HomeMy WebLinkAbout12/2002SUFFOLK 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
1/24/03
CHECK NUMBER EXPLANATION AMOUNT CODE
LICENSE AND TAG FEES FOR DEC. 02 $ 74.02
For Treasurer's Use Only
$74.02
T570
I HEREBY CERTIFY THAT THE SUM OF $ 74.02 DESCRIBED ABOVE WAS ALL TH E MONEYS RECEIVED AND DUE
THE COUNTY OF SUFFOLK TO THE BEST OF MY KNOWLEDGE AND BELIEF
NAME
TITLE
RECEIVED BY COUNTY TREASURER 1/24/03
BY PHYLLIS TEPPER
FOR TREASURER'S USE ONLY
APPROP.NO. DATE RECEIPT NO. CODE AMOUNT
~xl~(~l::lV{: C} //q0 ~/~_~ 39946 NK $ 74.02
F E B 2 6 2003
Southold Town Clerlt
December 2002
Suffolk 47
Town Of Southold 10
Elizabeth A. Neville Southold Town Clerk
01/22/2003
DOG LICENSE MONTHLY REPORT
Send Copy To: Dept. of Ag. & Markets
County Financial Officer
LICENSE TYPES
AND FEES
1. Spay/Neuter
2. Unspay/Unneuter
3. Exemption
4. Voids red & green
5. Purebred (1-10)
6. Purebred (11-25)
7 Purebred (26+)
8 Void Purebred
Column A Column B Column C Column F
# Each Statutory Local Unneutered
Total Unspay 6 mo. & up
54 @ 2.50 135.00 @ 7.50 405.00 NO FEE
3 3 ~ 7.50 22.50 @ 7.50 22.50 ® 3.00 9.00
0 NO FEE NO FEE NO FEE
0 NO FEE NO FEE NO FEE
0 0 @ 25.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 0 @ 50.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 0 @ 100.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 NO FEE NO FEE NO FEE
9 TOTALS
57 3 $157.50
REPLACEMENT AND PUREBRED
TAG ORDERS PROCESSED
10.Replacement Tags
il. Purebred Tags
$427.50 $9.00
12. TOTALS
Column D Column E
# Each Tag Fees
0 0.00
0 0.00
0
$0.00
DISBURSEMENTS
13. Local% of 9B $83.48
14. Local% of 9C $427.50
15.Total $510.98
(to T.C.V.)
16. Stat% of 9B $74.02
17. Stat% of 12E $0.00
19. 100% of 9F $9.00
18.Total $74.02
(to County) (AG. and Markets)
Amount paid to: County Treasurer for Dog Licenses ........................ $74.02
Amount paid to: NYS Ag. & Markets for spay/neuter program ................ $9.00
SOUTHOLD TOWN CLERK 03~
53095 MAIN ROAD, TOWN HALL
SOUTHOLD, NY 11971
· .~ ~o..~o.~ ~ 1242
54970 MAIN ROAD
SOUTHO~D, NY 11971
,5o-~214 1;7/2003
PAY TO THE
ORDEROF NY~'~clII~LLI'~;I~I.~ J $*9.00
DOLLARS
December 2002
Suffolk 47
Town Of Southold 10
Elizabeth A. Neville Southold Town Clerk
01/22/2003
DOG LICENSE MONTHLY REPORT
Send Copy To: Dept. of Ag. & Markets
County Financial Officer
LICENSE TYPES
AND FEES
1 Spay/Neuter
2 Unspay/Unneuter
3 Exemption
4 Voids red & green
5 Purebred (1-10)
6 Purebred (11-25)
7 Purebred (26+)
8 Void Purebred
Column A Column B Column C Column F
~ Each Statutory Local Unneutered
Total Unspay 6 mo. & up
54 @ 2.50 135.00 @ 7.50 405.00 NO FEE
3 3 @ 7.50 22.50 @ 7.50 22.50 ~ 3.00 9.00
0 NO FEE NO FEE NO FEE
0 NO FEE NO FEE NO FEE
0 0 @ 25.00 0.00 ~ 0.00 0.00 3.00/Dog 0.00
0 0 @ 50.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 0 @ 100.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 NO FEE NO FEE NO FEE
9. TOTALS 57 3 $157.50 $427.50 $9.00
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
14. Local% of 9C
15.Total
$83.48
$427.50
$510.98
(to T.C.V.)
16. Stat% of 9B $74.02
17. Stat% of 12E $0.00
18. Total $74.02
(to County)
19. 100% of 9F $9.00
(AG. and Markets)
Amount paid to: County Treasurer for Dog Licenses ........................ $74.02
Amount paid to: NYS Ag. & Markets for spay/neuter program ................ $9.00
Affidavit of Unauthorized/Improper ACH Debit Activity
In accordance with the ACH Rules and Operating Guidelines
I, Cl],~ .,J~O, ~ ~,depose~dsaythatl havE~mmtd ~at~[~e(I s~tement or other .,=~O, OF~ORI~-
notific~n from my Financi~ l~tJtution indicating that ~m ACH debit ent{~ w~ charged to my Acco~lt TION M~S~ITH[WRI~EN
,, ~0~ ~ ~ I ~ ~ [ ~-- 9 ....... AGREEM~W~EORIGINA~NG
t~o.~ ~ ~ I~o~ on ~ ~, ~uu~ in Eno COMPANY WH CH W~ S GN~ OR
B FOR REVOKED ENTRIES, I FURTHER DEPOSEAND SAY THAT: (CHECK ONE)
[] I authorized to originate one or more ACH entaes to debit funds from my account,
but on _,200_, I revoked that authorization by notifying ......... ~n the manner
specified in the authorization,
U#AUfHORIZED ENFRIES, I FURTHER DEPOSEAND SAY THAT: (CHECK ONE)
I did not authorize, and have not ever authorized, in writing or by similarly authenticated (WEB, TEL) means for
to originate one or more ACH entries to debit funds from any account at my
Financial Institution.
[] I authorized to originate one or more ACH entries to debit funds from an account at
my Financial Institution in writing or by similarly authenticated means but:
[] the amount debited exceeds the amount I authorized to be debited The amount I authorized was $
OR
[] the debit was made to my account on a date earUer than the date on which I authorized the d'ebit to occur.
authorized the debit to be made to my account on or no earlier than ,200 .
IMPROPER ENTRIES, I FURTHER DEPOSEAND SAYTHAT: (CHECK ONE)
me notice stating the terms of the re-presented check (referred to as RCK) entry policy or truncated check entry poli-
cy was not provided to me in advande of receiving the item to which the re-presented check entry, or (PPD Accounts
Receivable Truncated Check Debit Entry) relates,
The item, whiclt the represented check entry (referred to as RCK), or PPD Accounts Receivable Truncated Check
Debit Ehtry relates, was ineligible because either: (CHECK ONE)
[] is not an item within the meaning of Rewsed Article 4 of the Uniform Commercial Code ( :~990 Official Text);
(excludes non cash items, drafts drawn o~ the US Treasury, a Federal Reserve Sank, Federal Home Loan Sank, state or local gevernme~t, US Postal
Serwce money orders, non US currettcy items, third-pafly items, demand drains and thlfd l]arty drafts without Receiverrs s;gnature.)
[] is not a negotiable demand draft drawn on or payable through or a~ a Partiopabog DFI, other than a Federal
Reserve Bank or Federal Home Loan Bank;
[] is in an amount of $2,500 or more; (RCK only)
[] does not indicate on the face of the document that the item was returned due to Not Sufficient Funds, NSF,
Unco'riec~d Funds or comparable language; (RCK only)
[] is dated more than 180 days from the date the entry was transmffted to the RDH;
[] is drawn on a non consumer account;
[] has been previously presented (al more than twice in paper form (tor initial represented check entries) or (bi
more than once in paper form and more than once as a re-presented check entry (for reinitiated represented
check entdes),
[] has been prewously presented in its physical form (PPD Accounts Receivable Truncated Check Debit Entry) only.
[] has been presented more than three times (PPD Accounts Receivable Truncated Check Debit Entry) only,
[] has not been completed and s~gned by the consumer (PPO Accounts Receivable Truncated Check Debit Entry) only.
All signatures on the item to which the re-presented check entry (RCK), or (PPD Accounts Receivable Truncated
Check Debit Entry) relates are not authentic or authorized.
The item to which the re-presented check entry (RCK), or (PPD Accounts Receivable Truncated Check Debit Entry)
relates has been altered
For (PPD Accounts Receivable Truncated Check Debit Entries) only, the Receiver provided the Originator with notice
not to truncate the item to which the entry relates.
~ll FOR
[]
~FOR
(Al []
(B) []
(C) []
(D) []
(E) []
SIMILARLY AUTHENTICATED BYAH
EMPLOYEE, CUSTOMER OR MEMBER
TO ALLOW PAYMENTS P~OCESSED
THROUGHTHE ACH NEIWORKTO BE
DEPOSITED IN OR WITHDRAWN
.FROM AN ACCOUN,T AT A FINANCIAL
INSTITUTION HAS BEEN CANCELLED.
NO[E: CONSUMER MUST REVOKE
AUTHORIZATION DIRECTLY WITH THE
ORIGINATOR/COMRANY PROIR TO
THE RETURN OFTHE DEBIT.
For Operat;ons Staff Only: U~ an ~07
~ AN UNAUTHORIZED DEBIT
MEANS AN ELECTRONIC FUND
TRANSFER FROM A ~ONSUMER'S
ACCOUNT INITIATED BYA PERSON
WHICH WAS NOT ALrrHoRIZED BY
THE CONSUMER IN WR!ITNG TO INI-
TIATE THE TRANSFER, AN ELEC-
TRONIC FUND TRANSFER IN AN
AMOUNT GREATER THAN THAT
AUTHORIZED BYTHE CONSUMER
OR WHICH RESULTS IN A DEBIT TO
TH[ CONSUMER'S ACCOUNT EARU-
ERTHAN THAT AUTHORIZED BYTHE
CONSUMER ALSO IS AN UNAUTHO-
RIZED DEBIT. AN UNAUTHORIZED
D~IT DOES NOT INCLUDE AN ELEC-
TRONIC FUND TRANSFER INITIATED
WITH FRAUDULENT I~ENT BYTHE
CONSUMER OR ANY PE~ON ACT
lNG IN CONCERT WITH THE CON-
SUMER.
