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Home My WebLink About02/2004SUFFOLK COUNTY TREASURER'S OFFICE JOHN C. COCHRANE, Treasurer 330 CENTER DRIVE RIVERHEAD, N.Y. 11901-3311 852-1500 REPORT OF REVENUE PAYABLE TO SUFFOLK COUNTY TREASURER DATE TOWN OF SOUTHOLD ELIZABETH NEVILLE, TOWN CLERK P.O. BOX 1179 SOUTHOLD, N.Y. 11971 THIS STATEMENT TO ACCOMPANY PAYMENTS TO THE COUNTY TREASURER PURSUANT TO SEC, 2205 (B) OF THE SUFFOLK CHARTER 3/10/04 CHECK NUMBER EXPLANATION AMOUNT CODE LICENSE AND TAGFEES FOR FEB. 04 $116.32 For Treasurer's Use Only $116.32 T570 i HEREBY CERTIFY THAT THE SUM OF $116.32 DESCRIBED ABOVE WAS ALL THE MONEYS RECEIVED AND DUE THE COUNTY OF SUFFOLK TO THE BEST OF MY KNOWLEDGE AND BELIEF. NAME TITLE RECEIVED BY COUNTY TREASURER 3/10/04 BY PHYLLIS TEPPER APPROP.NO. DATE [4AR 2 5 2004 FOR TREASURER'S USE ONLY RECEIPT NO. 47566 CODE AMOUNT NK $116.32 %uthold Town der PAY TO THE ORDER OF $OUTHOLD TOWN CLERK 53095 MAIN ROAD, TOWN HALL SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 . 50-666Z214 2JI0P_804 Suffolk County Tmmum~ John C Coctane ] ~ **94.32 DOLLARS MEMO. 2004 Dos L~ccme~ SOUTHOLD TOWN CLERK o3-ol wm .=.~.ON .~.AL.~K 13 2 3 53095 MAJN ROAD. TOWN HALL 54970 MAIN ROAD SOUTHOLD. NY 11971 sOLrFHOLD, NY 11971 504t86/214 2/10/2004 MEMO. 2004 8p-yhmett~' SOUTHOLD TOWN CLERK o3-ol 53095 MAIN ROAD, TOWN HALL SOUTHOLD, NY 11971 o s o o,,, o ~, s ~, r. r",,dr'' - - THE BRIDGEH~PTON NATIONAL B~NK 1 3 2 4 54970 M/MN RO~M) SOUTHOLD. NY 11971 50-6~14 2/]0/2004 MEMO 2004 MardaSe IAc ,'OO~-)~N,' ~:08 0 500,,,0 I, SN READY TO REORDER? CALL 1-800-433-8810 OR VISIT US AT www. intuitmarket.com · Wanuary Suffolk Town Of Southold Elizabeth A. Neville 02/02/2004 2004 47 DOG $CENSE MONTHLY REPORT 10 Southold Town Clerk Send Copy To: Dept. of Ag. & Markets County Financial Officer LICENSE TYPES Column A Column B Column C Column F AND FEES # Each Statutory Local Unneutered Total Unspay 6 mo. & up 1. Spay/Neuter 52 ® 2.50 130.00 ® 7.50 390.00 NO FEE 2. Unspay/Unneuter 9 7 ® 7.50 67.50 ® 7.50 67.50 ~ 3.00 21.00 3. Exemption 0 NO FEE NO FEE NO FEE 4. Voids red & green 0 NO FEE NO FEE NO FEE 5. Purebred (1-10) 0 0 ® 25.00 0.00 ® 0.00 0.00 3.00/Dog 0.00 6. Purebred (11-25) 0 0 ® 50.00 0.00 ® 0.00 0.00 3.00/Do9 0.00 7. Purebred (26+) 0 0 ® 100.00 0.00 ® 0.00 0.00 3.00/Dog 0.00 8. Void Purebred 0 NO FEE NO FEE NO FEE 9. TOTALS 61 7 $197.50 $457.50 $21.00 REPLACEMENT AND PUREBRED TAG ORDERS PROCESSED 10.Replacement Tags 11. Purebred Tags 12.TOTALS Column D Column E # Each Tag Fees 1 1.50 0 0.00 i $1.50 DISBURSEMENTS 13. Local% of 9B $104.68 14. Local% of 9C $457.50 15. Total $562.18 (to T.C.V.) 16. Stat% of 9B $92.82 17. Stat% of 12E $1.50 18. Total $94.32 (to County) 19. 100% of 9F $21.00 (AG. and Markets) Amount paid to: County Treasurer for Dog Licenses ........................ $94.32 Amount paid to: NYS Ag. & Markets for spay/neuter program ................ $21.00 NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Accounts Management Coming Tower - ESP Revenue Section - Room 1258 Albany, New York 12237-0016 ~tONTHLY REPORT OF MARRIAGE LICENSES ISSUED SEE INSTRUCTIONS AT BOTTOM OF PAGE Report for the month of DEP NO. January 2004 $ City or Town of Southold Check # County of Suffolk DO NOT WRITE IN ABOVE SPACE Pursuant to the provisions of Section ! 5 of the Domestic Relations Law, as last amended by Chapter 61 of the Laws of 1989, I herewi~ transmit to the State Commissioner of Health a fee of twenty two dollars and fifty cents for each marriage license issued by me during the month covered by this report. Licenses issued were numbered from I to 10 inclusive. (If ONE license was issued place number in the first space only!) (If NO licenses were issued write "NONE" in the above space.) Make remittance by CHECK or Name of City or Town Clerk (Please Print) MONEY ORDER payable to the State Department of Health Elizabeth A. Neville Signature of City or Town Clerk Date DO NOT SEND CASH ~~,. ~ 02/02/2004 Mailing Ad~ Amount of remittance with this report P.O Box 1179 $ 225.00 Southold, NY 11971 THIS MONTHLY REPORT OF MARRIAGE LICENSES ISSUED MUST BE TRANSMITTED TO THE STATE DEPARTMENT OF HEALTH FOR EACH MONTH regardless of whether or not any licenses were issued. If no licenses were issued, indicate NONE in the space provided for license numbers. The issuance of a marriage license makes you responsible for the remittance fee of $22.50, regardless of whether or not the marriage ceremony is ever performed. Marriage licenses must be numbered and reported consecutively throughout the year starting with number I at the beginning of EACH calendar year. P'ursuant to the authority of Section 19 of the New York State Domestic Relations Law, the comrmssioner of Heaith has directed that this report, together with any fee must be transmitted to the State Department of Health by the 15th of the month following the month which the report covers. New York State Domestic Relations Law 22 provides that any Town or City Clerk who violates or fails to comply with any of the above mentioned reporting or filing requirements, shall be deemed guilty of a misdemeanor and shall pay a fine not exceeding the sum of one hundred dollars on conviction thereof. DOH-963 (1/90) VS 9M OFM 23 · 03/10/2004 Page: I Own Clerk Monthly Report Monthly Report February 01, 2004 - February 29, 2004 To the Supervisor: Pursuant to Section 27, sub 1, of the Town Law, I hereby cediPj that the foregoing is a full and true statement of all fees and monies received by me, Elizabeth A. Neville, Town Clerk, Town of Southold dudng the period stated above, in connection with my office, excepting only such fees and monies, the application of which are otherwise provided for by law. Account~ Account Description Fee Description Qty Local Share AGENCY & TRUST Agency & Trust Park & Playground FISW Fishers Island Sewer District Sewer District Interest Now Account INTEREST Building Department Fees Certified Death Trans. Moratorium Waiver Ordinance Fees Planning Board Yard Sale Zoning Board PART PT-HIGHWAY Highway Excavation SAND Sand & Gravel Solid Waste Management District SWMD Interest NOW Account 2 25,000.00 Sub-Totah $25,000.00 26 8,850.00 Sub-Totah $8,850.00 I 18.32 Sub-Total: $18.32 Application Fees 18 31,821,32 Death Trans. 