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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou tholdtown. north fork. net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 27,2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Suffolk County Department of Health Services
Food Control, Suite 2A
360 Yaphank Ave
Yaphank NY 11980
Dear Sir:
Enclosed herewith is the signed renewal for the Permit to Operate a Food
Establishment at the Southold Town Human Resource Center. To avoid
misdirection of the renewal in the future we request that the renewal notice and
permit be sent as follows:
Attn: Elizabeth Neville, Southold Town Clerk
P Q Box 1179
Southold NY 11971
The permit is issued to the Town of Southold to operate its kitchen at the Human
Resource Center, 750 Pacific Street, Mattituck, New York. Please do not hesitate
to contact me if you have any questions concerning this matter.
Very truly yours,
~9~
Linda J. Cooper
Deputy Town Clerk
Enc.
Cc: Karen McLaughlin, HRC
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CSUFFOLKCOUNTYOEPARTMENT OF HEALTH SERVICES
FOOD CONTROL, SlJ,ITE 2/i:, ~ ,,"~'i
360 YAPHANK AVENUE
YAPHANK, N'rt11980
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. Sender: Please print your name, addresS, and ZIP+4 in this box'
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UNI1'ED STATES POSTAL SERVICE
First-Class Mall
postage & Fees Paid
USPS
Permit No, G-10
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See Reverse lor Instructions
PS Form 3800, June 2002
TO USE ENVELOPE
1. FOLD AND TEAR OFF BACK FLAP ONLY AT PERFORATION.
2. INSERT REMITTANCE STUB WITH PAYMENT.
3. MOISTEN BACK OF THIS FLAP AND FOLD OVER.
Southold Town Clerk
Elizabeth Neville
PO Box 1179
Southold,NY 11971
PLACE STAMP
HERE
The Post Office
will not deliver
mail without
Postage
D "X' IF CHANGE OF ADDRESS
ADDRESS CHANGE REQUESTED
SUFFOLK COUNTY
DEPARTMENT OF HEALTH SERVICES
FOOD CONTROL, SUITE 2A
360 YAPHANK AVENUE
YAPHANK NY 11980-9645
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOOD CONTROL, SUITE 2A
360 YAPHANK AVENUE
YAPHANK, NY 11980
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