~ AN IMPROPER DEBIT
MEANSA PPD/RCK ENTRY FOR
WHICH (1) NOTICE STATING THE
TERMS OFTHE RE-PRESENTED
CHECK ENTRY POUCY OR PPD
ACCOUNTS RECEIVABLE TRUNCATED
CHECK DEBIT ENTRY POLICY WAS
NOT PROVIDED BYTHE
ORIGINATOR, (2) THE ITEM TO
WHICH THE ENTRY RELATES IS NOT
AN ELIGIBLE ITEM, (3) ALL SIGNA-
TURES ON THE ITEM TO WHICH THE
ENTRY RELATER ARE NOT AUTHENTIC
OR AUTHORIZED, (4) THE ITEM TO
WHICH THE ENTRY RELATES HAS
BEEN ALTERED, OR (5) FOR PPO
ACCODNTS RECEIVABLE TRUNCATED
CHEOK DEBIT E~RIES ONLY THE
I further depose and say that lite debit Ir~msaction w~ks hal originated with f'raudulenl inLent by me or ~y
, , ; ~ ~ ~ RECEVERPROVDEDIH[
pemon acting in concert with m(n and Hml , 'g · ' · ,' ' '" : ; '/~ I _ _~0RIGINATORWITO NUTIC[ N0] ~0
~ ~ ~ For Oce~tions Staff O¢ly: U~ an R51
SATE SIGNATURE (WITNESS DR NOTARYI for customer a~i~ impro~r debit.
[HERE IS NO WAR~N~, ~PRE%ED OR IMPLIED, IN CONNECTION WITH MAKLNGTHIS ~BLr~TION AVAI~BLE ~TPAY, INC IS IN NO WAY RESPONSrBL~ FOR ANY ERRORS OR OMI~iON IN THrS AFR DAVIT 04/ES/Or. THIS AmDAVIT
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
I~REEDOM OF INFORMATION 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
January3, 2003
Lorraine LaRosa, Branch Manager
Bridgehampton National Bank
54970 Main Road
Southold, New York 11971
Dear Ms. LaRosa:
Please accept this as a request to transfer $1,535.96 from my Town Clerk regular account
number 500015466 into my Town Clerk conservation license account number 500027685 to
cover the overdraft on 12/18/02 created by the NYS DEC swipe of my account. However, the
transaction on 12/26/02 swiping $52.91 from my account was an error on their part and should
be credited back to my account. This amount of $52.91 was initially swiped from my account on
9/25/02 which was authorized and correct. However, it was again swiped on 12/2/02 and again
on 12/26/02 which were errors and/or technical malfunctions on the part of the NYS DEC.
Thank you.
Very truly yours,
Southold Town Clerk
Enclosures
DDA Acc oun~: 500027685
TOP~'~' OF SOUTNSLD
~ ~'Descripsion Debi%s Credits Date Balance
~rfSD.~DE ~ALS_ACH 205902351010046
~4YSDEC DECALS_ACH 205902358160234
~ STATE~E~4T PRODUCED
1~535.96 12/1~/02 ' 1,538.96-
52.91 12/26/02 1,588.87-
12/31/02 1~880.87-
Window ,PR20350/1 a% ITI1
December 2002
Suffolk 47
Town Of Southold 10
Elizabeth A. Neville Southold Town Clerk
01/22/2003
DOG LICENSE MONTHLY REPORT
Send Copy To: Dept. of Ag. & Markets
County Financial Officer
LICENSE TYPES
AND FEES
1 Spay/Neuter
2 Unspay/Unneuter
3 Exemption
Voids red & green
5 Purebred (1-10)
6 Purebred (11-25)
7 Purebred (26+)
8. Void Purebred
9. TOTALS 3
REPLACEMENT AND PUREBRED
TAG ORDERS PROCESSED
10. Replacement Tags
11. Purebred Tags
Column A Column B Column C Column F
# Each Statutory Local Unneutered
Total Unspay 6 mo. & up
54 e 2.50 135.00 ~ 7.50 405.00 NO FEE
3 3 @ 7.50 22.50 ® 7.50 22.50 ® 3.00 9.00
0 NO FEE NO FEE NO FEE
0 NO FEE NO FEE NO FEE
0 0 @ 25.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 0 @ 50.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 0 @ 100.00 0.00 @ 0.00 0.00 3.00/Dog 0.00
0 NO FEE NO FEE NO FEE
57 8157.50 $427.50
Column D Column E
# Each Tag Fees
0 0.00
0 0.00
12.TOTALS
0 $0.00
DISBURSEMENTS
13. Local% of 9B $83.48
14. Local% of 9C $427.50
15.Total $510.98
(to T.C.V.)
16. Stat% of 9B $74.02
17. Stat% of 12E $0.00
19. 100% of 9F $9.00
18. Total $74.02
(to County) (AG. and Markets)
Amount paid to: County Treasurer for Dog Licenses ........................ $74.02
Amount paid to: NYS Ag. & Markets for spay/neuter program ................ $9.00
$OUTHOLD TOWN CLERK o:~ol
53095 MAIN ROAD, TOWN HALL
SOUTHOLD, NY 11971
THE BR/DGEHAMPTON NA31ONAL BANK 12 4 4
54970 MAIN ROAD
SOUTHOLD, NY 11971
50-66~214 1/~/'~03
PAY TO THE
ORDER OF .
DOLLARS
II'OD & 2Lb,I"
NEW YORK STATE DEPARTMENT OF HEALTH
Bureau of Accounts Management - Revenue Section MONTHLY REPORT OF MARRIAGE
Albany, New York 12237-0001 LICENSES ISSUED
SEE INSTRUCTIONS AT BOTTOM OF PAGE
Report for the month of DEP NO.
December 2002
$
City or Town of Southold Check #
County of Suffolk DO NOT WRITE 1N ABOVE SPACE
Pursuant to the provisions of Section l 5 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 eleven dollars and twenty-five cents for each mamage license issued by me during the month
covered by this report.
' Licenses issued were numbered from 130 to 13 5 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 rermttance by CHECK or Name of City or Town Clerk (Pletse Print)
MONEY ORDER payable to the State
Department of Health Elizabeth A. Neville
Signature of City or Town Clerk Date
, 01 0 003
Amount of remiUance with this report Mailing Address
P.O Box 1179
Southold, NY 11971
$ 67.50
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
>rovided for license numbers.
The issuance of a rnamage license makes you responsible for the remittance fee of $11.25, regardless of whether or not the mamage ceremony is
ever performed.
Marriage licenses must be numbered and reported consecutively throughout the year starting with number 1 at the beginning of EACH calendar
year.
Pursuant to the authority of Section 19 of the New York State Domestic Relations Law, the Comrmssioner of Health has directed that this report,
together with any fee must be transmitted to the State Depart~nent 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 ora misdemeanor and shall pay a fine not exceeding the sum of one hundred
dollars on conviction thereof.
DOH-963 (I/90)
VS 9M OFM 23
$OUTHOLD TOWN CLERK 03-01
53095 MAIN ROAD, TOWN HALL
SOUTHOLD, NY 11971
THE BRIDGEIL4JIPTON NAllONAL BANK
549~0 IV~JN ROAD
SOUTHOLD, NY 11971
50666/214
1F//2003
1243
PAY TO THE ~I-¥S ]~lNl~m of I4ealTh
ORDER OF I
"'OO ~, 8 h ~,' ~ "-0 8 I, I,O f~ B r~ ?,; O 5OO'"D t, 5 t, g,
STATE OF NEW YORK
REPORT OF GAMES OF CHANCE
FEES COLLECTED
PURSUANT TO CHAPTER 960, LAWS OF 1976
NAME OF MUNICIPALITY- Town Of Southold
P,O. ADDRESS P.O Box 1179, Southold, NY 11971
DO NOT WRITE IN THIS SPACE
AMOUNT REC'D. .ENT. BY
REFUND CHECKED BY
DEPOSITED CODE
SHEET NO. 1 OF 1
MONTH OF ~ December , 2002
COUNTY Suffolk
CODE NUMBER 47-210
I NUMBER OF
NAME OF ORGANIZATION LICENSE NO. OCCASIONS AMOUNT
Southold American Legion Post 803 I 47-210-201-03026
1
25.00
$25.00
A.) TOTAL FEES COLLECTED
B.) DELIVERED TO MUNICIPAL TREASURY
C.) TRANSMITTED HEREWITH TO STATE COMPTROLLER
$10.00
$15.00
TOTALS
CERTIFICATION OF ISSUING OFFICER:
Elizabeth A. Neville ., hereby certifies that - he is the
Southold Town Clerk of the Town Of Southold
State of New York; that- he has prepared the annexed report, issued the licenses listed therein and that such report is a true and correct statement
of operations for the pedod which it cevers. (/~/~~ ~.~
Eltzab~-th ~4~Ville Issuing O~cer To~n~ Clerk
CERTIFICATION OF REMITTING OFFICER:
.]nRhua ¥. Hort:on , hereby certifies that - he is the
S~rnervisOr of the Town Of Southold ,
State of New Yo~k; that - he has examined the annexed report, that - he knows such report to be a true and correct statement of operations for the period
which it covers and that the amount remitted herewith is the full amount pay'able to the State Comptroller for such period pursuant to Chapter 960 of
the Laws of 1976, as amended.
Joshua ¥. Horton? ~emitting~OfflcerSupervisOr
-/
STATE OF NEW YORK
REPORT OF BINGO FEES COLLECTED
PURSUANT TO CHAPTER 437 & 438, LAWS OF 1962
P.O. ADDRESS
NAME OF MUNICIPALITY Town or Southold
P.O Box 1179, Southoid, NY 11971
DO NOT WRITE IN THIS SPACE
AMOUNT REC'D. ENT. BY
REFUND CHECKED BY
DEPOSITED CODE
SHEET NO. 1 OF 1
MONTH OF December , 2002
COUNTY Suffolk
CODE NUMBER 47-210
I I NUMBER OF
NAME OF ORGANIZATION LICENSE NO. OCCASIONS AMOUNT
I Southold American Legion Post 803 I
47-210-201-01829
49
918.75
$918.75
A.) TOTAL FEES COLLECTED
B.) DELIVERED TO MUNICIPAL TREASURY
C.) TRANSMITTED HEREWITH TO STATE COMPTROLLER
$367.50
$551.25
TOTALS
CERTIFICATION OF ISSUING OFFICER:
Elizabeth A. Neville ., hereby certifies that -he is the
Southo[d Town Clerk of the Town Of Southold
State of New York; that-he has prepared the annexed report, issued the licenses listed therein and that such report is a true and correct statement
of operetions for the pedod which it cevers.