79 790.00 Death Trans. - Genealogical 1 11.00 Moratorium Waiver 1 250.00 Code Updates - Annual 36 3,060.00 Code Updates - Tax Exempt 1 85.00 Zoning Books 1 50.00 Zoning Updates - Annual 56 1,680.00 Application Fees 5 7,277.70 Permits 5 75.00 Application Fees 8 2,900.00 Sub-Total: $48,000.02 Permits 10 450.00 Sub-Totah $450.00 Sand & Gravel 2 2,257.22 APPL (Appliances) Bags - On Account Bags - Retail - Large Bags - Retail - Medium Bags - Retail - Mini Bags - Retail - Small Bags - Vending Machine Bags - Wholesale - Large Bags - Wholesale - Medium Compactor Permit - 1+ Ton Single Rear Contractor Permit - 1+ Ton Single Contractor Permit - Up To 1 Ton CS30 (Comm Contract Single Entry) Sub-Totah $2,257.22 18 270.00 2 10,275.66 422 949.50 135 202.50 77 30.80 132 99.00 7 4,715.00 11 2,205.28 1 337.50 I 200.00 7 1,400.00 35 2,100.00 8 240.00 03/10/2004 Own Clerk Monthly Report Monthly Report February 01, 2004 - February 29, 2004 Page: 2 Account Description Fee Description Qty Local Share SWMD WHOLE Solid Waste Management District Alarm Fees Beach Permits Bingo proceeds Certified Marriage Trans. Conservation (DECALS) Dog Adoption Dog Licensing Dog Redemption Marriage License Passport Fee Photocopies Postage Returned Disposal Permit - Agricultural Disposal Permit - Guest Disposal Permit - Lessee Disposal Permit - Replace Disposal Permit- Res 1st Disposal Permit - Res. Add'l Disposal Permit-VOIDED Outgoing Leaf Mulch Propane Tanks - Used Refrigerants (appl) Residential Single Entry Resse (resid. Single Entry) Tipping Charges Tipping Fee Deposit Tipping Interest Initial Renewal Guest Motel Non-Resident Seasonal Replacement Sticker Resident Voided Sticker Bingo Proceeds Marriage Trans. Conservation (DECALS) Dog Adoptions 53% License Fee Female, Spayed Female, Unspayed Male, Neutered Male, Unneutered Dog Redemption - 1st Dog Redemption - 2nd Marriage License Passport Fee - Town Portion Photocopies Postage Check Charge 3 180.00 2 20.00 1 10.00 39 0.00 812 8,120.00 126 630.00 2 0.00 2 28.40 50 100.00 15 300.00 14 1,400.00 339 678.00 3 10,673.07 26 23,456.80 3 123.59 Sub-Total: $68,745.10 1 25.00 2 20.00 10 300.00 1 20.00 5 500.00 12 0.00 578 3,468.00 2 0.00 4 22.39 10 100.00 3 2.17 6 60.00 85 131.18 43 322.50 6 45.00 35 262.50 1 7.50 7 70.00 2 40.00 2 35.00 22 660,00 903 225.75 2 1.27 I 20.00 .03/10/2004 Own Clerk Monthly Report Monthly Report February 01, 2004 - February 29, 2004 Page: 3 Accoun~ Account Description Fee Description Oty Local Share WHOLE WWDD Shellfish Vending Machine Wastewater Disposal District Commercial Free - Non-Commer. Resid. - Non-Comm. Temporary Voided Laminating Scavenger Waste Gallonage Fees Septic Permit - Construct - Resid. Septic Permit - Operation - Resid. Septic Permit - Operation Non-Resid. 11 385.00 83 0.00 66 330.00 3 30.00 4 0.00 1 24.27 Sub-Total: $7,107.53 1 3,000.00 8 80.00 I 10.00 1 25.00 Sub-Totah $3,'115.00 $163,543.19 Total Local Shams Remitted: Amount paid to: Agency & Trust: Sales Tax (Ordinance) ..................................................................................................... 