/. Report the physical inventory of country highway department equipment at the close
of business December 31. It is not necessary that a physical inventory be taken of minor expendable supplies;
however, the report must list each item of equipment. In preparing the inventory of equipment, care should be
taken to see that it includes all items on the inventory at December 31 of the preceding year, unless an item on that
inventory has been traded in or otherwise disposed of~ plus any new items purchased during the year. See also
Form 315A.
Section VII - Road Mileacle. The mileage entries by surfaco type should yield a total that approximates the
total reported by the Planning Division, Indiana Department of Highways, and taking into consideration any roads
abandoned or added to the system during the year. The changes that have been made over the previous year and
the reasons for the change should be noted on the form as indicated. For example: (1) paved gravel road; (2)
reconverted paved road to gravel; (3) annexation which should decrease or increase county, city or township
mileage; (4) other reason such as abandonment or as appropriate.
Section VIII - Proposed Prof:lram for Followinq Year, List all construction and reconstruction projects
~roposed for the following year together with a general description of the repair program for such year. Indicate
location of ~roject, type of improvement and funding source for both road and bridge projects as indicated on the
form.
All of the entries in Section I through IV should agree with the records of the auditor and before the report is
filed as an official document it should be submitted to the auditor for review.
APPENDIX A
IMPROVEMENT TYPE DEFINIFTIONS (This refers to column headings on forms)
The improvement types used in FHWA-534, lines 03 through 13, are defined as follows:
03 - NEW ROUTE. Construction of a new facility that will not replace or relocate an existing facility.
A new facility will provide: (a) a facility where none existed or (b) an additional and alternate facility to an existing
facility that will remain open and continue to serve through traffic.
04 - RELOCATIONS. Construction of a facility on a new location that replaces an existing route; The
new facility carries all the through traffic with the previous facility closed or retained as a landservice road only.
05 - RECONSTRUCTION. Construction on approximate alignment of an existing route where old
pavement structure is removed and replaced. Such reconstruction may be to the existing number of lanes or
may include widening to provide continuous additional lane(s) or dualizing, adding, or revising interchanges or
otherwise substantially changing the general character of the highway.
06 - MAJOR WIDENING. The addition of lanes or dualization of an existing facility where the
existing pavement is salvaged. Also included, where necessary, is the resurfacing of existing pavement and
other incidental improvements such as drainage and shoulder improvements.
07 - MINOR WIDENING. The addition of 2 feet or more of width per lane to the roadway of an
existing facility without adding lanes. In many cases, the improvement will include resurfacing the existing
pavement and other incidental improvements such as shoulder and drainage improvements.
08 - RESTORATION AND REHABILITATION. Work required to return an existing pavement or bridge
deck (including shoulders and expansion joint devices) to a condition of adequate structural support (including -
partial or complete bridge deck replacement) or to a condition adequate for placement of an additional stage of
construction (i.e., bridge deck protective system or resudacing). There may be some upgrading of unsafe features
of other incidental work in conjunction with restoration and rehabilitation. Typical improvements would include
replacing spalled or malfunctioning joints; substantial pavement undersealing when essential for pavement
stabilization prior to resurfacing; grinding/grooving of rigid pavements; replacing deteriorated materials; reworking or
strengthening basis or subbases; adding underdrains; and bridge deck repair.
09 - RESURFACING. Placement of additional surface material over the existing roadway or bridge
deck to improve serviceability or to provide additional strength. There may be some minor widening, upgrading of
unsafe features, and other incidental work in conjunction with resurfaping. Where surfacing is constructed by a
separate project as a final stage of construction, the type of improvement should be the same as that of the
preceding stage - new route, relocation, reconstruction, minor widening, and so forth.
10 - BRIDGE REPLACEMENT. The total replacement of a structurally inadequate or functionally
obsolete bridge with a new structure constructed in the same general traffic corridor, to current geometric,
construction, and structural standards. Incidental roadway approach work is included.
11 - BRIDGE REHABILITATION. The major work required to restore the structural integrity of a
bridge as well as Work necessary to correct major safety defects. Bridge deck replacement and the widening of
bridges to specified standards are included.
12 - SAFETY/TRAFFIC OPERATIONS/TSM. A project or a significant portion ~of a project that provides
features or devices to enhance safety; or a traffic operation improvement that is designed to reduce traffic
congestion and to facilitate the flow of traffic for both people and vehicles on existing systems; or that is designed to
reduce vehicle use or to improve transit service.
13 - ENVIRONMENTALLY RELATED. This category includes improvements that do not provide any
increase in the level of service, the condition of the facility, or safety. Typical improvements in this category
would be noise barriers, beautification, and other environmentally related features built as part of the above
identified improvement types.
PRESCIRBED BY STATE
BOARD OF ACCOUNTS - 1986
CITY AND TOWN FORM 225 .