Eliza-'~l:hc,K~eVif:].e I~suing ~icer Clerk
CERTIFICATION OF REMITTING OFFICER:
Joshua Y. Horton , herebycertJfies that-he is the
Supervisor of the Town Of Southold ,
State of New York; that -he has examined the annexed report, that - he knows such report to be a true and correct statement of operations for the period
which it covers and that the amount remitted herewith is the full amount payable to the State Comptroller for such p~dod pursuant to Chapter 438 of
the Laws of 1962, as amended.
Joshua Y. ltorton ~l~,~'mitting Officer ~flperv~sor
01/02/2003
Town Of Southold
DECALS Import Transaction Report
December 01, 2002 - December 31, 2002
Page;
Date
Agent Total Sales
Less Commission
Net Due to Encon
2/02/2002 5.00 0.28 4.72
2/03/2002 42.00 2.32 39.68
2/04/2002 38. O0 2.10 35.90
2/06/2002 16.00 0~88 15.12
2/10/2002 19.00 1.05 17.95
2/11 ~2002 24.00 1.33 22.67
2/1212002 37.00 2.04 34.96
2/13~2002 21.00 1.16 19.84
2/17~2002 5.00 0.28 4.72
2/19/2002 5.00 0.28 4.72
2/20/2002 19.00 1.05 17.95
2/23/2002 74.00 1.66 72.34
2/24/2002 16.00 0.88 15.12
212612002 76.00 4.20 71.80
2~27~2002 24.00 1.33 22.67
2/3012002 55.00 0.61 54.39
12/31/2002 37.00 2.04 34.96
Report Totals: $513.00 $23.49 $489.51
Elizabeth A. Neville
Southold Town Clerk
Town Hall, 53095 Main Road, Southold, N.Y. 11971
631 765-1800 tele.
631 765-6145 fax
To: Lorraine LaRosa From: Betty Neville
Fax: 631 765-1605 Pages:
Phone: 631 765-1500 Dat~ 113/2003
Re: ACH activitfes CC: [Click hem and type name]
[] Urgel~ X For Review [] Please Comment X Please Reply [] Please Recycle
Comments:
Lorraine:
I stopped by and picked up the affidavit, but I am unsure of where to fill it out. After reading the
attached letter of what happened, perhaps you could advise me and I will bring it back to the
bank.
I have also included a request for a duplicate replacement deposit slip which was lost by the
SWMD. We thought perhaps it might turn up during the month, but it did not.
Please review all at your convenience and call me. Thank you.
Betty
03/01 '03 FRI 14:07 FAX 516 765 6145 SOUTHOLD CLERK ~001
*** TX REPORT ***
TRANSMISSION OK
TX/RX NO 4079
CONNECTION TEL
CONNECTION ID
ST. TIME 03/01 14:05
USAGE T 02'21
PGS. SENT 5
RESULT OK
7651605
Elizabeth A. Neville
Southold Town Clerk
Town Hall, 53095 Main Road, Southold, N.Y. 11971
631 765-1800 tele,
631 765-6145 fax
To: Lorraine L~Rosa From: BegoJ Neville
Fax: 631 765-1605 Page= 4' 5
Phon~ 631 765-1500 Date: 1/3/2003
I~: ACH activ~es CC: [Click here and type name]
[] Urgent X For Review ~ Please Comm~ X Please Reply F~ pIG.~ Recyc:lt~
Comments:
Lo~aine:
I stopped by and picked up the afiSdavit, but I am unsure of where m fill it out. After reading the
attached letter of what happened, perhaps you could advise me and I will bring it back to the
bank.
I have also included a request for a duplicate' replacement deposit slip which was lost by the
SWMD. We thought pen~aps it might turn up during the month, but it did not.
Please review all at your convenience and call me, Thank you.
01/13/2003
Town Of Southold
DECALS Import Transaction Report
December 01, 2002 - December 31, 2002
Page:
Date
Agent Total Sales
Less Commission
Net Due to Encon
12/0212002 5.00 0.28 4.72
12/03/2002 42.00 2.32 39.68
12/04/2002 38.00 2.10 35.90
1 2/06/2002 16.00 0.88 15.12
1 2/10~2002 19.00 1.05 17.95
12/11/2002 24.00 1.33 22.67
12/1212002 37.00 2.04 34.96
12/13/2002 21.00 1.16 19.84
12/17/2002 5.00 0.28 4.72
1 2/19/2002 5.00 0.28 4.72
1 2/20/2002 19.00 1.05 17.95
1 2/23/2002 74.00 1.66 72.34
12/24/2002 16.00 0.88 15.12
1212612002 76.00 4.20 71.80
12/27/2002 24.00 1.33 22.67
12/30/2002 55.00 0.61 54.39
12/31/2002 37.00 2.04 34.96
Report Totals: $5'13.00 $23.49 $489,51
01/92/2003
Cash Cate~or,/
Adoption
Sub-Cate~lor~
Agency & Trust
Alarm Fees
Beach Permi~
Bid Specifications & Fees
Building Dept. Fees
Certification, Birth
Certification, Death
Certification, Marriage
Conservation (DECALS)
Dog Licenses
Original
Renewal
Euthanasia
Filming
Fishers Island Sewer District
Town Of Southold
Summary Daily Cash Report
December 01,2002 - December 31,2002
Page: 1
Qty Description
4 Dog Adoption
Amount
40.00
4 Category Sub-Total...
1 Park & Playground
2 Tree Book- Retail
$40.00
5,000.00
17.26
3 Category Sub-Total...
2 Fines
5 Initial
117 Renewal
$5,017.26
200.00
125.00
1,170.00
124 Category Sub-Total...
8 $12.00 Daily Permit
2 Guest
2 Non-Resident Seasonal
3 Replacement Sticker
739 Resident
3 Voided Sticker
$1,495.00
96.00
60.00
200.00
0.00
41434.00
0.00
757 Category Sub-Total... $4,790.00
10 2003 Boiler 100.00
I 2003 Scavenger Waste Removal 25.00
11 Category Sub-Total... $125.00
17 Application Fees 89,722.71
17 Category Sub-Total... $89,722.71
I Birth Trans. 10.00
1 Category Sub-Total... $10.00
78 Death Trans. 780.00
1 Death Trans. - Genealogical 11.00
79 Category Sub-Total.. $791.00
11 Marriage Trans. 110.00
11 Category Sub-Total.. $110.00
17 Conservation (DECALS) 537.00
t7 Category Sub-Total.. $537.00
5 Female, Spayed 50.00
7 Male, Neutered 70.00
2 Male, Unneutered 36.00
14 Category Sub-Total.. $156.00
24 Female, Spayed 240.00
18 Male, Neutered 180.00
1 Male, Unneutered 18.00
43 Category Sub-Total.. $438.00
1 Euthanasia 0.00
1 Category Sub-Total... $0.00
2 Daily Filming Permit 200.00
2 Category Sub-Total... $200.00
9 Sewer District 2,400.00
01/02/2003
Town Of Southold
Summary Daily Cash Report
December 01,2002 - December 31,2002
Page: 2
Cash Cate~lory
Highway Excavation
House Trailer
Interest Now Account
Junk Dealer
Landowner
Misc. Cash
Moratorium Waiver
Ordinance Fees
Passport Fee
Planning Board
Postage
Racing And Wagering
Redemptions
Returned
Shellfish
Sub-Cate0ory
Bell Jar
Bingo
Qt¥ Description
9 Category Sub-Total..
Amount
$2,400.00
606.00
6 Permits
6 Category Sub-Total.. $606.00
5 Permit/Renewal 500.00
5 Category Sub-Total.. $500.00
I Interest NOW Account 81.75
I Category Sub-Total.. $81.75
1 License 100.00
1 Category Sub-Total.. $100.00
30 Fees 30.00
30 Category Sub-Total.. $30.00
1677 Photocopies 419.25
1677 Category Sub-Total.. $419.25
2 Moratorium Waiver 500.00
2 Category Sub-Total.. $500.00
I Code Book Covers 35.81
1 Zoning Books 54.25
2 Category Sub-Total.. $90.06
8 Passport Fee - Town Portion 240.00
8 Category Sub-Total.. $240.00
6 Application Fees 2,513.85
I Inspection 2,836.50
7 Category Sub-Total.. $5,350.35
I Postage 0.37
t Category Sub-Total.. $0.37
I Bell Jar License 25.00
I Category Sub-Total.. $25.00
49 Bingo Licenses 918.75
8 Bingo Proceeds 13.84
57 Category Sub-Total.. $932.59
1 Dog Redemption - 1st 10.00
1 Dog Redemptions - 3+ 30.00
2 Category Sub-Total.. $40.00
1 Check Charge 20.00
t Category Sub-Total..