419.50 Amount paid to: County Treasurer for Dog Licenses ................................................................................................................................... 116.32 Amount paid to: NYS Ag. & Markets for spay/neuter program ......................................................................... 21.00 Amount paid to: NYS Environmental Conservation .............................................................................................................. 36.83 Amount paid to: NYS Health Dept. For Marriage License ....................................................................................................... 45.00 Total State, County & Local Revenues: $164,181.84 Total Non-Local Revenues: $638.65 Elizabeth A. Neville being duly sworn, says that she is the Town Clerk, that the foregoing is a full and true statement of all fees and monies received by her during the month stated above, excepting only such fees and applications and payments of which are otherwise provided for by law. Southold Town Supervisor Date Southold Town Clerk Date 08/03 '04 M0N 12:22 FAX 631 765 6145 SOUTHOLD TOWN CLERK $** TX REPORT ~ OOl TRANSMISSION OK TX/RX NO CONNECTION TEL CONNECTION ID ST. TIME USAGE T PGS. SENT RESULT 0314 08/03 12:22 00'34 1 OK 76516O5 ELIZABR'rn A. NEV~,LE TOWel CLERK REGISTP, AR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGF, M~NT OFFICER FREEDOM OF INFORMA'PION OFFICER Town Hall, 53095 Main Road P.O, Box 1179 Southold, New York 11971 Fax (631) 765-6145 TelQpho~e (631) 765-1800 southoldtown.northfork~net OFFICE OF THE TOWN CI.I~.RK TOWN OF SOUTHOLD F A X To: l~rom: Re: Date: Pages: Linda Carlson , ~ Elizabeth A. Neville Transfer of Funds March 8, 2004 1 including cover Please Transfer $54.78 flora the Town Clerk Non-Public Funds Account 0500015466 to Town Clerk Public Account Fund Account 500027685, Thank You, ELIZABETH A. NEVILLE TOWN CL~,P,K REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFOHMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD F A X To: From: Re: Date: Pages: Linda Carlson ~ ~ Elizabeth A. Neville Transfer of Funds March 8, 2004 1 including cover Please Transfer $54.78 from the Town Clerk Non-Public Funds Account 0500015466 to Town Clerk Public Account Fund Account 500027685. Thank You. 03/08/20~ . ~Town Of Southold Sunffi~lry Daily Cash Report February 01, 2004 - February 29, 2004 Page: I Cash Category Adoption Agency & Trust Alarm Fees Beach Permi~ Building Dept. Fees Certification, Death Certification, Marriage Conservation (DECALS) Dog Licenses Fishers Island Sewer District Highway Excavation Interest Now Account Misc. Cash Moratorium Waiver Ordinance Fees Sub-Category Original Renewal Qt¥ Description Amount 6 Dog Adoptions 60.00 6 Category Sub-Total... $60.00 2 Park & Playground 25,000.00 2 Category Sub-Total... $25,000.00 I Initial 25.00 2 Renewal 20.00 3 Category Sub-Total.,. $45.00 10 Guest 300.00 I Motel 20.00 5 Non-Resident Seasonal 500.00 12 Replacement Sticker 0.00 578 Resident 3,468.00 2 Voided Sticker 0.00 608 Category Sub-Total... $4,288.00 18 Application Fees 31,821.32 18 Category Sub-Total... $31,821.32 79 Death Trans. 