(CITY OR TOWN)
(NAME OF UNIT
COUNTY, INDIANA
ANNUAL OPERATIONAL REPORT
FOR LOCAL ROADS AND STREETS
(lC 8-17-4.1)
FOR THE YEAR ENDED
DECEMBER 31, 20 <2~-'
Prescribed by State Board of Accounts
City and Town Form No. 225
ANNUAL OPERATIONAL REPORT
FOR
COI~N~"",' ~ I|C', P,~;AY/CITY/'F-QWN STREET DEPARTMENT
For Year Ending December 31, 20 c~r~
SECTION I - FINANCIAL STATEMENTS
MOTOR VEHICLE HIGHWAY FUND
Cash Balance, January 1 (Excluding Investments):
Receipts:
State Motor Vehicle Highway Distribution ~0~
Reimbursement From Construction and Reconstruction Projects
for Labor, Material, Equipment and Other Costs
Principal of Investments
Interest on Investments
Sale of Junk
Refunds and Other Reimbursements
Trans.f.e. r From Other Fun~s:
Total Receipts
Total Balance and Receipts
Disbursements:
Administration (Detail Page 5)
Maintenance and Repair (Detail Page 5)
Construction and Reconstruction (Detail Page 10)
General and Undistributed Expense (Detail Pages 5 and 6)
Pumhase of Investments
Total Disbursements
Cash Balance, December 31
Investments on Hand, December 31 (Cost)
Balance, December 31 (Cash and Investments)
SECTION - FINANCIAL STATEMENTS
.... ~ - ' -',~ ;~',: ~.. - (Continued)
CUMULATIVE BRIDGE FUND
Cash Balance, January I (Excluding Investments)
Receipt:
Property Taxes
Principal of Investments
Interest on Investments
Refunds and Reimbursements
Total Receipts
Total Balance and Receipts
Disbursements:
Maintenance and Repairs (Detail Page 7)
Construction and Reconstruction (Detail Page 10)
Purchase of Investments
Total Disbursements : r
Cash Balance, December 31
Investments on Hand, December 31 (Cost)
Balance, December 31 (Cash and.,Investments)
LOCAL RO. AD AND ST-'REET FUND
Cash Balance, January 1 (Excluding'Investments)
Receipts:
Auditor of State - Local Road and Street Fund
Principal of Investments
Interest on Investments
Refunds and Reimbursements
Tran~ fer From Other Funds:
Total Receipts
Total Balarice and Receipts
Disbursements:
Maintenance and Repairs (Detail Page 7)
Construction and Reconstruction (Detail Page 11)
Purchase of Investments
Cash Balance, December 31
Investments on Hand, December 31 [Cost)
Balance, December 31 (Cash and Investments)
,/
-. 3
QTHEIg.DED.!GATED EUND~;
SECTION I - FINANCIAL STATEMENTS
(Continued)
- - Fund
Cash Balance, January 1 (Excluding Investments)
Receipts:
Total Receipts
Total Balance and Receipts
Disbursements:
Total. Disbursements
Cash Balance, December 31
Investments on Hand, December 31 (Cost)
Balance, December 31 (Cash and Investments)
ALL OTHER FUNDS USED FOR HIGHWAYS, STREETS OR B_RI__D_GE~S*--
Disbursements:
Fund
Maintenance and Repair (Detail Page 8)
Construction and Reconstruction (Detail Page 11)
Administration (Detail Page 8)
GeneraLNondistdbuted Exoense (Detail Page 8)
Total Disbursements
*To Provide for additional funds such as bddge bond issues, etc, Attach additional sheet for other funds,
if necessary.
**Prepare separate schedules for each additional fund such as General Fund, Cumulative Capital Improvement
Fund. etc. Attach sheets for additional funds if necessary.
SECTION I - FINANCIAL STATEMENTS
4: ;'~' ~ ..... (Continued) '~ ~ ~ ~ -i~;?,~ ;- ;-
STATEMENT OF INVESTMENT TRANSACTIONS
January 1,20~. to December 31, 20~
Balance, January 1
Investments Purchased (~)
Total Balance and Pumhases(2) - ~-
Investments Matured or Sold
Balance, December 31 (3) $ _ .~ ~
Cumulative - Local Road and
__Hi_g_~w_aY Fund Bridge Fund Street Fund
$ -o~ $ $ -~- $
Other
$ $ ~.~ $
(1) Shall agree with amount of Purchase of Investments shown in Disbursements section of Financial Statement.
(2) Shall agree with amount of Principal of Investments shown in Receipts section of Financial Statement.
(3) Shall agree with ~mounts of "Investments on Hand, December 31 (Cost)."
SECTION II - DETAIL OF DISBURSEMENTS BY MAJOR BUDGET
CLASSIFICATION AND MINOR EXPENDITURE CLASSIFICATION
(EXCLUDING CONSTRUCTION)
MOTOR VEHICLE HIGHWA~ FUND
5
Adminb~ation
Personal Services Supe~sor / t /
Assistant Supe~sors ;~If,, / f ~;
Engineer ~l~
Clerical A~istants H~
Supplies - office ,~Q/, ~ ?,
Other Services and Charges (Contractual) _~ :~/
Total Administration (Page 1)
MaJn_tel3ance .a[~d.