49 Commercial
93 Free - Non-Commer.
91 Resid.- Non-Comm.
1 Temporary
5 Voided
$20.00
1,715.00
0.00
455.00
10.00
0.00
239 Category Sub-Total.. $2,t80.00
01/~2/2003
Town Of Southold
Summary Daily Cash Report
December 01, 2002 - December 31, 2002
Page:
Cash Category
Solid Waste Management
District
Sub-Cate~lory
Vital Statistics Marriage
Wastewater Disposal District
Yard Sale
Zoning Board Of Appeals
Payment Method Received Thru
CASH $32,404.44 COUNTER $252,335.21
CHECK $223,548.02 MAIL $3,617.25
Qty Description
54 APPL (Appliances)
11 Bags - On Account
399 Bags - Retail - Large
467 Bags - Retail - Medium
27 Bags - Retail - Mini
81 Bags - Retail - Small
9 Bags - Vending Machine
19 Bags - Wholesale - Large
3 Bags - Wholesale - Medium
4 Contractor Permit- 1+ Ton Single
14 Contractor Permit- Up To 1 Ton
14 CS30 (Corem Contract Single
Entry)
3 Disposal Permit- Agricultural
3 Disposal Permit- Guest
5 Disposal Permit- Replace
1091 Disposal Permit- Res 1st
212 Disposal Permit- Res. Add'l
5 Disposal Permit-VOIDED
104 Residential Single Entry
310 Resse (resid. Single Entry)
5 Tipping Charges
32 Tipping Fee Deposit
6 Tipping Interest
Amount
810.00
42,937.48
897.75
700.50
10.80
60.75
7,115.00
3,847.50
1,012.50
800.00
840.00
420.00
180.00
30.00
0.00
10,900.00
1,060.00
0.00
600.00
620.00
30,852.09
21,586.50
119.27
2878 Category Sub-Total... $125,400.12
6 Marriage License 150.00
6 Category Sub-Total... $150.00
I Scavenger Waste Gallonage Fees 5,000.00
44 Septic Permit - Construct - Resid. 440.00
7 Septic Permit- Operation - Resid. 70.00
52 Category Sub-Total... $5,510.00
3 Permits 45.00
3 Category Sub-Total... $45.00
25 Application Fees 7,900.00
25 Category Sub-Total... $7,900.00
Grand Total ......................... $255,952.46
01/02/20~3
Town Of Southold
Summary Daily Cash Report
December 01,2002 - December 31,2002
Page: 1
Cash Cate~lory
Adoption
Agency & Trust
Alarm Fees
Beach Permi~
Bid Specifications & Fees
Building Dept. Fees
Certification, Birth
Certification, Death
Certification, Marriage
Conservation (DECALS)
Dog Licenses
Euthanasia
Filming
Fishers Island Sewer District
Sub.Cate~or~
Original
Qty Description
4 Dog Adoption
Amount
40.00
4 Category Sub-Total..
1 Park & Playground
2 Tree Book- Retail
$40.00
5,000.00
17.26
3 Category Sub-Total..
2 Fines
5 Initial
117 Renewal
$5,017.26
200.00
125.00
1,170.00
124 Category Sub-Total..
8 $12.00 Daily Permit
2 Guest
2 Non-Resident Seasonal
3 Replacement Sticker
739 Resident
3 Voided Sticker
$1,495.00
96.00
60.00
200.00
0.00
4,434.00
0.00
757 Category Sub-Total.. $4,790.00
10 2003 Boiler 100.00
1 2003 Scavenger Waste Removal 25.00
11 Category Sub-Total... $125.00
17 Application Fees 89,722.71
17 Category Sub-Total... $89,722.71
1 Birth Trans. 10.00
1 Category Sub-Total... $10.00
78 Death Trans. 780.00
1 Death Trans. - Genealogical 11.00
79 Category Sub-Total... $791.00
11 Marriage Trans. 110.00
tl Category Sub-Total... $110.00
17 Conservation (DECALS) 537.00
17 Category Sub-Total... $537.00
5 Female, Spayed 50.00
7 Male, Neutered 70.00
2 Male, Unneutered 36.00
14 Category Sub-Total... $156.00
24 Female, Spayed 240.00
18 Male, Neutered 180.00
1 Male, Unneutemd 18.00
43 Category Sub-Total... $438.00
I Euthanasia 0.00
1 Category Sub-Total... $0.00
2 Daily Filming Permit 200.00
2 Category Sub-Total... $200.00
9 Sewer District 2,400.00
01/02/2~03
Town Of Southold
Summary Daily Cash Report
December 01,2002 - December 31, 2002
Page: 2
Cash Category
Highway Excavation
House Trailer
Interest Now Account
Junk Dealer
Landowner
Misc. Cash
Moratorium Waiver
Ordinance Fees
Passport Fee
Planning Board
Postage
Racing And Wagering
Redemptions
Returned
Shellfish
Sub-Cate0ory
Bell Jar
Bingo
Amount
Description
Category Sub-Total..
Permits
$2,400.00
606.00
6
6 Category Sub-Total.. $606.00
5 Permit/Renewal 500.00
$ Category Sub-Total.. $500.00
1 Interest NOW Account 81.75
1 Category Sub-Total.. $81.76
1 License 100.00
1 Category Sub-Total.. $100.00
30 Fees 30.00
30 Category Sub-Total.. $30.00
1677 Photocopies 419.25
t 677 Category Sub-Total.. $419.26
2 Moratorium Waiver 500.00
2 Category Sub-Total.. $500.00
1 Code Book Covers 35.81
1 Zoning Books 54.25
2 Category Sub-Total.. $90.06
8 Passport Fee - Town Portion 240.00
8 Category Sub-Total.. $240.00
6 Application Fees 2,513.85
I Inspection 2,836.50
7 Category Sub-Total.. $5,350.35
I Postage 0.37
I Category Sub-Total.. $0.37
1 Bell Jar License 25.00
t Category Sub-Total.. $25.00
49 Bingo Licenses 918.75
8 Bingo Proceeds 13.84
57 Category Sub-Total.. $932.59
1 Dog Redemption - 1st 10.00
1 Dog Redemptions - 3+ 30.00
2 Category Sub-Total.. $40.00
1 Check Charge 20.00
1 Category Sub-Total..
49 Commercial
93 Free- Non-Commer.
91 Resid.- Non-Comm.
1 Temporary
5 Voided
$20.00
1,715.00
0.00
455.00
10.00
0.00
239 Category Sub-Total.. $2,180.00
01/02/20.03
Town Of Southold
Summary Daily Cash Report
December 01,2002 - December 31, 2002
Page: 3
Cash Cate~lory
Solid Waste Management
District
Vital Statistics Marriage
Wastewater Disposal District
Yard Sale
Zoning Board Of Appeals
Sub-Cate~lor7
Qt~ Description
Amount
54 APPL (Appliances)
11 Bags - On Account
399 Bags - Retail - Large
467 Bags - Retail - Medium
27 Bags - Retail - Mini
81 Bags - Retail - Small
9 Bags - Vending Machine
19 Bags - Wholesale - Large
3 Bags - Wholesale - Medium
4 Contractor Permit- 1+ Ton Single
14 Contractor Permit- Up To 1 Ton
14 CS30 (Comm Contract Single
Entry)
3 Disposal Permit- Agricultural
3 Disposal Permit- Guest
5 Disposal Permit- Replace
1091 Disposal Permit- Res 1st
212 Disposal Permit - Res. Add'l
5 Disposal Permit-VOiDED
104 Residential Single Entry
310 Resse (resid. Single Entry)
5 Tipping Charges
32 Tipping Fee Deposit
6 Tipping Interest
810.00
42,937.46
897.75
700.50
10.80
60.75
7,115.00
3,847.50
1.012.50
800.00
840.00
420.00
180.00
30.00
0.00
10,900.00
1,060.00
0.00
600.00
620.00
30,852.09
21,586.50
119.27
2878 Category Sub-Total... $125,400.12
6 Marriage License 150.00
6 Category Sub-Total... $t50.00
I Scavenger Waste Gallonage Fees 5,000.00
44 Septic Permit - Construct - Resid. 440.00
7 Septic Permit - Operation - Resid. 70.00
52 Category Sub-Total... $5,510.00
3 Permits 45.00
3 Category Sub-Total... $45.00
25 Application Fees 7,900.00
25 Category Sub-Total... $7,900.00
Grand Total ......................... $255,952.46
Payment Method Received Thru
CASH $32,404.44 COUNTER $252,335.21
CHECK $223,548.02 MAlL $3,617.25
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
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 3, 2002
Lorraine LaRosa, Branch Manager
Bridgehampton National Bank
54970 Main Road
Southold, New York 11971
Dear Ms. LaRosa:
Please consider this a request for a duplicate replacement deposit slip for a deposit in the
amount of $604.10 which was made by the solid Waste Management District on or about 12/6/02
and which deposit slip was lost by them. Thank you
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Affidavit of Unauthorized/Improper ACH Debit Activity
In accordance with the ACH Rules and Operating Guidelines
notification from ray Financial Institution indicating that an ACE! debit entIy was charged to my Account
No. t~) ~I~)~2)~Q"~.~.~ ~ on ~]~,~[~, 200__ in the
amount of $ ~'~, ~ I , and that the debit entw was unauthorized or in;proper.
m~FOR REVOKED ENTRIES, I FURTHER DEPOSEAND SAYTHAT: (CHECK ONE)
[] I authorized to originate one or more ACH entries to debit funds from my account,
but on ,200_, I revoked that authorization by notifying in the manner
specified in the authorization.
m~FOR UNAUTHORIZED ENTRIES, I FURTHER DEPOSEAND SAY THAT: (CHECK ONE)
[] I did not authorize, and have not ever authorized, in writing or by similarly authenticated (WEB, ~L) means for
to originate one or more ACH entries to debit funds from any account at my
Financial InsUtution.
[] I author]zed to originate one or more ACH entries to debit funds from an account at
my Financial institution in wdting or by similarly authenticated means but:
[] the amount debited exceeds the amount I authorized to be debited. The amount I authorized was $
OR
[] the debit was made to my account on a date earlier than the date on which I authorized the debit to occur.
authorized the debit to be made to my account on or no earlier than ,200_.
~FOR
(A) r~
(B) []
(c) ~
(D) []
(E) []
IMPROPER ENTRIES, I FURTHER DEPOSEAND SAY THAT: (CHECK ONE) ~
The notice stating the terms of the re-presentad check (referred to as RCK) entry policy or truncated check entry poll-
cy was not provided to rrm in advance of receiving the item to which the re-presented check entry, or (PPD Accounts
Receivable Truncated Check Debit Entry) relates.