790.00 1 Death Trans. - Genealogical 11.00 80 Category Sub-Total... $801.00 10 Marriage Trans. 100.00 10 Category Sub-Total... $100.00 3 Conservation (DECALS) 39.00 3 Category Sub-Total... $39.00 9 Female, Spayed 90.00 3 Female, Unspayed 54.00 8 Male, Neutered 80.00 20 Category Sub-Total... $224.00 34 Female, Spayed 340.00 3 Female, Unspayed 54.00 27 Male, Neutered 270.00 1 Male, Unneutered 18.00 65 Category Sub-Total... $682.00 26 Sewer District 8,850.00 26 Category Sub-Total... $8,850.00 10 Permits 450.00 10 Category Sub-Total... $450.00 I Interest NOW Account 16.56 1 Category Sub-Total... $16.56 903 Photocopies 225.75 903 Category Sub-Total... $225.75 I Moratorium Waiver 250.00 1 Category Sub-Total... $250.00 36 Code Updates - Annual 3,327.84 03/08/2004 Cash Catagor~ Passport Fee Planning Board Postage Racing And Wagering Redemptions Returned Sand & Gravel Shellfish Solid Waste Management District Town Of Southold ¥ Daily Cash Report February 01, 2004 - February 29, 2004 Page: 2 Sub-Catagor~ Bingo Qt7 Description Amount I Code Updates - Tax Exempt 85.00 1 Zoning Books 54.38 56 Zoning Updates - Annual 1,827.28 94 Category Sub-Total... $5,294.50 22 Passport Fee - Town Portion 660.00 22 Category Sub-Total... $660.00 5 Application Fees 7,277.70 5 Category Sub-Total... $7,277.70 2 Postage 1.27 2 Category Sub-Total... $1.27 4 Bingo Proceeds 22.39 4 Category Sub-Total... $22.39 7 Dog Redemption - 1st 70.00 2 Dog Redemption - 2nd 40.00 9 Category Sub-Total... $1~10.00 1 Check Charge 20.00 I Category Sub-Total... $20.00 2 Sand & Gravel 2,257.22 2 Category Sub-Total... $2,257,22 11 Commercial 385.00 63 Free- Non-Commer. 0.00 66 Resid. - Non-Comm. 330.00 3 Temporary 30.00 4 Voided 0.00 147 Category Sub-Total... 18 APPL (Appliances) 2 Bags - On Account 422 Bags - Retail - Large 135 Bags - Retail - Medium 77 Bags - Retail - Mini 132 Bags - Retail - Small 7 Bags - Vending Machine 11 Bags-Wholesale-Large I Bags - Wholesale - Medium I Compactor Permit - 1+ Ton Single Rear 7 Contractor Permit - I+ Ton Single 35 Contractor Permit - Up To 1 Ton 8 CS30 (Comm Contract Single Entry) 3 Disposal Permit - Agricultural 2 Disposal Permit- Guest I Disposal Permit- Lessee 39 Disposal Permit - Replace 812 Disposal Permit- Res 1st 126 Disposal Permit - Res. Add'l $745.00 270.00 10,275.66 949.50 202.50 30.80 99.00 4,715.00 2,205.28 337.50 200.00 1,400.00 2,100.00 240.00 180.00 20.00 10.00 0.00 8,120.00 630,00 03/08/2004. Page: 3 ~Town Of Southold Su~ry Daily Cash Report February 01, 2004 - February 29, 2004 Cash Category Sub-Category Vending Machine Vital Statistics Wastewater Disposal District Marriage Yard Sale Zoning Board Of Appeals Payment Method Received Thru CASH $20,151.75 COUNTER $144,436.40 CHECK $144,028.33 MAIL $19,743.68 Qty Description Amount 2 Disposal Permit-VOIDED 0.00 2 Outgoing Leaf Mulch 28.40 50 Propane Tanks- Used 100.00 15 Refrigerants (appl) 300.00 14 ResidentiaJ Single Entry 1,400.00 339 Resse (resid. Single Entry) 678.00 3 Tipping Charges 10,673.07 26 Tipping Fee Deposit 23,456.80 3 Tipping Interest 123.59 2293 Category Sub-Total... $68,745.'10 1 Laminating 24.27 1 Category Sub-Total... $24.27 2 Marriage License 80.00 2 Category Sub-Total... $80.00 I Scavenger Waste Gallonage Fees 3,000.00 8 Septic Permit - Construct - Resid. 