Personal Services (Excluding Ice Control and Snow Removal)
Truck D~em
Equipment Operators //~
Pemonal Se~ces (Ice Control and Snow Removal)
Supplies
Stone. Grovel ~nd Other ~gmgates
Culve~. Tile a~d Sewer Pipe
B~uminous (Including Mixed Aggregates)
Bddge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice ContEol)
Other Supplies ~ ~
Othe~ Se~ices and Charges (Contractual)
Util~es (Interse~on Light, Etc.)
Maintenance and Repaim by Contra~
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other C~rent Charges
Total Maintenance and Repair (Page 1)
SECTION II - MOTOR VEHICLE HIGHWAY FUND ~ ~ (Continued) ;~;~ :;'. :.~ .
General and Undistributed Exoense
Personal Services
Garage Mechanics and Helpers
Supplies
Gasoline, Oil and Lubricants
Tire and Tubes
Maintainer/Grader Blades
Other Garage and Motor Vehicles~~
Other Services and Charges (Contractual)
Communication Expense (Telephone, Radio, Etc ) % ~ /
Utilities (Garage and Service Buildings) ~/~
Repairs
Garage and Service Buildings
Trucks and Tractors
Road Equipment
Cars/Pickups
Other Repairs
Rentals
Other Currant Charges
Separated Equipment Expenses/ice Control and Snow Removal
Other
Capital Outlays
Land (Garage and Service)
Buildings (Garage and Servige)
Machinery and Equipment
Cam/Pickups -~75/
Trucks
Tractors
Graders
Street (Pavement) Sweepers
Other Road Eqmpment
Garage Equipment
$ $
Total General and Undistributed Expense (Page 1)
Total Motor Vehicle Highway Fund (Excluding
Construction and Reconstruction Costs)
SECTION II
(Continued)
CUMULATIVE BRIDGE FUND
Maintenance and Repair
Personal Services
Supplies
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Other Supplies
Other Services and Charges (Contractual)
$ $
7
Total Maintenance and Repair (Page 1)
Total Cumulative Bridge Fund
LOCAL ROAD AND STREET FUND
Maintenance and Reoair
Personal Services (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Se~,ices (ice Control and Snow Removal)
Supplies
· Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice Control)
Other Supplies
Other Services and Charges (Contractual)
Utilities (Intersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Total Maintenance and Repair (Page 2)
8
SECTION II
(continued) '-
OTHER DESIGNATED FUND OR TRUST FUND*
lYlaintenan.c_e and Repair
Personal Services (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Services (Ice Control and Snow Removal)
Supplies
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice Control)
Other Supplies
Other Services and Charges (Contractual)
Utilities (Intersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Capital Outlays
Total Maintenance and Repair (Page 3)
Total Other Designated Fund or Trust Fund
*Attach sheet(s) for additional funds, if necessary.
SECTION III
SUMMARY OF NET MAINTENANCE AND REPAIR EXPENSE
Motor Vehicle Highway Fur{d
Cumulative Bridge F~nd
Local Road and Street Fund
Other Designated Fund or Trust Fund
Total
$
$
10
SECTION IV - CONSTRUCTION AND RECONSTRUCTION
(TickAppropriate Co umn for TyPe of mprovement)
MOTOR VEHICLE HIGHWAY FUND
See Appencr[x "A"
for Definitio~ns of
Improvement Types
Location of Number System Used: ~ ~ oe .
Project IDOH Road Inv. ~ = -o eE . e = '
Local RoadNo. ~ ~ ~ ~ ~o ~ ~ ~ ~
Road From To ~ z ~ = ~ ~ ~ m m ~ m Amount
Total Motor Vehicle Highway Fund Construction and Reconstruction, Page 1 $
CUMULATIVE BRIDGE FUND
Road From To Amount
Total Cumulative Bddge Fund Construction and Reconstruction. Page 1 $
11
SECTION IV - CONSTRUCTION AND RECONSTRUCT ON ,
(Tick Appropriate Column for Type of Improvement)
See Appen,_dix "A"
....... ~ for Definitions of
LOCAL ROAD AND STREET FUND Improvement Types
Location of
Project
Road From
;"7
Total Local Road and Street Fund Construction and Reconstruction, Page 2 $
ANY OTHER DESIGNATED FUNDS USED FOR HIGHWAYS, STREETS OR BRIDGES
Road From To Amount
i '
Total Other Designated Funds Used for Highways, Streets and Bridges, Pages 2 and 3
12
REPORT OF FEDERAL AND/OR STATE PROJECTS
ADMINISTERED BY STATE HIGHWAY DEPARTMENT
Report below all projects for which the county, city or town made payments to the State Highway Department for Federal/State
paracipatJng projects, for which contracts were awarded and payments thereon made by the State Highway Department,
Project
Fund
Governmental
Unit's Paid to state
Share of Cost During Year*
*Amounts in last column should be those costs paid from the detail project account under "Construction and Reconst~uc~on"
of the fund affected.