The item, which the represented check entry (referred to as RCK), or PPD Accounts Receivable Truncated Check
lION MEANS THAT THE WRTITON
AGREEME]~T WITH THE ORIGINATING
COMPANY WHICH WAS SIGNED OR
SI MIE~RLY AUTHENTI~1ED BYAN
EMPLOYEE, CUSTOMER OR MEMBER
TO ALLOW PAYMENES PROCESSED
THROUGH THE ACH NEIWORK ID BE
DEPOSITED IN OR WITHDRAWN
PROM AN ACCOUNT AT A RNANCIAL
INSTITUTION HAS BEEN CANCELLED
N~ CONSUMER MUST REVOKE
AUTHORIZATION DIRECTLY WITH THE
ORIGINATOR/COMPANY nOIR TO
THE RETURN OFTHE DEBIT.
for customer authomizaUon ~ked.
~ AN UNAUTHORI7m DEBIT
MEANSAN ELECTRONIC FUND
TRANSFER FROM A CONSUMER'S
'~ACCOUNT INITIATED BYA PERSON
Wi4~CH WAS NOTAUTHORIZED BY
THE CONSUMER IN WRIT1NG TO INF
TIATETHETRANSFER. AN ELEC-
TRONIC FUNO TRANSFER IN AN
AMOUNT GRE~TER THAN THAT
AUTHORIZED BYTHE CONSUMER
OR WHICH RESULTS INA DEBITTO
THE CONSUMPR'S ACCOUNT EARLI-
Debit Entry relates, was ineligible because either: (CHECK ONE) ER THAN THATAUTHORIZED BYTHE
[] is not an item within the meaning of Revised Article 4 of the Uniform Commercial Code ( J 990 Official Text); '~ CONSUMER AIZO IS AN BNAUTHO-
(excludes non-cash items, dra~ drawn on the U5 Treasun/, a Federal Reserve Rank, Federal Home Loan Bank, state or local government, US Postal ,;; RIZED DEBIT. AN UNAUTHORIZED
Service money orders, hon.-US currency items, thRd.pafiy items, demand drafts and thHd party drafts without Receiver's signature.)
[] is' not a negotiable demand draft drawn on or payable through or at a Participating DFI, other than a Federal
Reserve Bank or Federal Home Loan Bank;
[] is in an amount of $2,500 or more; (RCK only)
[] does not indicate on the face of the document that the item was returned due to Not Sufficient Funds, NSF,
Uncollected Funds or comparable language; (RCK only)
[] is dated more than 180 days from the date the entry was transmiNed to the RDH;
[] is drawn on a nomconsumer account;
[] has been previously presented (al more than twice in paper farm (for initial represented check entries) or (b)
more than once in paper form and more than once as a re-presented check entry (for reinitiated represented
check entries).
[] has been previously presented in its physical form (PPD Accounts Receivable Truncated Check Debit Entry) only.
[] has been presented more than three times (PPD Accounts Receivable Truncated Check Debit Entry) only.
[] has not been completed and signed by the consumer (PPD Accounts Receivable Truncated Check Debit Entry) only.
All signatures on the item to which the re-p~resented check entry (RCK), or (PPD Accounts Receivable Truncated
,Check Debit Entry) r?ates am not authentic or authorized.
The item to which the re-presented check entry (RCK), or (PPD Accounts Receivable Truncated Check Debit Entry)
relates has been altered.
For (PPD Accounts Receivable Truncated Check Debit Entries) only, the Receiver provided the Originator with notice
not to truncate ~he item to which the entry relates.
I further depose and say that the debit ~arsaction was not originated with fraudulent intent by me or any
person acting in concert with me, and that the signature below is my own proper signature.
DATE , ~ ~ SIGNATURE
DEBIT DOES NOT INCLUDE AN ELEC-
TRONIC FUND TRANSFER iNmATEB
WITH FRAUDULENT INTENT BYTHE
CONSUMER OR ANY PERSON ACT
'lNG IN CONCERT WITH THE CON-
SUM~.
MEANS A PPO/RCK ENTRY FOR
WHICJ((1) NOIICE STAI1N G THE
TERfdS OFTUE RE-PRESENTED
CHECK ENTRY POUCY OR PPD
ACCOUNT'J RECBVABLE~UNCATED
CHECK DEBIT ETOITY POUCY WAS
NOT PROVIDED BYTHE
ORIGINATOR, (2) THE ITEM TO
WHICH THE ENTRY RE)AlES IS NOT
AN ELIGIBLE mTERI, (3) ALL SIGNA-
TORES ON THE toTEM TO WHICO THE
ENTRY RELATES ARE NOT AUTHENTIC
OR AIJTHORIZED, {4) THE ~ TO
WHICH THE ENTRY RELATES ~
BEEN ALTERED, OR (5) FOR PPD
ACCOUNTS RECEIVABLE PRUNCATED
CHECK DEBIT ~lm ONLY, THE
RECEDtER P~VIDED THE
ORIGINATOR WITH NOT1CE [tO~ TO
ENTRY RELATES.
BATE SIGNATURE MIl)mESS OR NOTARY) ,
reERE IS NO WARP, At, flY, EXffiESSED OR IMPLIED, IN CONNECllON wrm MAKING THIS HJRLICAIION AVAILABLE. FJLSTPAY, INC, IS IN NO WAY RFSPONSIBLE FOR ANY ERRORS OR OMISSION IN THIS AFFIDAVIT. 04/15/01. THIS AFFTOAVI1
WAS DEVISED N COMPL AliCE TO THE NACHA OPERATING RULES PREVA LNG ON UARCH 16, 2001 ALL RIGHTS RESERVED. NO PART OF THIS PUBLICATION MAY BE REPRODUCED OR TRANSMITFED IN ANY FORM OR BY ANY MEANS
WITHOUT RER~dISSION IN WRITING FROM THE PUBLISHER: JASMIN MARTIN, EASTPAY, 2600 MAITLAND CENTER PARKWAY, SUITE 275, MAITLAND, FL 3275L TO REOR[~ER ~ORM, CALL EA~THAY AT (407) 6665820
TIlE 16:31 FAX 516 765 6145 SOUTHOLD CLERK ~001
*** TX REPORT ***
TRANSMISSION OK
TX/RX NO
CONNECTION TEL
CONNECTION ID
ST. TIME
USAGE T
PGS. SENT
RESULT
4069
18882420421
31/12 16:30
00'45
2
OK
O,ac-3i-O~_ O~: 5~,,P ~ N B SOUTHOLD N Y
631 765 1605 P. O1
004 05 00 PAGE:
DATE: 09/30/02 ACCOUNT: 500027685
TOWN OF SOUTHOLD
TOWN CLERK - CONS LICENSES 30
BOX 1179 0
SOUTHOLD NY 11971-0959 0
BNB OFFERS PRODUCTS AND SERVICES TO HELP YOU CONDUCT YOUR BUSINESS.
BRIDGE PC LINK: TURN YOUR PC INTO A VIRTUAL BRANCH OFFICE. DIRECT PAYMENT
READY PAYROLLS AND MAKE PAYMENTS EASILY, CHECK RECONCILIATION: SPEND LESS
TIME ON ACCOUNTING, MORE TIME ON BUSINESS. ASK YOU~ BRANCH FOR DETAILS.
PUBLIC FUNDS ACCOUNT 500027685
MINIMUM BALANCE
AVG AVAILABLE BALANCE
LAST STATEMENT 09/06/02 .00
52.9]. 1 CREDITS 52-91
52.91 DEBITS .00
THIS STATEMENT 09/30/02 52.91
DESCRIPTION
TRANSFER CREDIT
OTHER CREDITS .........
DATE A~IOUNT
09/25 52.91
........ DAILY BALANCE ........
DATE ........... BALANCE DATE ........... BALANCE DATE ........... BALANCE
09/25 52.91
Dec]3~-02 02:54P B N B SOUTHOLD N Y
631 765 1605 P.O1
004 05 00 PAGE: 1
DATE: 09/30/02 ACCOUNT: 500027685
TOWN OF SOUTHOLD
TOWN CLERK - CONS LICENSES
BOX 1179
SOUTHOLD NY 11971-0959
30
BNB OFFERS PRODUCTS AND SERVICES TO HELP YOU CONDUCT YOUR BUSINESS.
BRIDGE PC LINK: TURN YOUR PC INTO A VIRTUAL BRANCH OFFICE. DIRECT PAYMENT
READY PAYROLLS AND MAKE PAYMENTS EASILY. CHECK RECONCILIATION: SPEND LESS
TIME ON ACCOUNTING, MORE TIME ON BUSINESS. ASK YOUR BRANCH FOR DETAILS.
PUBLIC FUNDS ACCOUNT 500027685
MINIMUM BALANCE
AVG AVAILABLE BALANCE
LAST STATEMENT 09/06/02 .00
52.91 1 CREDITS 52.91
52.91 DEBITS .00
THIS STATEMENT 09/30/02 52.91
DESCRIPTION
TRANSFER CREDIT
OTHER CREDITS .........
DATE AMOUNT
O9/25 52.91
........ DAILY BALANCE ........
DATE ........... BALANCE DATE ........... BALANCE DATE ........... BALANCE
09/25 52,91
De6L31-O2 02:55P B N B SOUTHOLD N Y 631 765 1605 P.O2
BRIDGEHAMPTON NATIONAL BANK PUBLIC FUNDS: 500027685
STATEMENT - ALL TRANSACTIONS
[01]
TOWN OF SOUTHOLD
TOWN CLERK - CONS LICENSES
BOX 1179
SOUTHOLD NY 11971-0959
Balance Forward: Nov 29, 2002
plus (1) Credit:
less (3) Debits:
This Statement: Dec 30, 2002
.00
52.91
1,641.78
-1,588.87
Portfolio Number:
Product:
Class:
Branch Number:
Accounting Group:
Responsibility Code:
Type Code:
Em ployee/Of'ficeflDirecto r Code:
Statement Cycle:
Statement Book:
103590
[50102] PUBLIC FUNDS
[02] PUBLIC FUNDS
[05] BRIDGEHAMPTON NATIONAL BANK
[o0o5}
[oool
[500] Public
[0] Non-Employee
I30] Month-End
Statement Truncation Code:t3] Items Not Included (CIP Only)
Tax Name: [01] TOWN OF SOUTHOLD
Description
Balance Forward:
NYSDEC DECALS ACH 205902332010144
RETURNED CHEC-K# 00, INSUFFICIENT FUNDS
NYSDEC DECALS_ACH 205902351010046
NYSDEC DECALS ACH 205902358160234
Balance This Statement:
Debits Credits Date Balance
Nov 29, 2002 .00
52.91 Dec 2, 2002 -5291
52.91 Dec 4, 2002 .00
1,535,96
52.91
Dec 18, 2002 -1,535,96
Dec 26, 2002 -1.58887
Dec 30, 2002 -1,588.87
.... MEMO POST ACTIVITY
01/03/2003 Southold Town Clerk Monthly Report Annual Report Page:
January 01, 2002 - December 31, 2002
To the Supen~sor:
Pursuant to Section 27, Sub 1, of the Town Law, I hereby certify that the foregoing is a full ara:l l~ue statement of all fees and monies received
by me, Elizabeth A. Neville, Town Clerk, Town of Southold during the period stated above, in connection wilh my office, excop~ng only such fees
and monies, the application of which are o~erw~se provided for by law.
