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IDAHO PUBLIC
UTiliTIES COMMISSION
FOR THE
PoD JYEAR ENDED
ANNUAL REPORT FOR WATER UTILITIES TO
THE IDAHO PUBLIC UTILITIES COMMISSION
FOR THE YEAR ENDING Q-O 0
11 Are there any affiliated companies?
If yes, attach a list with names , addresses & descriptions.
provided to the utility.
12 Contact Information
President (Owner)
Vice President
Secretary
General Manager
Complaints or Billing
Engineering
Emergency Service
Accounting
13 Were any water systems acquired during the year or any additions/deletions made
to the service area during the year?
If yes , attach a list with names, addresses & descriptions. Explain any services
provided to the utility.
14 Where are the Company s books and records kept?
Street Address
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1 Give full name of utility
2 Date of Organization
3 Organized under the laws of the state of
4 Address of Principal Office (number & street)
5 P.O. Box (if applicable)
6 City
7 State
8 Zip Code
9 Organization (proprietor, partnership, corp.
10 Towns, Counties served
City
State
Zip
Rev 3/02
COMPANY INFORMATION
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Explain any services
Phone No.
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NAME:
COMPANY INFORMATION (Cont.)
For the Year Ended
15 Is the system operated or maintained under a
service contract?
16 If yes: With whom is the contract?
When does the contract expire?
What services and rates are included?
P/o
A/t)17 Is water purchased for resale through the system?
18 If yes: Name of Organization
Name of owner or operator
Mailing Address
City
State
Zip
Gallons/CCF $Amount
Water Purchased
19 Has any system(s) been disapproved by the
Idaho Division of Environmental Quality?
If yes, attach full explanation
20 Has the Idaho Division of Environmental Quality
recommended any improvements?
If yes, attach full explanation
21 Number of Complaints received during year concerning:
Quality of Service
High Bills
Disconnection
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22 Number of Customers involuntarily disconnected
23 Date customers last received a copy of the Summary
of Rules required by IDAPA 31.21.01.701?
Attach a copy of the Summary
24 Did significant ~dditions or retirements from the
Plant Accounts occur during the year?
If yes, attach full explanation
and an updated system map
Rev 3/02 Page 2
NAME:
ACCT #
460
461.
461.
462
464
465
466
400
REVENUE & EXPENSE DETAIL
For the Year Ended
DESCRIPTION
400 REVENUES
Unmetered Water Revenue
Metered Sales - Residential
Metered Sales - Commercial, Industrial
Fire Protection Revenue
Other Water Sales Revenue
Irrigation Sales Revenue
Sales for Resale
Total Revenue (Add Lines 1 - 7)
(also enter result on Page 4, line 1)
* DEQ Fees Billed separately to customers
10 ** Hookup or Connection Fees Collected
11 ***Commission Approved Surcharges Collected
401 OPERATING EXPENSES
12 601.6 labor - Operation & Maintenance
13 601.labor - Customer Accounts
14 601.labor - Administrative & General
15 603 Salaries, Officers & Directors
16 604 Employee Pensions & Benefits
17 610 Purchased Water
18 615-16 Purchased Power & Fuel for Power
19 618 Chemicals
20 620.6 Materials & Supplies - Operation & Maint.
21 620.8 Materials & Supplies - Administrative & General
22 631-34 Contract Services - Professional
23 635 Contract Services - Water Testing
24 636 Contract Services - Other
25 641-42 Rentals - Property & Equipment
26 650 Transportation Expense
27 656-59 Insurance
28 660 Advertising
29 666 Rate Case Expense (Amortization)
30 667 Regulatory Comm. Exp. (Other except taxes)
31 670 Bad Debt Expense
32 675 Miscellaneous
33 Total Operating Expenses (Add lines 12 - 32, also enter on Pg 4, line 2)
Rev 3/02 Page 3
(p (!)
