CM-11-12-244Item Caption:
CM-II-IZ'ZNy
RECEIVED
NOV 30 2011
City Manager Approval Form
Consider executing the annual federal and state annual asset forfeiture reports regarding the receipt and
disbursement of such funds and assets.
Approval Date:
December 2, 2011
Department Name: Police Department
Project Manager: Rick White
Assigned Attorney: J. K. Gayle
Item Summary:
The attached reports to the U.S. departments of Justice (D01) and Treasury and the Texas Attorney General's office summarize
the Police Department's receipt and disbursements of assets seized as a result of their being used as part of a continuing criminal
enterprise. The department receives assets and funds through asset forfeiture processes as a result of agreements with the
federal government and, in the case of the state, with the Travis County and Williamson County District Attorney offices. In
addition to reporting annual forfeiture activity, the federal report includes a result of its participation in federal cases. Forfeiture
proceeds are held in the Law Enforcement (LE) fund separate from the General Fund.
The federal report shows that, with the initial starting balance, the federal portion of the LE Fund held as much as $128,238 in
fiscal 2010-11, and that portion of the fund saw $83,432.17 in expenditures. The state portion of the LE Fund began fiscal
2010-11 with $217,853 and grew by $336,617 with three vehicles also received by the Department. State -related forfeiture
expenditures totaled $180,784 in the fiscal year ending September 30, 2011. The awarded vehicles are expected to be sold at
auction with the proceeds going to the LE Fund...
(see second page for full summary)
No. of Originals Submitted: 1
Project Name:
Cost:
Source of Funds:
Annual Asset Forfeiture Reports
N/A
Select Source Fund
Source of Funds (if applicable): Select Source Fund
Account Number:
Finance Director Approval: 5. Carter for Cheryl Delaney
Date: 11/30/2011
Department Director Approval: Assistant Chief Troy Evans for Chief Tim Ryle Date: 11/30/2011
**Electronic signature by the Director is acceptable. Please only submit ONE approval form per item. **
CIP❑ Budget Purchasing ❑� Accounting z
N/A OK N/A OK N/A OK N/A OK
ITEMS WILL NOT BE PLACED ON THE COUNCIL OR CM AGENDA W/OUT PRIOR FINANCE AND/OR LEGAL APPROVAL
REV. 6/20/11
FULL SUMMARY OF ANNUAL ASSET FORFEITURE REPORTS
(Gray Portion Appears on Summary Sheet)
The attached reports to the U.S. departments of Justice (D01) and Treasury and the Texas
Attorney General's office summarize the Police Department's receipt and disbursements of
assets seized as a result of their being used as part of a continuing criminal enterprise. The
department receives assets and funds through asset forfeiture processes as a result of
agreements with the federal government and, in the case of the state, with the Travis County
and Williamson County District Attorney offices. In addition to reporting annual forfeiture
activity, the federal report includes a renewal of the Equitable Sharing Agreement that allows
the Department to share in the proceeds of forfeitures produced as a result of its participation
in federal cases. Forfeiture proceeds are held in the Law Enforcement (LE) fund separate from
the General Fund.
The federal report shows that, with the initial starting balance, the federal portion of the LE
Fund held as much as $128,238 in fiscal 2010-11, and that portion of the fund saw $83,432.17
in expenditures. The state portion of the LE Fund began fiscal 2010-11 with $217,853 and grew
by $336,617, with three vehicles also received by the Department. State -related forfeiture
expenditures totaled $180,784 in the fiscal year ending September 30, 2011. The awarded
vehicles are expected to be sold at auction with the proceeds going to the LE Fund.
The Police Department used the expended funds in FY 2010-11 to purchase technology and
communications infrastructure and other equipment for two large command platform vehicles.
Other purchases included surveillance equipment, a forklift, and a citizen communication
system.
Equitable Sharing
Agreement and
Certification
OMB Number 1123-0011
Expires 9-30-2014
Police Department 0 Sheriff's Office 0 Task Force (Complete Table A, page2)
0 Prosecutor's Office 0 Other (specify)
Agency Name: Round Rock Police Department
NCIC/ORI/Tracking Number:
T
X
2
4
6
0
5
0
0
Street Address:2701 N. Mays St.