Account~
Account Description
AGENCY & TRUST Agency & Trust
Fee Description Qty Local Share
Park & Playground 6 55,000.00
Tree Book - Retail 4 31.80
BID
Bid Specifications & Fees
2002 Brushes Creek Bddge
2002 food bid
2002 Park Specifications
2002 Road Treatments
2002 Solid Waste Haul & Dispose
2002 Solid Waste Haul Only
2003 Boiler
2003 Scavenger Waste Removal
Animal Shelter Bid 2002
FISW
Fishers Island Sewer Distdct
Sewer District
INTEREST
Interest Now Account
Interest NOW Account
PART
Building Department Fees
Certified Birth Trans.
Certified Death Trans.
Change Of Zone
Coastal Erosion Appeal
House Trailer
Junk Dealer
Ordinance Fees
Application Fees
Birth Trans.
Birth Trans.- Genealogical
Death Trans.
Death Trens. - Genealogical
Petition
SEQR Review
Application For Appeal
Permit/Renewal
License
Code Book
Code Book Covers
Code Updates - Annual
Code Updates - May
Code Updates - Tax Exempt
Road Map
Subdivision Of Land
Wetlands
Zoning - Re-instatement
Sub-Totah $55,031.80
18 400.00
3 30.00
20 475.00
I 0.00
2 100.00
1 50.00
10 100.00
1 25.00
19 475.00
Sub-Total: $1,655.00
41 15,165.00
Sub-Total: $15,16S.00
12 896.85
Sub-Total: $896.85
230 749,251.78
36 350.00
4 44.00
1049 10,490.00
8 88.00
I 1,000.00
7 4,898.75
I 250.00
48 4,800.00
2 200~00
2 500.00
1 33.00
16 1,360.00
1 56.64
2 170.00
3 15.00
I 11.00
1 4,00
I 3.00
t
01/03/2003 Page: 2
Southold Town Clerk Monthly Report Annual Report
January 01, 2002 - December 31, 2002
Account~
Account Description
Fee Description
Qty Local Share
PART
PT-HIGHWAY
SWMD
Ordinance Fees
Peddling
Planning Board
Yard Sale
Zoning Board
Highway Excavation
Solid Waste Management Distdct
Zoning Books
Zoning Updates - Annual
Zoning Updates - Apdl
Zoning Updates - Aug.
Zoning Updates - Feb.
Zoning Updates - March
Zoning Updates - Nov.
Zoning Updates - Sept.
Permit - Year
Application Fees
Inspection
Seqra Review
Permits
Application Fees
Public Events
Sign Re-imbursement Fee
Permits
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 Double
Rear
Compactor Permit - 1+ Ton Single
Rear
24 1,200.00
32 960.00
2 45.00
2 25.00
1 27.50
1 25.00
1 5.00
1 10.00
1 200.00
57 127,729.18
1 2,836.50
8 3,000.00
530 7,950.00
233 76,400.00
14 850.00
9 300.00
Sub-Total: $995,088.35
80 10,351.40
Sub-Total: $10,351.40
807 12,105.00
151 449,314.70
6768 13,190.00
6001 7,790.15
507 202.80
1445 952.95
93 79,735.52
207 37,102.50
19 5,546.25
9 2,250.00
18 3,600.00
Contractor Permit - 1+ Ton Double Axle
Contractor Permit - 1+ Ton Single
Contractor Permit - Up To 1 Ton
CS30 (Corem Contract Single Entry)
Disposal Permit - Agricultural
Disposal Permit - Guest
Disposal Permit - Lessee
Disposal Permit - Replace
11 2,750.00
77 15,400.00
400 24,000.00
104 3,120.00
71 4,260.00
75 750,00
52 520.00
502 0.00
01/03/2003 Southold Town Clerk Monthly Report Annual Report Page: 3
January 01, 2002 - December 31, 2002
Account~
Account Description
Fee Description
Qty Local Share
SWMD
WHOLE
Solid Waste Management District
Dog Adoption
Alarm Fees
Beach Permits
Bell Jar License
Bingo License
Bingo proceeds
Certified Marriage Trans.
Conservation
Disposal Permit- Res 1st
Disposal Permit - Res. Add'l
Disposal Permit*VOIDED
Outgoing Leaf Mulch
Residential Single Entry
Resse (resid. Single Entry)
SWC (Screened Wood Chips)
Tipping Charges
Tipping Fee Deposit
Tipping Interest
UWC (Unscreened Wood Chips)
Dog Adoption
Fines
Initial
Renewal
$12.00 Daily Permit
Beach Attendant/lifeguards
Guest
Lessee
Motel
Non*Resident Seasonal
Replacement Sticker
Resident
Sticker Missing
Voided Sticker
Bell Jar License
Bingo Licenses
Bingo Proceeds
Game Cancelled
Marriage Trans.
Marriage Trans. - Genealogical
Big Game Deer & Bear
Fishing - Season
Fishing 3 Day
Fishing Season - Non Res.
Hunting (Small Game)
Junior Hunting
Second Deer Permit
Senior (65+ Years)
7391 73,900.00
1562 7,810.00
59 0.00
81 2,818.20
5054 14,810.00
4540 9,080.00
53 910.60
1602 433,829.23
341 390,079.79
231 789.95
2 16.40
Sub-Total: $1,596,634.04
128 1,280.00
194 19,400.00
116 2,900.00
906 9,060.00
2368 28,416.00
6 0.00
360 10,800.00
111 3,330.00
184 3,680.00
74 7,400.00
296 0.00
8409 50,454.00
5 0.00
73 0.00
2 20.00
105 787.50
95 448.44
2 0.00
104 990.00
3 33.00
5 5.00
56 56.00
2 2.00
3 3.00
11 11.00
3 3.00
1 1.00
23 23.00
01/03/2003 Southold Town Clerk Monthly Report Annual Report Page: 4
January 01, 2002 - December 31, 2002
Account~
Account Description
Fee Descdption
Qt~ Local Share
WHOLE
Conservation
Conservation (DECALS)
Dog Licensing
Dog Redemption
Dog Room & Board
Euthanasia
Filming
Fishers Island Moodng Permits
Games Of Chance License
Historical Items
Landowner
Marriage License
Moratorium Waiver
Passport Fee
Photocopies
Postage
Retumed
Sale Of Used Equipment
Shellfish
Sportsman
Turkey Permit
Conservation (DECALS)
53% License Fee
Female, Spayed
Female, Unspayed
Male, Neutered
Male, Unneutered
Purebred Licenses
Replacement Tags
Dog Redemption- 1st
Dog Redemption - 2nd
Dog Redemptions - 3+
Room & Board
Euthanasia
Application Fee - Non-Refund
Beach Permits
Daily Filming Permit
Fishers Island Mooring Permits
Games Of Chance License
"Houses" Hard - Wholesale
"Houses" Hard Cover- Retail
"Houses" Soft - Wholesale
"1 Love Southold" Sticker
Landmark Register
Liber D
Fees
Marriage License
Moratorium Waiver
Passport Fee - Town Portion
Photocopies
Postage
Check Charge
Used Equipment - Whole Town
Commercial
Free - Non-Commer.
Jr. Commercial
Replacement
Resid. - Non-Comm.
Temporary
4 4.00
8 4.00
71 555.55
928 1,497.25
445 3,337.50
22 165.00
392 2,940.00
69 517.50
2 0.00
27 0.00
47 470.00
9 180.00
6 180.00
27 135.00
8 0.00
2 200.00
2 20.00
3 300.00
3 8,960.00
I 10.00
6 54.00
6 54.00
6 24.00
2 2.00
8 48.00
3 30.00
110 110.00
135 1,816.25
6 1,500.00
135 2,745.00
13710 3,725.44
22 24.58
16 315.00
5 10,589.00
147 5,145.00
742 0.00
1 17.50
8 0.00
1255 6,275.00
124 1,240.00
01/0312003 Southold Town Clerk Monthly Reporl~l~port Page: 5
J fll 1 ........ '~
Account~
Account Description
Fee Description
Qt¥ Local Share
WHOLE
VVVVDD
Shellfish
Vending Machine
Wastewater Disposal Distdct
Wastewater Disposal Distdct - Interest
Voided
Laminating
Scavenger Waste Gallonage Fees
Scavenger Waste Vehicle License
Septic Permit - Construct - Resid.
Septic Permit - Construct. Non-resid.
Septic Permit - Operation - Resid.
Septic Permit - Operation Non-Resid.
Interest On Overdue Accounts
30 0.00
1 64.00
Sub-Torah $192,357.51
32 75,921.18
2 120.00
301 3,010.00
5 125.00
60 600.00
2 50.00
20 4,231.40
Sub-Total: $84,057.58
Amount paid to:
Amount paid to:
Amount )aid to:
Amount )aid to:
Agency & Trust: Sales Tax
Agency & Trust: Sales Tax (Ordinance)
Agency & Trust: Sales Tax (Tree Book)
County Treasurer for Dog Licenses
Total Local Shares Remitted: $2,951,237.53
11.43
363.66
2.72
1,368.25
Amount
Amount
Amount
Amount
Amount
Amount
Amount
)aid to: NYS Ag. & Markets for spay/neuter pregrem .....................