SECTION VI - INVENTORY
Applicable
Year of Trade I~
.... Desc~on _ Model Purchase N~t Cost' Value'
case tractor 1990
rbuethling . roller 1995
o~ullsize tra. iler 1994
SePal Numar
o_~IO Numar
0001
0004
0511
0910
_~grbar~ __ .chipper 1993
mao.~ .[LUmper
chevrolet pu =/996
gallion grader 1968 3215
_~eterbilt dump 1995 3891
i__~ernational __ dump 1992 4555
int~rnat%.gnal dump _~992 455~Jc.~
freigh~li,ner .... ~dump 1996 5539
ford] ........ cargo _ 1995 _, __ __5834
wink-o-ma%~c si n board
....... ~,_ 1989 6136
wih~o-ma_~ic siqn board 1989 _,6138
cas~..__ b_~c35hoe _ 1989 __6312
f~r~ ....... a~D .~ _19~7
...... 6.653
gmc sierra 1997 6785
dodge flat bed 1993 7165
freightliner, dump 1995 .... 7288
fordf:'- '
crane_, trk 1979 8872
dodge pu 2000
ford dargo 1995 0922
3205
'Net Cost -- qross Cost - Trade In Value..
~4
SECTION V- CLASSIFICATION OF HIGHWAY OR STREET DEPARTMENt' EMPLOYEES
Number of Employees .
WorkClassifica~on ~3 ,,e < ~ ~ = = ~
I ~ < 0 Z
Supe~or [ ..............................
A~istant Supewisor 2 ....... : ........ ~ ....................
Engineer [ .....................................
A~istant Engineers [ .......................................
Clerical A~istan~ [ .............................
Truck D~em 4 .................
Equipment Operatom [ - ....................................
Labor
Garage Mechani~ ~ I
13 ·
FEB-28-2002 THU 02:56 ?~ CITY CLERK TREflSURER
FaX NO. 812 285 6426
1~, Ob
14
SECTION VI - INVENTORY
Description
d~)dge
Ye ar of
Model Purchase Ne.t_C, ost*
pu 1990
pu 2000 ..
qm_.c~
ford
__pu
2001
.__leaf vac _2000
l~Rf ~rd . lqqR
bucket tr~ ~"
roll off
cat
__paver
roller
Applicable
Trade In Serial Number
Value' or ID Number
9027
4496
~ %73
'Net Cost = Gross Cost- Trade In Vatue, .
SECTION VII - ROAD MILEAGE
Number of Miles on December 31
Surface Type Actual Change
Cement~ Concrete and Brick
Bituminous
Gravel and Stone
Unimproved
Total Miles
Reason
15
SECTION VIII - PROPOSED CONSTRUCTION, RECONSTRUCTION AND REPAIR PROGRAM
FOR THE YEAR FOLLOWING THE YEAR COVERED BY THIS OPERATIONAL REPORT
(Tick Appropriate Column for Type of Improvement)
See Appendix "A"
for Definitions of
Improvement Type
Location of ; ~ I ~_
Project ~ c m m -o E~ ~ ~e
~ ° '~-'~= ~ o~ ~c.~ ~ ~
Roads e 3 ~ '~ ¢ '-
-.
Bridges
* A = Motor Vehicle HighWay Fund
B = Cumulative Bridge Fund
C = Local Road and Street Fund
D = Federal Aid Fund
E'= Other Designated Fund
DATE:
Submitted by:
County Highway Supewisor ~
L
Approved:
Board of County Commissioners
Submitted by:
18
DATE:
2O
DATE:
2O
Street Commissioner, Street Supewisor,
or Other Designated Official
DATE:
Approved:
Mayor or President, Town Council
PRESClRBED BY STATE CITY AND TOWN FORM 225
BOARD OF ACCOUNTS - 1986
(CITY OR TOWN)
OF
(NAME OF UNIT)
COUNTY, INDIANA
ANNUAL OPERATIONAL REPORT
FOR LOCAL ROADS AND STREETS
(lC 8-17-4.1)
FOR THE YEAR ENDED
DECEMBER 31, 20
2
SECTION I - FINANCIAL STATEMENTS
~.~ ~ ,~,~ (Continued)
CUMULATIVE BRIDGE FUND
Cash Balance, January 1 (Excluding Investments)
Receipts:
Property Taxes
Principal of Investments
Interest on Investments
Refunds and Reimbursements
.$
Total Receipts
Total Balance and Receipts
Disbursements:
Maintenance and Repairs (Detail Page 7)
Construction and Reconstruction (Detail Page 10)
Purchase of Investments
Total Disbursements
Cash Balance, December 31
Investments on Hand, December 31 (Cost)
Balance, December 31 (Cash and.Investments)
LOCAL RO. AD AND ST~REET FUNQ
Cash Balance, January 1 (Excluding Investments)
Receipts:
Auditor of State - Local Road and Street Fund
Principal of Investments
interest on Investments
Refunds and Reimbursements
Transfer From Other Funds:
Total Receipts
Total Balar~ce and Receipts
Disbursements:
Maintenance and Repairs (Detail Page 7)
Construction and Reconstruction (Detail Page 11)
Purchase of investments
Total Disbursements
Cash Balance, December 31
Investments on Hand. December 31 (Cost)
Balance, December 31 [Cash and Investments)
Prescribed by State Board of Accounts
City and Town Form No~ 225
ANNUAL OPERATIONAL REPORT
FOR
COUNTY HIGHWAY/CITY/TOWN STREET DEPARTMENT
For Year Ending December 31 20
SECTION I - FINANCIAL STATEMENTS
MOTOR VEHICLE HIGHWAY FUND
Cash Balance, January 1 (Excluding Investments):
Receipts: ' '
State Motor Vehicle High~ay Distribution
Reimbursement From Construction and Reconstruction Projects
for Labor, Material. Equipment and Other Costs