City: Round Rock
Contact: Title: Mr.
State: TX Zip: 78665
First: Rick Last: White
Contact: Phone: (512) 218-5524 E-mail: rwhite@round-rock.tx.us
same as Preparer: First: Rick
® Contact Preparer: Phone: (512) 218-5524
1
2Treasury Agencies are: IRS, ICE, CBP, USSS, and USCG.
Last: White
E-mail: rwhite@round-rock.tx.us
Last Fiscal Year End: 09/30/2011 Agency Current Fiscal Year Budget: $23,933,573.00
O New Participant: Read the Equitable Sharing Agreement (page 4) and sign the Affidavit (page 5)
0 Existing Participant: Complete the Annual Certification Report, read the Equitable Sharing Agreement (page 4),
and sign the Affidavit (page 5)
O Amended Form: Revise the Annual Certification Report, read the Equitable Sharing Agreement (page 4),
and sign the Affidavit (page 5).
Annual Certification Report
Justice Funds'
Summary of Equitable Sharing Activit
Treasury Funds2
1
Beginning Equitable Sharing Fund Balance (must match
Ending Equitable Sharing Fund Balance from prior FY)
$112,738.39
$143,128.93
2
Federal Sharing Funds Received
$15,410.73
$0.00
3
Federal Sharing Funds Received from Other Law Enforcement
Agencies and Task Forces (complete Table B, page 2)
$0.00
$0.00
4
Other Income
$0.00
$0.00
5
Interest Income Accrued Non -Interest Bearing0
Interest Bearing ®
$88.49
$0.00
6
Total Equitable Sharing Funds (total of lines 1- 5)
$128,237.61
$143,128.93
7
Federal Sharing Funds Spent (total of lines a - m below)
$83,432.17
$0.00
8
Ending Balance (difference between line 7 and line 6)
$44,805.44
$143,128.93
Page 1 of 5
CM-l(-12-ZLV-1
September 2011
Version 2.0
Summary of Shared Monies Spent
Justice Funds
a
Total spent on salaries for new, temporary, not -to -exceed
one year employees Refer to § VIII.A.2.a.3 of the Justice Guide
$0.00
$0.00
b
Total spent on overtime
$0.00
$0.00
c
Total spent on informants, "buy money," and rewards
$0.00
$0.00
d
Total spent on travel and training
$0.00
$0.00
e
Total spent on communications and computers
$69,532.17
$0.00
f
Total spent on weapons and protective gear
$0.00
$0.00
g
Total spent on electronic surveillance equipment
$0.00
$0.00
h
Total spent on buildings and improvements
$0.00
$0.00
Total transfers to other state and local law enforcement
agencies (complete Table C, page 2)
$0.00
$0.00
Total spent on other law enforcement expenses (complete
Table D, page 3)
$13,900.00
$0.00
k
Total Expenditures in Support of Community-based Programs
(complete Table E, page 3)
$0.00
-.
I
Total Windfall Transfers to Other Government Agencies
(complete Table F, page 3)
$0.00
$0.00
m
Total spent on matching grants (complete Table G, page 3)
$0.00
$0.00
n
Total
$83,432.17
$0.00
o
Did your agency receive non-cash assets? 0 Yes C) No If yes, complete Table H, page 3.
Please fill out the following tables, if applicable.
Table A: Members of Task Force
Agency Name
Table B: Equitable Sharing Funds Received from other Agencies
Total the amount transferred to each agency on separate lines
Transferring Agency Name, City, and State
Agency Name:
NCIC/ORI/Tracking Number.