)aid to: NYS Dept of Environmental Conservation
)aid to: NYS Environmental Conservation
)aid to: NYS Health Dept. For Marriage License
)aid to: State Share Of Bell Jar License
)aid to: State Share Of Bingo Licenses
)aid to: State Share Of Games Of Chance License
Total State, County & Local Revenues: $2,967,588.04
282.00
1,256.00
t0,321.45
1,518.75
30.00
1,181.25
15.00
Total Non-Local Revenues: $16,350.51
Elizabeth A. Neville being duly sworn, says that she is the Town Clerk of the Town of Southold, that the foregoing is a full and true statement of
all fees and monies received by her dudng the month above state, excepting only such fees and applica~ons and payments of which are
otherwise provided f~ by law.
/~h01~l To;n Supervisor Date ~ Southold Town Cta~ / Da~e
Southold Town Clerk Monthly Report Monthly Report
December 01, 2002 - December 31, 2002
Page: 1
To the Supervisor:
Pursuant to Section 27, Sub 1, of the Town Law, I hereby cer[ifij that the foregoing is a full and true statement of all fees and monies received
by me, Elizabeth A. Neville, Town Cierk, Town of Southold during 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
BID
Bid Specifications & Fees
Park & Playground
Tree Book - Retail
2003 Boiler
2003 Scavenger Waste Removal
FISW Fishers Island Sewer District Sewer District
INTEREST
Interest Now Account
Building Department Fees
Certified Birth Trans.
Certified Death Trans.
House Trailer
Junk Dealer
Ordinance Fees
Planning Board
PART
Yard Sale
Zoning Board
PT-HIGHWAY Highway Excavation
SWMD
Solid Waste Management District
Interest NOW Account
5,000.00
2 15.90
Sub-Total: $5,015.90
10 100.00
I 25.00
Sub-Total: $125.00
9 2,400.00
Sub-Total: $2,400.00
1 81.75
Sub-Total: $81.75
Application Fees 17 69,722.71
Birth Trans. 1 10.00
Death Trans. 78 780.00
Death Trans. - Genealogical 1 11.00
Permit/Renewal 5 500.00
License 1 100.00
Code Book Covers 1 33.00
Zoning Books 1 50.00
Application Fees 6 2,513.85
Inspection 1 2,836.50
Permits 3 45.00
Application Fees 25 7,900.00
Permits
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
Contractor Permit - 1+ Ton Single
Sub-Total: $104,502.06
6 606.00
Sub-Total: $606.00
54 810.00
11 42,937.46
399 897.75
467 700.50
27 10.80
81 60.75
9 7,115.00
19 3,847.50
3 1,012.50
4 800.00
Southold Town Clerk Monthly Report Monthly Report Page: 2
December 01, 2002 - December 31, 2002
Accoun~
Account Description
Fee Description
Local Shara
SWMD
WHOLE
Solid Waste Management District
Dog Adopt[on
Alarm Fees
Beach Permits
Bell Jar License
Bingo License
Bingo proceeds
Certified Marriage Trans.
Conservation (DECALS)
Dog Licensing
Dog Redemption
Euthanasia
Filming
Landowner
Marriage License
Moratorium Waiver
Contractor Permit - Up To 1 Ton
CS30 (Comm Contract Single Entry)
Disposal Permit - Agricultural
Disposal Permit - Guest
Disposal Permit - Replace
Disposal Permit - Res 1 st
Disposal Permit - Res. Add'l
Disposal Permit-VOIDED
Residential Single Entry
Resse (resid. Single Entry)
Tipping Charges
Tipping Fee Deposit
Tipping Interest
Dog Adoption
Fines
Initial
Renewal
$12.00 Daily Permit
Guest
Non-Resident Seasonal
Replacement Sticker
Resident
Voided Sticker
Bell Jar License
Bingo Licenses
Bingo Proceeds
Mardage Trans.
Conservation (DECALS)
53% License Fee
Female, Spayed
Male, Neutered
Male, Unneutered
Dog Redemption - 1st
Dog Redemptions - 3+
Euthanasia
Daily Filming Permit
Fees
Marriage License
Moratorium Waiver
14 840.00
14 420.00
3 180.00
3 30.00
5 0.00
1091 10,900.00
212 1,060.00
5 0.00
104 600.00
310 620.00
5 30,852.09
32 21,586.50
6 119.27
Sub-Total: $125,400.12
4 40.00
2 200.00
5 125.00
117 1,170.00
8 96.00
2 60.00
2 200.00
3 0.00
739 4,434.00
3 0.00
1 10.00
49 367.50
8 13.84
11 110.00
17 24.82
57 83.48
29 217.50
25 187.50
3 22.50
1 10.00
1 30.00
1 0.00
2 200.00
30 30.00
6 82.50
2 500.00
.~/~H/02/2003 Southold Town Clerk Monthly Report Monthly Report Page: 3
December 01, 2002 - December 31, 2002
Account~
Account Description
WHOLE Passport Fee
Photocopies
Postage
Returned
Shellfish
WWDD
Wastewater Disposal District
Fee Description
Passport Fee - Town Portion
Photocopies
Postage
Check Charge
Commercial
Free - Non-Commer.
Resid. - Non-Comm.
Temporary
Voided
Scavenger Waste Gallonage Fees
Septic Permit - Construct - Resid.
Septic Permit - Operation - Resid.
Qb/ Local Share
8 240.00
1677 419.25
I 0.37
1 20.00
49 1,715.00
93 0.00
91 455.00
1 10.00
5 0.00
Sub-Total: $11,074.26
1 5,000.00
44 440.00
7 70.00
Sub-Total: $5,510.00
Amount paid to:
Amount paid to:
Amount paid to:
Amount paid to:
Amount paid to:
Amount paid to:
Amount paid to:
Amount paid to:
Total State, County & Local Revenues:
$254,715.09
Total Local Shares Remitted:
Agency & Trust: Sales Tax (Ordinance) ............................................................................................................. 7.06
Agency & Trust: Sales Tax (Tree Book) ................................................................................................................................... 1.36
County Treasurer for Dog Licenses ................................................................................................................................................... 74.02
NYS Ag. & Markets for spay/neuter program .................................................................................... 9.00
NYS Environmental Conservation ....................................................................................................... 512.18
NYS Health Dept. For Marriage License 67.50
State Sham Of Bell Jar License 15.00
State Sham Of Bingo Licenses ............................................................................................. 551.25
$255,952.46 Total Non-Local Revenues: $1,237.37
Elizabeth A. Neville being duly sworn, says that she is the Town Clerk of the Town of Southold, that the foregoing is a full and true statement of
al~ fees and monie~ received by her during the month above state, excepting only such fees and applications and payments of which are
otherwise provid~i~ for by law.
Southold Town Supervisor Date ~ Sout~ol~ ~(~wn Cl~rk
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
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 13, 2003
Lorraine LaRosa, Branch Manager
Bridgehampton National Bank
54970 Main Road
Southold, New York 11971
Dear Ms. LaRosa:
Please accept this letter as a request to transfer $489.51 from my Town Clerk regular account
number 500015466 into my Town Clerk conservation license account number 500027685 before
the close of business on January 15, 2003. The NYS DEC is scheduled to do a swipe of my
conservation license account for this amount on January 16, 2003 anytime after 12:00 am.
Should any questions arise concerning this transaction, please contact me at 765-1800 ext. 28.
Thank you.
Very truly yours,
Elizabeth A. Neville
Southold Town Clerk
Elizabeth A. Neville
Southold Town Clerk
Town Hall, 53095 Main Road, Southold, N.Y. 11971
631 765-1800 tele.
631 765-6145 fax
To: Lorraine LaRosa BNB From: Betty Neville
Fax: 631 765-1606 Page~ 2 including cover
Phofl~ 631 765-1500 Date: 1113/2003
Re: DEC ACH CC: [Click here and type name]
[] Urgent [] For Review [] Please Comment [] Please Reply [] Please Recycle
· Comments:
Lorraine:
I will also mail the hard copy of this letter to you for your records. Thank you.
Betty Neville
PART TOWN
FISHERS ISLAND SEWEI~ INTEREST NOW COASTAL EROSION
DECALS AGENCY & TRUST BIDS DISTRICT ACCOUNT BUILDING DEPT BOR
NYS TREE . .. '*
TOWN SHARE ENVIRON PARK & TREE BOOK BID INTEREST NOW APPLICATION FOR
DATE A1255 CONSERV PLAYGROUND BOOK TAX FEES SEWER DISTRICT RENT ACCOUNT APPLICATION FEES APPEAL
2 3.37 57.63 11,241.90
3 0.28 4.72 25.00 2,455.90
5 2.1 35.9 81.75
6 7,3~0.0.0
9 0.88 15.12 5,910.50
10 5,152.70
11 1.05 17.95 3,703.50
12 1.33 22.67 20.00 3,216.50
13 2.04 34.96 2,511.20
16 1.16 19.84 20.00
17 20.00 9,151
18 0.28 4.72 15.90 1.36 10,00
19 20.00 12,402.90
20 0.28 · 4.72 4,392.20
23 1.05 17.95 ' ' 2,771.90
24 1.66 72.34 10.00 150.00
26 0.88 15.12 450.00 926.20
27 4.20 71.80 5,000.00 1,800.00 896.11
30 1.33 22.67 6,193.50
31 0.61 54.39
TOTALS 24.82 512.18 5,000.00 15.90 1.36 125.00 2,400.00 81.75 89,722.71 0.00
PART TOWN
CERTIFICATION I ' CHANGE OF ZONE ORDINANCES
' · . ZONING
TRAILER JUNK ZONING MAPS
BIRTHS DEATHS PETITION SEQRA REVIEW PERMITS YARDS ORDINANCES ORDINANCE TAX MAPS TAX
110.00
· 120.00 . 100..0£ 50.00 4.25
10.00 100.00
50.00
30.00
60.00
140.00
31.00
30.00 100.00
· · 120.0¢ 100.00
60.0£
10.00 791.00 0.00 0.00 500.00 100.00 83.00 7.06 0.00 0.00
PART TOWN
PLANNING BOARD ZONING BOARD OF APPEALS
RECYCLING &
SEQRA SALVAGE YARD ' ' PUBLIC
PEDDLING APPLICATION FEES INSPECTION REVIEW FACILITY SALES APPLICATION FEES EVENTS SIGN RE-IMBURSEMENT FEES
· 3,800.0O
· 15:00
250.00
15.00
15.00
950.00
1,400.00
1,763.85 2,836.50 1,350.00
500.00 400.00
0.00 2,513.85 2,836.50 0.0(~ 0.00 45.00 7,900.00 0.00 0.0(:
PART TOWN - PART TOWN -
HIGHWAY HIGHWAY
HIGHWAY HIGHWAY
EXCAVATION EXCAVATION
PERMITS SURETY BOND
606.00
606.00
O.OC
APPLIANCES
GARBAGE
BAGS
RET~L
120:00""'
15.00
270.00
90.00
SOLID WASTE MANAGEMENT DISTRICT
LANDFILL RELATED PERMITS AND FEES
BAG VENDING
MACHINE
..GARBAGE
BAGS
WHOLESALE
195.00
120.00
COMPACTOR $200.00 COMPACTOR $250.00
60.00
.67.50
'37.50 .....'