Booked to Acct #
Booked to Acct #
Booked to Acct #
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Name:
ACCT #
INCOME STATEMENT
For Year Ended
DESCRIPTION
403
406
407
6 408.
408. 11
8 408.
9A 408.
17 413
18 414
30 427.
31 427.
409.
409.
410.
410.
411
412
415
416
419
420
421
426
408.
409-
Rev 3/02
Revenue (From Page 3, line 8)
Operating Expenses (From Page 3 , line 33)
Depreciation Expense
Amortization, Utility Plant Aquisition Adj.
Amortization Exp. - Other
Regulatory Fees (PUC)
Property Taxes
Payroll Taxes
Other Taxes (list)
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DEQ Fees 11 -s-:
6'0 " aD
Federal Income Taxes
State Income Taxes
Provision for Deferred Income Tax - Federal
Provision for Deferred Income Tax - State
Provision for Deferred Utility Income Tax Credits
Investment Tax Credits - Utility
Total Expenses from operations before interest (add lines 2-15)
Income From Utility Plant Leased to Others
Gains (Losses) From Disposition of Utility Plant
Net Operating Income (Add lines 1 , 17 &18 less line 16)
Revenues, Merchandizing Jobbing and Contract Work
Expenses, Merchandizing, Jobbing & Contracts
Interest & Dividend Income
Allowance for Funds used During Construction
Miscellaneous Non-Utility Income
Miscellaneous Non-Utility Expense
Other Taxes , Non-Utility Operations
Income Taxes, Non-Utility Operations
Net Non-Utility Income (Add lines 20 23 & 24 less lines 21 , & 27)
Gross Income (add lines 19 & 28)
Interest Exp. on Long-Term Debt
Other Interest Charges
NET INCOME (Line 29 less lines 30 &31) (Also Enter on Pg 9, Line 2)
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Page 4
301 Organization
302 Franchises and Consents
303 Land & Land Rights
304 Structures and Improvements
305 Collecting & Impounding Reservoirs
306 Lake, River & Other Intakes
307 Wells
308 Infiltration Galleries & Tunnels
309 Supply Mains
310 Power Generation Equipment
311 Power Pumping Equipment
320 Purification Systems
330 Distribution Reservoirs & Standpipes
331 Trans. & Distrib. Mains & Accessories
333 Services
334 Meters and Meter Installations
335 Hydrants
336 Backflow Prevention Devices
339 Other Plant & Misc. Equipment
340 Office Furniture and Equipment
341 Transportation Equipment
342 Stores Equipment
343 Tools, Shop and Garage Equipment
344 Laboratory Equipment
345 Power Operated Equipment
346 Communications Equipment
347 Miscellaneous Equipment
348 Other Tangible Property
TOTAL PLANT IN SERVICE
Name:
SUB
ACCT #
Rev 3/02
ACCOUNT 101 PLANT IN SERVICE DETAIL
cf.a '1
or Year Ended
Balance Added
Iv Beginning DuringDESCRIPTION of Year Year
(Add lines 1 - 28)
Removed
During
Year
Balance
End of
Year
Enter beginning &end of year totals on Pg 7, Line
Page 5
Name:
ACCUMULATED DEPRECIATION ACCOUNT 108.1 DETAIL
""',
Il~nded
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Depreciation
Rate
Balance
BeginningSUB
Balance
End of
Increase
ACCT #DESCRIPTION of Year Year (Decrease)
304 Structures and Improvements
305 Collecting & Impounding Reservoirs
306 Lake, River & Other Intakes
307 Wells
308 Infiltration Galleries & Tunnels
309 Supply Mains
310 Power Generation Equipment
311 Power Pumping Equipment
320 Purification Systems
330 Distribution Reservoirs & Standpipes
331 Trans. & Distrib. Mains & Accessories
333 Services
334 Meters and Meter Installations
335 Hydrants
336 Backflow Prevention Devices
339 Other Plant & Misc. Equipment
340 Office Furniture and Equipment
341 Transportation Equipment
342 Stores Equipment