Principal of Investments
Interest on Investments
Sale of Junk
Refunds and Other Reimbursements
Transfer From Other Funds:
Total Receipts
Total Balance and Receipts
Disbursements:
Administration (Detail Page 5) - - '
Maintenance and Repair (Detail Page 5)
Construction and Reconstruction (Detail Page 10)
General and Undistributed Expense (Detail Pages 5 and 6)
Purchase of Investments
Total Disbursements
Cash Balance, December 31
Investments on Hand, December 31 (Cost)
Balance. December 31 (Cash and Investments)
SECTION I - FINANCIAL STATEMENTS
STATEMENT OF INVESTMENT TRANSACTIONS
January 1,20 to December 31,20
Highway Fund
Balance, January 1
Investments Purchased (~) ....................
Total Balance and Pumhases(2)
Investments Matured or Sold
Balance. December 31 (3) $
Cumulative. ': Local Road and
Bridge Fund ' Street Fund
Other
$ $ $
$ $
4
(1) Shall agree with amount of Purchase of Investments shown in Disbursements section of Financial Statement.
(2) Shall agree with amount of Principal of Investments shown in Receipts section of Financial Statement.
(3) Shall agree with amounts of "Investments on Hand. December 31 (Cost)."
Q~HEIB.DEI~.G,~TED
SECTION I - FINANCIAL STATEMENTS
(Continued)
...... Fund
Cash Balance, January 1 (Excluding Investments)
Receipts:
3
Total Receipts
Total Balance and Receipts
Disbursements:
Total Disbursements
Cash Balance, December 31
Investments on Hand~ December 31 (Cost)
Balance,'December 31 (Cash and Investments)
ALL OTHER FUNDS USED FOR HIGHWAYS STREETS OR BI~I_D~ G~ES**
Disbursements:
Fund
Maintenance and Repair (Detail Page 8)
Construction and Recoqstruction (Detail Page 11)
Administration [Detail Page 8)
GeneraI,Nondistributed Expense (Detail Page 8)
Total Disbursements
*To Provide for additional funds, such as bridge bond issues, etc. Attach additional sheet for other funds,
if necessary.
**Prepare separate schedules for each additional fund such as General Fund, Cumulative Capital Improvement
Fund, etc. Attach sheets for additional funds if necessary.
SECTION II - MOTOR VEHICLE HIGHWAY FUND
~;~ %,:. ? (Continued) ~,i.~ ~ ::~-3 ~; :~i?~;.~
General and Undistributed Expense
Personal Services
Garage Mechanics andHelpers
Supplies
Gasoline, Oil and Lubricants
Tire and Tubes
Maintainer/Grader Blades
Other Garage and Motor Vehicles
Other Services and Charges (Contractual)
Communication Expense (Telephone, Radio, Etc.)
Utilities (Garage and Service Buildings)
Repairs
Garage and Se~ce Buildings
Trucks and Tractors
Road Equipment
Cars/Pickups
Other Repairs
Rentals
Other Current Charges
Separated Equipment Expenses/Ice Control and Snow Removal
Other
Capital Outlays
Land (Garage and Service)
Buildings (Garage and Sewi(;e)
Machinery and E~uipment
Cars/Pickups
Trucks
Tractors
Graders
Street (Pavement) Sweepers
Other Read Equipment
Garage Equipment
Total General and Undistributed Expense (Page 1)
Total Motor Vehicle Highway Fund (Excluding
Construction and Reconstruction Costs)
SECTION II - DETAIL OF DISBURSEMENTS BY MAJOR BUDGET
CLASSIFICATION AND MINOR EXPENDITURE CLASSIFICATION
(EXCLUDING CONSTRUCTION)
MOTOR VEHICLE HIGHWAY' FUND
5
Administ~a!ion
Personal Services
Supervisor
Assistant Supervisors
Engineer
Clerical Assistants
Supplies - Office
Other Services and Charges [Contractual)
Total Administration (Page 1)
Majn_t e~D a ~ e..a _n d_.B_ep_a*~
Personal Services (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Services (Ice Control and Snow Removal)
Supplies
Stone. Gravel ~nd Other .~ggregates
Culverts. Tile ~nd Sewer Pipe
B~uminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice Control)
Other Supplies
Other Services and Charges (Contractual)
Utilities (Intersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other C,u'rrent Charges
Total Maintenance and Repair (Page 1)
SECTION II
(c0ntihued)' .~
OTHER DESIGNATED FUND OR TRUST FUND*
Nlaintenanc~_and Repair
Personal Services (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Services (Ice Control and Snow Removal)
Supplies
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice Control)
Other Supplies'
Other Services and Charges (Contractual)
Uitlities (Intersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Capital Outlays
Total Maintenance and Repair (Page 3)
Total Other Designated Fund or Trust Fund
*Attach sheet(s) for addiitonal funds, if necessary.