80.00 1 Septic Permit - Operation - Resid. 10.00 1 Septic Permit- Operation 25.00 Non-Resid. tl Category Sub-Total... $3,115.00 5 Permits 75.00 5 Category Sub-Total... $75.00 8 Application Fees 2,900.00 8 Category Sub-Total... $2,900.00 Grand Total ......................... $164,180.08 03/0,8/2004 E~ Town Of Southold D LS Import Transaction Report February 01, 2004 - February 29, 2004 Page: Date Agent Total Sales Less Commission Net Due to Encon 02/13/2004 19.00 1.05 17.95 02/23/2004 15.00 0.84 14.16 02/24/2004 5.00 0.28 4.72 02/27/2004 19.00 1.05 17.95 Report Totals: $58.00 $3.22 $54.78 ~ebruary Suffolk Town Of Southold Elizabeth A. Neville 03/08/2004 2004 47 DOGeICENSE MONTHLY REPORT 10 Southold Town Clerk Send Copy To: Dept. of Ag. & Markets County Financial Officer LICENSE TYPES Column A Column B Column C Column F AND FEES # Each Statutory Local Unneutered Total Unspay 6 mo. & up 1. Spay/Neuter 78 @ 2.50 195.00 @ 7.5o 585.00 NO FEE 2. Unspay/Unneuter 7 7 @ 7.50 52.50 @ 7.50 52.50 ~ 3.00 21.00 3. Exemption 0 NO FEE NO FEE NO FEE 4. Voids red & green 0 NO FEE NO FEE NO FEE 5. Purebred (1-10) 0 0 @ 25.00 0.00 @ 0.00 0.00 3.00/Dog 0.00 6. Purebred (11-25) 0 0 @ 50.00 0.00 @ 0.00 0.00 3.00/Dog 0.00 7. Purebred (26+) 0 0 @ 100.00 0.00 @ 0.00 0.00 3.00/Dog 0.00 8. Void Purebred 0 NO FEE NO FEE NO FEE 9. TOTALS 85 7 $247.50 $637.50 $21.00 REPLACEMENT AND PUREBRED TAG ORDERS PROCESSED 10. Replacement Tags 11. Purebred Tags 12. TOTALS Column D Column E # Each Tag Fees 0 0.00 0 0.00 0 $0.00 DISBURSEMENTS 13. Local% of 9B $131.18 14. Local% of 9C $637.50 15. Total $768.68 (to T.C.V.) 16. Stat% of 9B $116.32 17. Stat% of 12E $0.00 18. Total $116.32 (to County) 19. 100% of 9F $21.00 (AG. and Markets Amount paid to: County Treasurer for Dog Licenses ........................ $116.32 Amount paid to: NYS Ag. & Markets for spay/neuter program ................ $21.00 NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Accounts Management Coming Tower - ESP Revenue Section - Room 1258 Albany, New York 12237~0016 ~,~ONTHLY REPORT OF MARRIAGE LICENSES ISSUED SEE INSTRUCTIONS AT BOTTOM OF PAGE Report for the month of DEP NO. February 2004 $ City or Town of Southold Check # County of Suffolk DO NOT WRITE IN ABOVE SPACE Pursuant to the provisions of Section 15 of the Domestic Relations Law, as last amended by Chapter 61 of the Laws of 1989, I herewith transmit to the State Commissioner of Health a fee of twenty two dollars and fifty cents for each marriage license issued by me during the month covered by this report. Licenses issued were numbered fi.om 11 to 12 inclusive. (If ONE license was issued place number in the first space only!) (If NO licenses were issued write "NONE" in the above space.) Make remittance by CHECK or Name of City or Town Clerk (Please Print) MONEY ORDER payable to the State Department of Health Elizabeth A. Neville Signature of City or Town Clerk Date DO NOT SEND CASH ~.