NCIC/ORI/Tracking Number
Justice Funds Treasury Funds
$0.00
$0.00
Table C: Equitable Sharing Funds Transferred to Other Agencies
Total the amount transferred to each agency on separate lines
Receiving Agency Name, City, and State
Justice Funds Treasury Funds
Agency Name:
NCIC/ORI/Tracking Number:
$0.00
$0.00
Page2of5
September 2011
Version 2.0
Table D: Other Law Enforcement Expenses
Description of Expense
Purchase of forklift to support operations
Justice Funds Treasury Funds
$13,900.00
$0.00
Table E: Expenditures in Support of Community-based Programs
Refer to § VIII.A.1.m and Appendix C of the Justice Guide
Recipient
Justice Funds
$0.00
Table F: Windfall Transfers to Other Government Agencies
Refer to § VIII.A.1.n of the Justice Guide and pp. 25-26 of the Treasury Guide
Recipient
Table G: Matching Grants
Refer to § VIII.A.1.h of the Justice Guide and p. 22 of the Treasury Guide
Matching Grant Name
Table H: Other Non -Cash Assets Received
Source
Justice Q
Treasury 0
Description of Asset
Justice Funds Treasury Funds
$0.00
$0.00
Justice Funds Treasury Funds
$0.00
$0.00
Table 1: Civil Rights Cases
Name of Case
Type of Discrimination Alleged
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information
unless it displays a valid OMB control number. We try to create accurate and easily understood forms
that impose the least possible burden on you to complete. The estimated average time to complete this
form is 30 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, please write to the Asset Forfeiture and Money Laundering Section,
Program Operations Unit, 1400 New York Avenue, N.W., Tenth Floor, Washington, DC 20005.
Page 3 of 5
September 2011
Version 2.0
Race
LI Color
❑ National
Origin
❑ Gender
Disability
Age
Other
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information
unless it displays a valid OMB control number. We try to create accurate and easily understood forms
that impose the least possible burden on you to complete. The estimated average time to complete this
form is 30 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, please write to the Asset Forfeiture and Money Laundering Section,
Program Operations Unit, 1400 New York Avenue, N.W., Tenth Floor, Washington, DC 20005.
Page 3 of 5
September 2011
Version 2.0
Equitable Sharing Agreement
This Federal Equitable Sharing Agreement, entered into among (1) the Federal Government, (2) the above -stated law
enforcement agency ("Agency"), and (3) the governing body, sets forth the requirements for participation in the
federal equitable sharing program and the restrictions upon the use of federally forfeited cash, property, proceeds,
and any interest earned thereon, which are equitably shared with participating law enforcement agencies. By its
signatures, the Agency agrees that it will be bound by the statutes and guidelines that regulate shared assets and the
following requirements for participation in the federal equitable sharing program. Receipt of the signed Equitable
Sharing Agreement and Certification (this "Document") is a prerequisite to receiving any equitably shared cash,
property, or proceeds.
1. Submission. This Document must be submitted to aca.submit@usdoj.gov within 60 days of the end of the
Agency's fiscal year. This Document must be submitted electronically with the Affidavit/Signature page (page 5)
submitted by fax. This will constitute submission to the Department of Justice and the Department of Treasury.
2. Signatories. This agreement must be signed by the head of the Agency and the head of the governing body.
Examples of Agency heads include police chief, sheriff, director, commissioner, superintendent, administrator,
chairperson, secretary, city attorney, county attorney, district attorney, prosecuting attorney, state attorney,
commonwealth attorney, and attorney general. The governing body's head is the person who allocates funds or
approves the budget for the Agency. Examples of governing body heads include city manager, mayor, city council
chairperson, county executive, county council chairperson, director, secretary, administrator, commissioner, and
governor.
3. Uses. Any shared asset shall be used for law enforcement purposes in accordance with the statutes and guidelines
that govern the federal Equitable Sharing Program as set forth in the current edition of the Department of Justice's
Guide to Equitable Sharing for State and Local Law Enforcement (Justice Guide), and the Department of the Treasury's
Guide to Equitable Sharing for Foreign Countries and Federal, State, and Local Law Enforcement Agencies (Treasury Guide).
4. Transfers. Before the Agency transfers cash, property, or proceeds to other state or local law enforcement
agencies, it must first verify with the Department of Justice or the Department of Treasury, depending on the source
of the funds, that the receiving agency is a federal Equitable Sharing Program participant and has a current Equitable
Sharing Agreement and Certification on file.