SECTION
(Continued)
CUMULATIVE BRIDGE FUND
Personal Services
Supplies
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Other Supplies
Other Services and Charges (Contractual)
7
Total Maintenance and Repair (Page 1)
Total Cumulative Bri(~ge Fund
LOCAL ROAD AND STREET FUND
Mainten~nce and Reoair
Personal Services (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Se~ces (Ice Control and Snow Removal)
Supplies _ _
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand ar)d Salt (for Ice Control)
Other Supplies
Other Services and Charges (Contractual)
Utilities Ilntersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow R~movat)
E~ridges
Street Sweeping
Rental of Equipment
Other Current Charges
Total Maintenance and Repair (Page 2)
PRESCIRBED BY STATE CITY AND TOWN FORM 225
BOARD OF ACCOUNTS - 1986
City
(CITY OR TOWN)
OF
Jeffersonville
(NAME OF UNIT)
Cl~vk
COUNTY, INDIANA
ANNUAL OPERATIONAL REPORT
FOR LOCAL ROADS AND STREETS
(lC 8-17-4.1)
FOR THE YEAR ENDED
DECEMBER 31, 20 01
Prescribed by State Board of Accounts
City and Town Form No. 225
Jeffersonville
ANNUAL OPERATIONAL REPORT
FOR
~[~[t3~,~E]~IK~r~IN~Y/CITY/'~Qi;~N STREET DEPARTMENT
For Year Ending December 31,20 0;1_
SECTION I - FINANCIAL STATEMENTS
MOTOR VEHICLE HIGHWAY FUND
Cash Balance, January 1 (Excluding Investments):
Receipts:
State Motor Vehicle Highway Distribution
Reimbursement From Construction and Reconstruction Projects
for Labor, Material, Equipment and Other Costs
Principal of Investments
Interest on Investments
Sale of Ju~nk
Miscellaneous & Refunds
Refunds and Other Reimbursements
Transfer From Other Funds:
Excavating Permits
Refunds & Reimbursements .
Total Receipts
Total Balance and Receipts
Disbursements:
Administra~on (Detail Page 5) - -
Maintenance and Repair (Detail Page 5)
Construction and Reconstruction (Detail Page 10)
General and Undistributed Expense (Detail Pages 5 and 6)
Purchase of Investments
$ 644.667.17
2,665.60
387,317.97
61,441.06
RRn.a12 97
Total Di§bursements
Cash Balance, December 31
investments on Hand, December 31 (Cost)
Balance, December 31 (Cash and Investments)
73,345.35
SECTION I - FINANCIAL STATEMENTS
(Continued)
cuMULATIVE BRIDGE FUND
Cash Balance, January 1 (Excluding Investments)
Receipts:
Property Taxes
Principal of Investments
Interest on Investments
Refunds and Reimbursements
Total Receipts
Total Balance and Receipts
Disbursements:
Maintenance and Repairs IDetail Page 7)
Construction and Reconstruction (Detail Page 10)
Purchase of Investments
Total Disbursements
Cash Balance, December 31
investments On Hand, December 31 (Cost)
Balance, December 31 (Cash a~d Investments)
~OCALROADANDSTREETFUND
Cash Balance, January 1 (Excluding Investments)
Receipts:
Auditor of State - Local Road and Street Fund
Principal of Investmen~
Interest on Investments
Refunds and Reimbumemen~
Transfer From Other Funds:
Grants
Miscellaneous
Total Receipts
Total Balance and Receipts
413,788.49
72,554.62
81,250.00
30,923.30
Disbursements:
Maintenance and Repairs (Detail Page 7)
Construction and Reconstruction (Detail Page 11)
Purchase of Investments
825,336.58
Total Disbursements
Cash Balance, December 31
Investments on Hand, December 31 (Cost)
Balance, December 31 (Cash and Investments)
?
