Local Government Annual Report Summary - Department Of Audit, Public Funds

Local Government Annual Report Summary - Department Of Audit, Public Funds - 2016

Local Government Annual Report Summary FYE 6-30-2016

For Towns under 4,000 population

Due date for filing this report: December 31, 2016

Return to:

Town of

Department of Audit, Public Funds

Local Government

County of ______________________________________

Herschler Bldg, 3rd East

Cheyenne, WY 82002

(For additional information on this report, see the Rules on file for Department of Audit, Public Funds Division,

Secretary of State, Capitol Bldg, Cheyenne, WY 82002 .)

at the Office of the Wyoming

Check here if you are having a CPA audit, review, or special procedures.

Enter name of CPA firm _________________________________

sign and return.

Section A - Results of Self Audit and Internal Control Evaluation: Required to be completed

by all Level A towns (over $100,000 in revenue or expenses) not having a CPA audit or review.

1. Indicate here any weaknesses that were found during the internal control system evaluation for

your town.

2. What action will your governing body take to try to correct this weakness?

3. Explain here any adjustments or corrections, which were discovered during the self-audit

procedure.

(Write, “none found” if no adjustments.)

(continue on an attachment, if necessary)

Section B - Bank Reconciliation: Required of all towns in Wyoming if you do not have a CPA audit

or review or CPA agreed upon procedures which is to be

submitted to the Department of Audit for the fiscal year of this

report.

Please attach a copy of the reconciliation for each bank account or Certificate of Deposit held by your

town. Note any comments here.

Section C - Certification of Officials: To be completed by all towns.

I certify to the best of my knowledge that the information presented in the Annual City and Town Financial Report

(Census Report) and in Sections A and B above, are correct and complete. A record of the procedures which our town

performed for a self-audit and an internal control evaluation, when required, are on file in our official records. The bank

reconciliation(s) required in Section B were performed by _________________________________________ who is an

independent third party as defined in the Rules and Regulations for the Dept of Audit, Public Funds, on file at the office of

the Wyoming Secretary of State.

OFFICIAL SIGNATURES (unsigned reports will be returned for signatures.)

_______________________________________

Town Treasurer

Mayor of Town

Date

______

Phone __________________

E-mail________________________

7/1/2016

Local Government Annual Report Summary - Department Of Audit, Public Funds - 2016

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