5. Internal Controls. The Agency agrees to account separately for federal equitable sharing funds received from the
Department of Justice and the Department of the Treasury. Funds from state and local forfeitures and other sources
must not be commingled with federal equitable sharing funds. The Agency shall establish a separate revenue
account or accounting code for state, local, Department of Justice, and Department of the Treasury forfeiture funds.
Interest income generated must be accounted for in the appropriate federal forfeiture fund account.
The Agency agrees that such accounting will be subject to the standard accounting requirements and practices
employed for other public monies as supplemented by requirements set forth in the current edition of the Justice
Guide and the Treasury Guide, including the requirement in the Justice Guide to maintain relevant documents and
records for five years.
The misuse or misapplication of shared resources or the supplantation of existing resources with shared assets is
prohibited. Failure to comply with any provision of this agreement shall subject the recipient agency to the sanctions
stipulated in the current edition of the Justice or Treasury Guides, depending on the source of the funds/property.
6. Audit Report. Audits will be conducted as provided by the Single Audit Act Amendments of 1996 and OMB
Circular A-133. The Department of Justice and Department of the Treasury reserve the right to conduct periodic
random audits.
Page 4 of 5
September 2011
Version 2.0
Affidavit - Existing Participant
Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under
the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate
accounting of funds received and spent by the Agency under the Justice and/or Treasury Guides during the reporting
period and that the recipient Agency is in compliance with the National Code of Professional Conduct for Asset Forfeiture.
The undersigned certify that the recipient Agency is in compliance with the nondiscrimination requirements of the
following laws and their Department of Justice implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C.
§ 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation
Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 etseq.), which prohibit
discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or
on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all
federal statutes and regulations permitting federal investigators access to records and any other sources of information as
may be necessary to determine compliance with civil rights and other applicable statutes and regulations.
During the past fiscal year: (1) has any court or administrative agency issued any finding,
judgment, or determination that the Agency discriminated against any person or group in
violation of any of the federal civil rights statutes listed above; or (2) has the Agency entered
into any settlement agreement with respect to any complaint filed with a court or
administrative agency alleging that the Agency discriminated against any person or group in
violation of any of the federal civil rights statutes listed above? 0 Yes O No
If you answered yes to the above question, complete Table 1
Agency Head
See 12 on page
Signature: /
Name:
Title:
Date:
Treav
Assistant Chief of Police
Subscribe to Equitable Sharing Wire:
The Equitable Sharing Wire is an electronic newsletter that
gives you important, substantive, information regarding
Equitable Sharing policies, practices, and procedures.
Final Instructions:
Step 1: Click to save for your records
Step 2: Click to save in XML format
Governing Body Head
See 12 on page
Signature:
Name: Steve Norwood
Title: City Manager
Date: /VD //
Step 3: E-mail the XML file to aca.submit@usdoj.gov
Step 4: Fax THIS SIGNED PAGE ONLY to (202) 616-1344
FOR AGENCY USE ONLY
Entered by
Entered on
o FY End: 09/30/2011
NCIC: TX2460500
O
V 11 IUIII 111 1111011
1
Date Printed: November 30, 2011 10:51
Agency: Round Rock Police Department Phone: (512)218-5524
State: TX Contact: Rick White E-mail: rwhite@round-rock.tx.us
1
Page 5 of 5
September 2011
Version 2.0
FY 2011
CHAPTER 59 ASSET FORFEITURE REPORT
BY LAW ENFORCEMENT AGENCY
Agency Name: Reporting Period:
Round Rock Police Department (local fiscal year) 10/1/10 to 9/30/11
Agency Mailing example: 01/01/11 to 12/31/11,
Address: 2701 N. Mays St. 09/01/10to08/31/II etc.
Phone Number:
County:
Email Address:
Round Rock, TX 78665
(512) 218-5500
Williamson/Travis
rwhite@round-rock.tx.us
This should be a
permanent agency
email address
NOTE: PLEASE ROUND ALL DOLLAR FIGURES TO NEAREST WHOLE DOLLAR.