343 Tools , Shop and Garage Equipment
344 Laboratory Equipment
345 Power Operated Equipment
346 Communications Equipment
347 Miscellaneous Equipment
348 Other Tangible Property
TOTALS (Add Lines 1 - 25)
Enter beginning & end of year totals on Pg 7, Line 7
Rev 3/02 Page 6
Name:
BALANCE SHEET
For Year Ended
ASSETS Balance
Beginning
Balance
End of
Increase
ACCT #DESCRIPTION of Year Year (Decrease)
101 Utility Plant in Service (From Pg 5, Line 29)
102 Utility Plant Leased to Others
103 Plant Held for Future Use
105 Construction Work in Progress
114 Utility Plant Aquisition Adjustment
Subtotal (Add Lines 1 - 5)
108.Accumulated Depreciation (From Pg 6, Line 26)
108.Accum. Depr. - Utility Plant Lease to Others
108.Accum. Depr. - Property Held for Future Use
110.Accum. Amort. - Utility Plant in Service
110.Accum. Amort. - Utility Plant Lease to Others
115 Accumulated Amortization - Aquisition Adj.
Net Utility Plant (Line 6 less lines 7 - 12)
123 Investment in Subsidiaries
125 Other Investments
Total Investments (Add lines 14 & 15)
131 Cash
135 Short Term Investments
141 Accts/Notes Receivable - Customers
142 Other Receivables
145 Receivables from Associated Companies
151 Materials & Supplies Inventory
162 Prepaid Expenses
173 Unbilled (Accrued) Utility Revenue
143 Provision fot Uncollectable Accounts
Total Current (Add lines 17 -24 less line 25)
181 Unamortized Debt Discount & Expense
183 Preliminary Survey & Investigation Charges
184 Deferred Rate Case Expenses
186 Other Deferred Charges
Total Assets (Add lines 13, 16 & 26 - 30)
Rev 3/02 Page 7
Name:
For Year Ended
LIABILITIES & CAPITAL
BALANCE SHEET
Balance
Beginning
Balance
End of
Increase
ACCT #DESCRIPTION of Year Year (Decrease)
201-Common Stock
204-Preferred Stock
207 -Miscellaneous Capital Accounts
214 Appropriated Retained Earnings
215 Unappropriated Retained Earnings
216 Reacquired Capital Stock
218 Proprietary Capital
Total Equity Capital (Add Lines 1-5+7 less line 6)
221-Bonds
223 Advances from Associated Companies
224 Other Long - Term Debt
231 Accounts Payable
232 Notes Payable
233 Accounts Payable - Associated Companies
235 Customer Deposits (Refundable)
236.Accrued Other Taxes Payable
236.Accrued Income Taxes Payable
236.Accrued Taxes - Non-Utility
237 -Accrued Debt, Interest & Dividends Payable
241 Misc. Current & Accrued Liabilities
251 Unamortized Debt Premium
252 Advances for Construction
253 Other Deferred Liabilities
255.Accumulated Investment Tax Credits - Utility
255.Accum. Investment Tax Credits - Non-Utility
261-Operating Reserves
271 Contributions in Aid of Construction
272 Accum. Amort. of Contrib. in Aid of Const. **
281-Accumulated Deferred Income Taxes
Total Liabilities (Add lines 9 - 29
TOTAL LlAB & CAPITAL ( Add lines 8 & 30)
Rev 3/02
** Only if Commission Approved
Page 8
Name:
STATEMENT OF RETAINED EARNINGS
For Year Ended
Retained Earnings Balance em Beginning of Year
Amount Added from Current Year Income (From Pg 4, Line 32)
Other Credits to Account
Dividends Paid or Appropriated
Other Distributions of Retained Earnings
Retained Earnings Balance em End of Year
CAPITAL STOCK DETAIL
No. Shares No. Shares
0 t t
Dividends
P 'Description (Class, Par Value etc.A th ' donze u s an Ing
DETAIL OF LONG-TERM DEBT
Interest
R t
Year-end Interest
P '
Interest
. fescnpllon a e a ance ccrue
Rev 3/02 Page 9
Name:
SYSTEM ENGINEERING DATA
For Year Ended
Provide an updated system map if significant changes have been made to the system during the year.