~~ ~ 03/08/2004 Mailing ~ess Amount of remittance with this report P.O Box 1179 $ 45.00 Southold, NY 11971 THIS MONTHLY REPORT OF MARRIAGE LICENSES ISSUED MUST BE TRANSMITTED TO THE STATE DEPARTMENT OF HEALTH FOR EACH MONTH regardless of whether or not any licenses were issued. If no licenses were issued, indicate NONE in the space provided for license numbers. The issuance ora marriage license makes you responsible for the remittance fee of $22.50, regardless of whether or not the marriage ceremony is ever performed. Marriage heenses must be numbered and reported consecutively throughout the year starting with number I at the beginning of EACH calendar gear. Pursuant to the authority of Section 19 of the New York State Domestic Relations Law, the commassioner of Health has directed that this report, together with any fee must be transmitted to the State Department of Health by the 15th of the month following the month which the report covers. . New York State Domestic Relations Law 22 provides that any Town or City Clerk who violates or fails to comply with any of the above mentioned reporting or filing requi~ments, shall be deemed guilty of a misdemeanor and shall pay a fine not exceeding the sum of one hundred dollars on conviction thereof. DOH-963 (1/90) VS 9M OFM 23 SOUTHOLD TOWN CLIE~ 53095 MAIN ROAD, TOWN HAD- SOUTHOLD, NY 11971 THE BRIDG~4H97~oA~NAL BANK SOUTHOLD, NY 11971 504661214 1328 3/8/2004 PAY TO THE IN'~S ,a4~eulture & Ma~e~ ORDEROF I$ *'21,00 T~n~,-O~ aaa*********************************************************************************** DOLLARS I~1.~' MEMO. Feb 04 Sp~y/nueter , ""00 SOUTHOLD TOWN CLERK o3~1 53095 MAIN ROAD, TOWN HALL SOUTHOLD, NY 11971 THE BRIDGEHAMPTON NATIONAL BANK 54970 MAIN ROAD SOUTHOLD, NY 11971 50~66/214 1329 3/8/2004 ORDER oFPAY TO THE NY8 Depa,'lme~t of HeaJth i $ **45,00 DOLLARS MEMO. "'OD I, ii 8 q,' ':0 ;~ i, LO g, g, g, ?': 0 500,,,0 I, 5 SOUTHOLD TOWN CLERK O3Ol 53095 MAiN ROAD, TOWN HALL SOUTHOLD, NY 11971 THE BRIDGEHAMPTON NATIONAL BANK 54970 MAIN ROAD SOUTHOLD, NY 11971 50666/214 1330 3/8/2004 ORDER oFPAY TO THE ~upet'"v~ot* .log'hua, Y. ~-[OttOr, j ~ 63,960.93 One Hundred Sixty-Three Thousand Nine Hundred Sixty and ************************************************ OOLt~.s MEMO ,'00 & 330,' ':0 a &t, 0F=66 ?,: 0500,,,0 i, 5t~&6,'~ - · READY TO REORDER? CALL 1-800-433-8810 OR VISIT US AT www. intuitmarket.com · PAY TO YHE ORDER OF $OUTHOLD TOWN CLERK o.~o~ 53095 MAIN ROAD1 TOWN HALL SOUTHOLD, NY 11971 SufFolk Coun~ Tre~ur~ $ohn C Co~ne ' 1327 THE BRIDGE~T~_ ?~RAL 54970 MAIN RO~D SOUTHQLD. NY 1'19'PI 50-666/214 3/~;/2004 *'116,32 DOLLARS MEMO 185397 (11/02} Feb 04 Do~ ~ · ,'001, 3, ~ ?,' I:O~)-hO&&f~?l: 0500'"O& ' ~ READY TO REORDER ? CALL 1-800-433-8810 OR VISIT US AT www. intuitmarket.com