1. SEIZED FUNDS
A)
Beginning Balance:
Instructions: Include total amount of seized funds on hand (in your agency's possession)
at beginning of reporting period. Include funds that may have been forfeited but have not
been transferred to your agency's forfeiture account. Do not include funds that are in an
account held by another agency, e.g., the District Attorney's account.
$
0
13)
Seizures During Reporting Period:
Instructions: include only those seizures which occurred during the reporting period and
where the seizure affidavit required by Article 59.03 is sworn to by a peace officer employed
by your agency.
1) Amount seized and retained in your agency's custody.
$
0
2) Amount seized and transferred to the District Attorney pending forfeiture.
$
302.735
C)
Interest Earned on Seized Funds During Reporting Period:
Instructions: Eater amount of interest earned on funds in your agency's seizure account
during the reporting period. Do not include interest earned if funds are on deposit in an
account that docs not belong to your agency, e.g. the District Attorney's account.
$
0
D)
Amount Returned to Defendants/Respondents:
$
0
E)
Amount Transferred to Forfeiture Account:
Instructions: Include all amounts in your agency's possession forfeited during the reporting
period and transferred to your forfeiture account. Do not include funds that are in an
account held by another agency, e.g. the District Attorney's account.
$
0
F)
Ending Balance:
Instructions: Add lines A, B(1), and C, subtract lines D and 13, put total in line F.
$
0
from Dale 6/14/11
Paas t
11. FORFEITED FUNDS
A)
Beginning Balance:
Instructions: include total amount of forfeited funds that have been forfeited to your
agency and arc on hand (in your agency's account or in your agency's possession) at
beginning of the reporting period including interest. Du not include funds that have been
forfeited but not yet received by your agency.
$ 217,853
13)
Amount Forfeited to and Received by Reporting Agency (Including Interest) During
Reporting Period:
Instructions: Do not include amounts forfeited but not yet received by your agency;
interest refers to the amount earned prior to forfeiture and distributed as part of the
judgment of forfeiture.
$ 336,617
C)
Interest Earned on Forfeited Funds During Reporting Period :
Instructions: Include only the amount of interest canted on funds in your agency's
forfeiture account or interest earned on funds derived from the sale of forfeited property
during the reporting period. Do not include interest earned if funds arc on deposit in an
account that docs not belong to your agency, e.g. the District Attorney's account.
$ 55
D)
Proceeds Received by Your Agency From Sale of Forfeited Property:
Instructions: Include amounts received for all properly sold during the reporting period,
even if the subject property was forfeited in a prior reporting period.
$ 0
E)
'total Expenditures of Forfeited Funds During Reporting Period:
Instructions: From Total on Section vi.
$ 180,784
F)
Ending Balance:
Instructions: Add lines A through 1), subtract line E, place total in line F.
$ 373,723
111. OTHER PROPERTY
Instructions: List the number of items seized for the following categories. Include only
those seizures where a seizure is made by a peace officer employed by your agency. If
property is sold, list under "Proceeds Received by Your Agency From Sale of Forfeited
Property" in Section 11 (D) in the reporting year in which the proceeds are received.
Please note - this should be a number not a
currency amount. Example 4 cars seized, 3 cars
forfeited and 0 cars put into use.
SEIZED
FORFEITED TO
AGENCY
RETURNED TO
DEFENDANTS /
RESPONDENTS
PUT INTO USE
13Y AGENCY
1) MOTOR VEHICLES (Include cars, motorcycles,
tractor trailers, etc.)
3
3
0
0
2) REAL PROPERTY (Count each parcel seized as
one item)
0
0
0
0
3) COMPUTERS (Include computer and attached
system components, such as printers and monitors, as
one item)
0
0
0
0
4) FIREARMS (Include only firearms seized for
forfeiture under Chapter 59. Do not include weapons
disposed under Chapter 18.)
0
0
0
0
5) Other Property - Description:
NA
Other Property -Description:
NA
Other Property -Description:
NA
Form Dare 6/14/11
Page 2
IV.