Water Supply:
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Rated
Capacity
Type of
Treatment:
(None , Chlorine
Fluoride
Annual
Production
Water
Supply
Source
(Well , Spring,
Pump Designation or location (gpm)Filter etc.(OOO's Gal.)Surface Wtr)
System Storage:
Total
Capacity
OOO'
Usable
Capacity
OOO'
Type ofReservoir Construction
(Elevated,Pres- (Wood, Steel
Storage Designation or Location Gal.Gal.urized , Boosted)Concrete)
(Duplicate form and attach if necessary. Asterisk facilities added this year.
Rev 3/02 Page 10
Name:
SYSTEM ENGINEERING DATA
(continued)
For Year Ended
Pump information for ALL system pumps, including wells and boosters.
Designation or Location
Rated
Capacity
Energy
Used
Discharge
PressureHorse
& Type of Pump Power (gpm)(psi)This Year
** Submit pump curves unless previously provided or unavailable. Asterisk facilities added this year.
Attach additional sheets if inadequate space is available on this page.
If Wells are metered:
What was the total amount pumped this year?
What was the total amount pumped during peak month?
What was the total amount pumped on the peak day?
If customers are metered , what was the total amount sold in peak month?
Was your system designed to supply fire flows?
If Yes: What is current system rating?
How many times were meters read this year?
During which months?-f-
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How many additional customers could be served with no system improvements
except a service line and meter?
How many of those potential additions are vacant lots?
10 Are backbone plant additions anticipated during the coming year?
If Yes, attach an explanation of projects and anticipated costs!
In what year do you anticipate that the system capacity (supply, storage or distribution)
will have to be expanded?
Rev 3/02 Page 11
Name:
SYSTEM ENGINEERING DATA
(continued)
For Year Ended
FEET OF MAINS
Pipe
Size
In Use
Beginning
Of Year
Installed
During
Year
Abandoned
During
Year
In Use
End of
Year
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CUSTOMER STATISTICS
Number of Customers Thousands of Gallons Sold
TOTALS (Add lines 2 through 8)
This Last This Last
Year Year Year Year
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Metered:
Residential
Commercial
Industrial
Flat Rate:
Residential
Commercial
Industrial
Private Fire Protection
Public Fire Protection
Street Sprinkling
Municipal, Other
Other Water Utilities
Rev 3/02 Page 12
CERTIFICA TE
State of Idaho
) ss
County of
, the u~d
Jrsigned
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and !o 5/ P-?l:-
of the EtI J/f'U uL.vfer
utility, on our oat 0 severally say that the foregoing report ha? been prepared under our direction
from the original books, papers and records of said utility; that we have carefully examined same, and
declare the same to be a correct statement of the business and affairs of said utility for the period
covered by the report in respect to each and every matter and thing therin set forth, to the best of our
knowledge, information and belief.
QlIIII UIIIIIIIIIIIIIIIIIIII'IIJIINII8IHII UIIUIIgDEBRA J. BOLLER
Ilotarg public
STATE OF IDAHO
Gill. OIlllttlllO I H .IDIII U ""0--" J.a
(Chief Officer)
(Officer in Charge of Accounts)
Subscribed and Sworn to Before Me ~tl 0. pO ll€f
this 2Lo
~y
NOTARY PUBLIC
~~
ta~a oct- ~t
My Commission Expires (O-l2--ZlJ()S
2tfl)
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gd kI excel!j nel son! a nul rpts!wtrannu al rpt
Rev 3/02 Page 13
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