$
$ 292,523.49
598,516.41
891,039.90
825,336.58
65,703.32
$ 65,703.32
SECTION I - FINANCIAL STATEMENTS
';, ~- ~ ..... C~ntinued)
OTHER DED CATED FUNDS_T
Fund
Cash Balance. January I (Excluding Investments)
Receipts:
Total Receipts
Total Balance and Receipts
Disbursements:
Total Disbursements
Cash Balance. December 31
Investments on Hand, December,31 (Cost)
Balance,Oecember 31 (Cash and Investments)
ALL OTHER FUNDS USED FOR HIGHWAYS, STREETS OR BRI_QGES**
Disbursements:
Fund
Maintenance and Repair (Detail Page 8)
Construction and Reconstruction (Detail Page 11)
Administration (Detail Page 8)
General ~Nondistributed Expense (Detail Page 8)
Total Disbursements
*To Provide for additional funds, such as bridge bond issues, etc, Attach additional sheet for other funds.
if necessary.
""Prepare separate schedules for each additional fund such as General Fund. Cumulative Capital improvement
Fund, etc. Attach sheets for additional funds if necessary.
SECTION I - FINANCIAL STATEMENTS
(Continued)
STATEMENT OF INVESTMENT TRANSACTIONS
January 1, 20 01 to December 31, 20 01
Highway Fund
Balance, January 1 $ $ $
Investments Purchased (4) .....................
Total Balance and Purchases (2)
Investments Matured or Sold ' -
Balance. December 31 ~3) $ -0- $ _ .:O-- $ -~1-
Cumulative Local Road and Other
Bridge Fund Street Fund
$
(1) Shall agree with amount~of Purchase of Investments shown in Disbursements section of Financial Statement.
(2) Shall agree with amount of Principal of Investments show~ in Receipts section of Financial Statement.
(3) Shall agree with amounts of "Investments on Hand. December 31 (Cost),"
SECTION II - DETAIL OF DISBURSEMENTS BY MAJOR BUDGET
CLASSIFICATION AND MINOR EXPENDITURE CLASSIFICATION
(EXCLUDING CONSTRUCTION)
MOTOR VEHICLE HIGHWAY FUND
5
Administration
Personal Services Supervisor
Assistant Supervisors
Engineer
· Clerical Assistants
SOO Sec. PERF. Ho.~p. C. loth. Mad:
Supplies - Office
Other Ser~ces and Charges (Contractual)
$ 35.544.fl0
57.866-~g
Total Administration (Page 1)
31.826.8~
T~avel
M_aintenaoce and R~pa_[r
Personal Services (Excluding Ice Control and Snow Removal)
Truck Ddvers
Equipment Operators
Labor
Personal Services (Ice Control and Snow Removal)
r)xr~1~f~mP
Supplies
Stone, Gravel and Other Aggregates
Culverts. Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice Control)
Other Su ;)plies
Other Services and Charges (Contractual)
Utilities (Intersection Lights, Etc.)
Maintenance and Repairs by Gontract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Total Maintenance and Repair (Page 1)
· a~ 82
23q.aR~ q5
141:1~R a9
~2 .n35~ 16
- 343,~34.97
29,,394.42
9,588.58 38,983.00
~38_7. -217_.97-
SECTIONII~- MOTOR VEHICLE HIGHWAY FUND. ,:~ ,
(Continued)
Gener~!An__d UndistribAted Expense_ :
Personal Services
Garage Mechanics and Helpers
Supplies
Gasoline, Oil and Lubricants
Tire and Tubes
Maintainer/Grader Blades
Other Garage and Motor Vehicles
Other Services and Charges (Contractual)
Communication Expense (Telephone, Radio, Etcl)
Utilities (Garage and Service Buildings)
Repairs
Garage and Service Buildings
Trucks and Tractors
Road Equipment
Cars/Pickups
Other Repairs
Rentals
Other Current Charges
Separated Equipment Expenses/Ice Control and Snow Removal
Other
Capital Outlays
Land (Garage and Service.)
Buildings (Gara_ge and Service)
Machinery and Equipment
'Cam/Pickups
Trucks
Tractors
Graders
Street (Pavement) Sweepers
Other Road Equipment
Garage Equipment
$
21.875.10
8.727.93
6.111.74
8.451.29
30,603.03
6
Total General and Undistributed Expense (Page 1)
Total Motor Vehicle Highway Fund (Excluding
Construction and Reconstruction Costs)
7
SECTION II
(Continued)
CUMULATIVE BRIDGE FUND
.1 ' e-:c- --e:a'_
Personal Services
Supplies
Stone, Gravel and Other Aggregates
Culverts, Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Other Supplies
Other Sen/ices and Charges (Contractual)
Total Maintenance and Repair (Page 1)
Total Cumulative Bridge Fund
LOCAL ROAD AND STREET FUND
Main.tena. oc_ _e and Reoa~r
Personal Services (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Services (ice Control and Snow Removal
Supplies
Stone, Gravel and Other Aggregates
Culverts. Tile and Sewer Pipe
Bituminous (Including Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand an.,d Salt (for Ice Control)
Other Sapplies
Other Services and Charges (Contractual)
Utilities (Intersection Lights, Etc.)