V.
VI.
FORFEITED PROPERTY RECEIVED FROM ANOTHER AGENCY
Instructions: Enter the total number of items transferred to your agency where the
forfeiture judgment awarded ownership of the property to another agency prior to
the transfer.
A)
Motor Vehicles (the number of vehicles, not a currency amount):
0
13)
Real Property (tire number of separate parcels of property, not a currency amount):
0
C)
Computers (the number of computers, not a currency amount):
0
ll)
Firearms (the number of firearms, not a currency amount):
0
L"-)
Other (the number of items, not a currency amount): '
0
FORFEITED PROPERTY TRANSFERRED OR LOANED TO ANOTHER
AGENCY
Instructions: Enter the total number of items transferred or loaned from your
agency where the forfeiture judgment awarded ownership of the property to your
agency prior to the transfer.
A)
Motor Vehicles (the number of vehicles, not a currency amount):
0
13)
Real Property (the number of separate parcels of property, not a currency
amount:
0
C)
Computers (the number of computers, not a currency amount):
0
0)
Firearms ( the number of firearms, not a currency amount):
0
1:)
Other (the number of items, not a currency amount):
0
EXPENDITURES
Instructions: This category is for Chapter 59 expenditures SOLELY for law
enforcement purposes - not for expenditures made pursuant to your general
budget. List the total amount expended for each of the following categories. If
proceeds are expended for a category not listed, state the amount and nature of
the expenditure under the Other category.
A) SALARIES
•
I . Increase of Salary, Expense, or Allowance for Employees (Salary Supplements):
2. Salary Budgeted Solely From Forfeited Funds:
s0
3. Number of Employees Paid Using Forfeiture Funds:
0
TOTAL SALARIES PAID OUT OF CHAPTER 59 FUNDS:
$ 0
13) OVERTIME
Firm Dale 614/11
1. For Employees Budgeted by Governing Body:
$ 0
2. For Employees Budgeted Solely out of Forfeiture Funds:
S 0
3. Number of Employees Paid Using Forfeiture Funds:
0
TOTAL OVERTIME PAID OUT OF CHAPTER 59 FUNDS: $ 0
Page 1
C) EQUIPMENT
1. Vehicles:
s69,693
2. Computers:
332,480
3. Firearms, Vests, Personal Equipment:
$ 0
4. Furniture:
$ 0
5. Software:
$18,680
6. Maintenance Costs:
0
7. Uniforms:
$ 0
8. K9 Related Costs:
$ 0
9. Othter (Provide Detail on Additional Sheet):
$59,931
TOTAL EQUIPMENT PURCHASED WITH CHAPTER 59 FUNDS:
$ 180,784
D) SUPPLIES
1. Office Supplies:
$0
2. Cellular Air Time :
30
3. Internet:
$0
4. Other (Provide Detail on Additional Sheet) :
30
TOTAL SUPPLIES PURCHASED WITH CHAPTER 59 FUNDS:
3 0
E) TRAVEL
1. Total In State Travel
$ 0
a) Lodging:
$ 0
b) Air Fare:
3 0
c) Meals (including per diem):
$ 0
d) Car Rental:
$ 0
2. Total Out of State Travel
$ 0
a) Lodging:
$ 0
h) Air Fare:
$0
c) Meals (including per diem):
5 0
d) Car Rental:
$ 0
3. Fuel:
$ 0
4. Parking:
$ 0
Form Dae 6/14/11
Daae 4
Round Rock Police Department FY 2010-11
Additional Detail for Equipment Purchased
Generator 48491.00
GPS Trackers 11440.00
Total Other Equipment 59931.00
5. Other (Provide Detail on Additional Sheet): 1 $ 0
TOTAL TRAVEL PAID OUT OF CHAPTER 59 FUNDS: 5 0
F) TRAINING
I. Fees (Conferences, Seminars):
50
2, Materials (Books, CDs, Videos, etc.):
$0
3. Other (Provide Detail on Additional Sheet):
$0
TOTAL TRAINING PAIL) OUT OF CHAPTER 59 FUNDS
$ 0
G) INVESTIGATIVE COSTS
I. Informant Costs:
$0
2. Buy Money:
50
3. Lab Expenses:
$0
4. Other (Provide Detail on Additional Sheet) :
$0
TOTAL INVESTIGA'17VE COSTS PAID OUT OF CHAPTER 59 FUNDS: $ 0
H) TOTAL PREVENTION/TREATMENT PROGRAMS/FINANCIAL
ASSISTANCE
1. Total Prevention/Treatment Programs (pursuant to 59.06 (h), (1), (j):
50
2. Total Financial Assistance (pursuant to Articles 59.06 (n) and (o)):
50
TOTAL PREVENTIONITREATMENT PROGRAMS/FINANCIAL $ 0
ASSISTANCE (pursuant to Articles 59.06 (Ii), (1), (j), (s), (o)):
I) FACILITY COSTS
I. Building Purchase:
$0
2. Lease Payments:
$0
3. Remodeling:
$0
4. Maintenance Costs:
50
5. Utilities:
50
6. Other (Provide Detail on Additional Sheet):
50
TOTAL FACILITY COSTS PAID OUT OF CHAPTER 59 FUNDS: $ 0
1) MISCELLANEOUS FEES
1. Court Costs:
50
2. Filing Fees:
50
Porn Dam WWII Page 5
3. Insurance;
4. Witness Fees:
5. Audit Costs and Fees:
6. Other (Provide Detail on Additional Sheet):
$o
s0
$0
s0
TOTAL MISCELLANEOUS FEES PAID OUT OF CHAPTER 59 FUNDS: $ 0
K) TOTAL PAID TO COOPERATING AGENCY(IES) PURSUANT TO $ 0
LOCAL AGREEMENT:
1.) TOTAL OTHER PAID OUT OF CHAP'T'ER 59 FUNDS (provide detailed
descriptions on additional sheets) and attach to this report):
0
M) TOTAL EXPENDITURES:
$180,784
NOTE: If you are governed by a Commissioners Court or a City Council, BOTH CERTIFICATIONS MUST BE
COMPLETED. Otherwise, please complete the Agency Head Certification.
CERTIFICATION
1 swear or affirm that the Commissioners Court or City Council has conducted the audit required by Article 59.06 of the
Code of Criminal Procedure, unless after due inquiry, it has been determined that no accounts, funds or other property
pursuant to Chapter 59 of the Code of Criminal Procedure are being held or have been transacted in the relevant fiscal
year by the agency for which this report is being cotnpleted, and that upon diligent inspection of all relevant documents
and supporting materials, I believe that this asset forfeiture report is true and correct and contains all of the required
information.
COUNTY JUDGE, MAYOR or CITY
MANAGER
(Printed Name):
SIGNATURE:
DATE:
Steve N.rwoo• City Manager
0 /
AGENCY HEAD CERTIFICATION
1 swear or affirm, under penalty of perjury, that I have accounted for the seizure, forfeiture, receipt, and specific
expenditure of all proceeds and property subject to Chapter 59 of the Code of Criminal Procedure, and that upon diligent
inspection of all relevant documents and supporting materials, this asset forfeiture report is true and correct and contains
all information required by Article 59.06 of the Code of Criminal Procedure. I further swear or affirm that all
expenditures reported herein were lawful and proper, and made in accordance with Texas law.
AGENCY HEAD (Printed Name):
SIGNATURE:
Form nate 6/14/11
%ro ti' /4-1 i Iiutf Chi Fof Pnlice
Page 6
DATE:
RETURN COMPLETED FORM TO:
Office of the Attorney General
Criminal Prosecutions Division
P.O. Box 12548
Austin, TX 78711-2548
Attn: Kent Richardson
(512)936-1348
kent.richardson(a.oak.state.tx. us
WE CANNOT ACCEPT FAXED OR EMAILED COPIES. PLEASE MAIL
THE SIGNED, ORIGINAL DOCUMENT TO OUR OFFICE AT THE
ADDRESS ABOVE.
Form Date 6/14/11
rage 7