Maintenance and Repairs by Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow R~moval)
Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Total Maintenance and Repair (Page 2)
. ~7,SNN.NN
SECTION II
(Continued)
OTHER DESIGNATED FOND OR TRUST FUND*
~lai~_tenanq~_and Repair
Personal Service~ (Excluding Ice Control and Snow Removal)
Truck Drivers
Equipment Operators
Labor
Personal Services (Ice Control and Snow Removal)
Supplies
Stone, Gravel and Other Aggregates
Culverts. Tile and Sewer Pipe
Bituminous llncluding Mixed Aggregates)
Bridge and Structural Metals
Lumber
Road Signs
Sand and Salt (for Ice Control)
Other Supplies
Other Services and Charges (Contractual)
Utilities (Intersection.Lights, Etc.)
Maintenance ancJ Repairs I?y Contract
Roads (Other Physical Maintenance)
Roads (Ice Control and Snow Removal)
'Bridges
Street Sweeping
Rental of Equipment
Other Current Charges
Capital Outlays
Total Maintenance and Repai~ ~Page 3)
Total Other Designated Fund or Trust Fund
*Attach sheet(s) for additional funds, if necessary,
SECTION III
SUMMARY OF NET MAINTENANCE AND REPAIR EXPENSE
Motor Vehicle Highway Fun~d
Cumulate Bridge Fund
Local Road and Street Fund
Other Designated Fund or Trust Fund
Total
9
10
SECTION IV - CONSTRUCTION AND RECONSTRUCTION
(Trak Appropriate Co umn for Type of mprovement)
MOTOR VEHICLE HIGHWAY FUND
See Appendix "A"
for Deflnitio~ns of
Improvement Types
Location of Number System Used: ~ oc oe
Project IDOHRoadlnv. ~ c m ~ ~c E ~_ mc '
Local Road No. 'E o ,_c, ,- ~c oe ~ ¢ ~
Road From To e .- -= c
~ z ~ ~ ~ ~ ~ m m m ~ Amount
Total Mot0r vehicle Highway Fund Construction and ReConsiruction, page 1 $ -
cuMuLATIVE BRIDGE FUND
Road From To Amount
I i
Total Cumulative Bddge Fund Construction and Reconstruction. Page 1 $
SECT ON V - CONSTRUCTION A~ND R. ECONSTRUCTION~,
(Tick Appropriate Column for Type of Improvement)
See Appen,_dix "A"
for Defin~ons of
Improvement Types
~ L(~CAL ROAD AND STREET FUND
Project ~
Road. From To e ~ e ~ ~ ~ ~ ~ '~
J z ~ ~ ~ ~ ~ m m m ~ ~ Amount
r
Total Local Road and Street Fund Construc~on and Reconstruction, Page 2 $__
ANY OTHER DESIGNATED FUNDS USED FOR HIGHWAYS, STREETS OR BRIDGES
Road From To Amount
Total Other Designated Funds Used for Highways, Streets and Bridges, Pages 2 and 3
12 -
REPORT Of FEDERAL AND/OR STATE PROJECTS
ADMINISTERED BY STATE HIGI"I~VAY DEPARTMENT
Report below all projects for which the county, city or town made payments t~ the State Highway Department for Federal/State
pa~cipafing projects, for which contracts were awarded and payments thereon made by the State Highway Department.
Governmental
Unit's Paid to state
Project Fund Share of Cost During Year*
*Amounts in last column sho_qld be those costs pa'd from the detail project account under "Construction and Reconstruction"
of the fund affected.
13
SECTION V - CLASSIFICATION OF HIGHWAY OR STREET DEPARTMENT EMPLOYEES
· Number of Employees
Work ClassifiCation
Su~or
A~is~nt Supe~sor
Engineer
~istant Engineem
Clerical A~istan~
Truck D~em
Equipment Operatom
Labor
Garage Mechani~
14
E(~uiDment
SECTION VI - INVENTORY
Applicable
Year of Trade In Serial Number
Description Model Purchase Net Cost* Value* or ID Number
*Net C6st = Gross Cosf: T£~d6"l~-Val~. .............................................................................. ;;,~<
Surface Type
Cement, Concrete
and Brick
aitummous
Gravel and Stone
Unimproved
Total Miles
SECTION Vii - ROAD MILEAGE
Number of Miles on December 31
Actual Change
Reason
SECTION Viii - PROPOSED CONSTRUCTION, RECONSTRUCTION AND REPAIR PROGRAM
FOR THE YEAt~ FOLLOWING THE YEAR COVERED BY THIS OPERATIONAL REPORT
(Tick Appropriate Column for Type of Improvement
See Appendix "A"
for Definitions of
Improvement Type
Location
Proieet
Roads
Bridges
· A = Motor Vehicle Highway Fund
B = Cumulative Bridge Fund
C = Local Road and Street Fund
D = Federal Aid Fund
E = Other Designated Fund
DATE:
Subm~edby:
County Highway Supen/isor .
Approved:
16
DATE:
2O
E~oard of County Commissioners
Submitted by:
DATE:
2O
Street Commissioner, Street Supewisor,
or Other Designated Official
DATE:
2O
Approved:
Mayor or President, Town Council