9.00
136.50
108.75
56.25
48.95
20.25
219.75
56.25
131.25
63.75
246.00
120.00
37.50
29.25
66.10
139.50
15.75
13,038.65
' 1,799;25 ' 810.00 .'."
337.50
29,898.81
1,203.00
1,012.50
1,147.50
202:50 ' .....
3,022.25 1,350.00
1,090.50
810.00 1,669.80 7,115.00 47,797.46
CONTRACTOR
$60.00
60.00
60.00
60.00
120.00
120.00
60.00
180.00
60.00
60.00 ....
0.00 0.00 840.00
SOLID WASTE MANAGEMENT DISTRICT
LANDFILL RELATD PERMITS AND FEES
.CONTRACTOR ' CONTRAcToR :
CONTRACTOR SINGLE ENTRY SINGLE ENTRY AGRICULTURAL LEAF RESIDENT
CONTRACTOR $200.00 $250.00 $30 $60 $60.00 GUEST LESSEE RESIDENT MULCH SINGLE ENTRY
200.00
200.00
200,00"
200.00
.... /*90:00
60.00
60.00
90.00
90.00
30.00
120.00
60.00
30.00
265.00
125.00
~ ~' ......... 185.00
70.00
...145.00
220.00
215.00
210.00
175.00
285.00
375.00
345.00
310.00
190.00
285.00
·1,120.00
445.00
1,165.00
1,790.00
3,000.00
1,040.00
200.00
.... ~ ...... 17~.00"
28.00.
100.00
100.00
106.00
276.00
150.00
66.00
800.00 0.00 420.00 0.00 180.00 30.00 0.00 11,960.00 0.00 1,220.00
SOLID WASTE MANAGEMENT DISTRICT
LANDFILL REALTED FEES AND PERMITS
SCREENED WOOD SHREDDED
CHIPS BRUSH TIPPING
0.00
WHOLE TOWN
INTEREST
OVERDUE
ACCOUNTS
UNSCREENED WOOD' ER FEES
CHIPS US
ALARM SYSTEMS
4,756.55
3,237.80
15,592.08
8,254.45
15,691141
0.00 52,438.59
7.41
17.48
47.33
18.23
28.82
119.27
O.OC
INITIAL
ALARM FEE
10.00
;: ' ~ ':" .. ""25;00
20.00
280.00
"210.00 :'
50.00
25.00
340.00 25.00
10.00
10.00
290.00
1,170.00 125.00
BEACH PERMITS
FALSE
ALARM
CHARGES DAILY
100.00
100.0
200.00
FISHERS
ISLAND
96.00
GUESTS
30.00
30.00
96.00 0.00 60.00
WHOLE TOWN
t RACING AND WAGERING
BEACH PERMITS MARRIAGE LICENSE BINGO
NON-RESIDENT MORATORIUM LICENSE - STATE LICENSSE - TOWN
LESSEE MOTEL SEASONAL RESIDENT STATE TOWN TRANSCRIPT WAIVER SHARE SHARE
36.00 40.00
42.00 10.00 250.00
· 60 O0 · ' · ....... ' ..... ~ ~ "~ ...... ~ .................. i ' . . .....
42,00
42.00 . 11.25 3.75 10.00
114.00 551.25 367.5C
84.00
54.00
96.00 10.00
138.00 250.00
144.00 10.00
108.00 20.00
126.00 22.50 7.50 30.00
100.00 54.00
· 78.00 , · ~
366-.00 ' 11:.25 3.75 1.0.00
138.00
546.00
100.00 612.00 11.25 3.75 20.0(;
1,182.00
372.00 11.25 3.75 10.00
0.00 0.00 200.00 4,434.0(; 67.50 22.50 170.0(; 500.00 551.25 367.5(
WHOLE TOWN
BINGO
PERCENT OF
RECEIPTS
2.95
0.48
5.71
4.70
13.84
RACING AND WAGERING
GAMES OF CHANCE
LICENSES - LICENSES - TOWN PERCENT OF
STATE SHARE SHARE RECEIPTS-GC
'PERCENT OF
RECEIPTS-
BELLJAR
PERCENT'OF
RECEIPTS-
RAFFLE
BIG GAME
CONSERVATION LICENSES
RESIDENT
BOWHUNTING
FISHING
25.00
0.00 0.00 0.00 25.00 0.01
3 DAY FISHING
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WHOLE TOWN
CONSERVATION LICENSES
RESIDENT RESIDENT
HUNTING
JUNIOR TRAPPING
MUZZLELOADING SENIOR
SPECIAL SECOND
DEER PERMIT
SPORTSMEN TRAPPING
TURKEY PERMIT
BEAR TAG
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0( 0.00 0.00
WHOLE TOWN
CONSERVATION LICENSES
NON-RESIDENT NON-RESIDENT
BIG GAME BOWHUNTING COMBINATION FISHING 5 DAY FISHING HUNTING MUZZLELOADING TURKEY PERMIT
JUNIOR
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0(~ 0.00
WHOLE TOWN
CONSERVATION LICENSES CONSERVATION LICENSES
RESIDENT & NON-RESIDENT RESIDENT-NON-RESIDENT
ARCHERY
0.00
JUNIOR HUNTING
LOSTLICENSE
ONE-DAY FISHING
REPLACEMENT
TURKEY PERMIT
CONSERVATIONIST MAGAZINE
0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0
COURT
FEES
0.0
SURCHARGE
6.00
3.00
9.00
WHOLE TOWN
DOG LICENSES DOG LICENSES
LICENSE . LICENSE REPLACEM
RECEIPTS - RECEIPTS - NEUT- UN- NEUT- RE- PLACE- ENT ID
STATE TOWN ERED ERED PUREBRED MENT PUREBRED LICENSE TAGS ADOPTION REDEMPTION BOARD
12.50 37.50 5
7.5.0 22.50 .3
15.00 45.00 6
20.00 60.00 8
7.50 22.50 3
10.00 30.00 4
7.50 22.50 3
2.50 7.50 I
2.50 7.50 1
5.00 ~ 15.00 2
27.50 52.50 5
2.50 7.50 1
7.50 22.50 3
12.50 37.50 5
7.50 7.50
2
10.00 30.00
........... ~?~10 O0 10 O0 ....
20.00
157.50 427.50 54 3 0 0 0.00 0.00 40.00 40.00 O.OC
WHOLE TOWN WHOLE TOWN
FILMING HISTORICAL ITEMS
FISHERS ISLAND
APPLICATION BEACH TRAFFIC CONTROL MOORING HISTORICAL HISTORICAL PASSPORT PHOTO-
FEE PERMITS DALLY FILM PERMIT FEE PERMITS MATERIAL MATERIAL TAX LAND-OWNER FEES COPIES
2.00
.... ....... · " · - .... · "- , ' · · ' · ..' · ' . ' 60:013 · '-0.25
' . .... -. . i 200:00' · ~. "' ' ''""'- ....
0.25
1.2!
174.75
1.00
5.00
2.00
4.00 0.50
1.00 180.0(;
1.00 14.25
2.00 4.0(3
.... '3.00 1
157.0C
6.00 9.5(;
1.00 0.2~
7.00 49.0£
2.00 0.2~
0.00 0.00 200.00 0.00 0.00 0.00 0.0£ 30.00 240.00 419.25
WHOLE TOWN
SHELLFISH VENDI'
SALE OF ' ·
RETURNED USED COMMER- JR. COMMER- NoN-cOMMER- LAMINATING
POSTAGE CHECK CHARGE EQUIPMENT CIAL CIAL CIAL TEMPORARY SOIL REMOVAL MACHINE
20.0C
'. - · '- .... :" · '.~ - .......... 500' '~' ...........
0.37
70.00 10.00
105.00 10.00 10.0C
35.00 20.00
5.00
5.00
105.00 15.00
:' · · 70:00 45.00
105.00 20.00
280.00 75.00
175.00 30.00
525.00 120.00
245.00 95.00
0.37 20.00 0.0C 1,715.00 0.00 455.00 10.00 0.00 0.0~
WASTEWATER DISPOSAL DISTRICT WASTE WATER DISPOSAL DISTRICT
IG MACHINES WASTEWATER DISPOSAL DISTRICT WASTE WATER DISPOSAL DISTRICT
SCAVENGER' SEPTIC
INTEREST OVERDUE WASTE SCAVENGER WASTE SEPTIC CONSTRUCTION CONSTRUCTION SEPTIC OPERATION
VENDING MACHINES ACCOUNT GALLONAGE LICENSE RESIDENTIAL NON-RESIDENTIAL RESIDENTIAL
50.00
20.00
· '" : , .' "' ':'. ' :.." '20.00'
10.00
40.00
10.00
10.00
5,000.00 '
10.00
30.00
40.00
20.00
30.00
30.00
10.00
10.00
30.00
50.00
20.00
0.00
o.o0
10.00
10.00
10.00
30.00
O.OC 0.00 5,000.00 0.00 440.00 0.00 70.00
BANK DEPOSITS
OPERATION
NON- INTEREST NOW TOWN CLERK
RESIDENTIAL DAILY TOTAL DATE ACCOUNT DEPOSIT LANDFILL DEPOSITS
25,459.96 2 25,459.96
7,436.65 3 7 436.65
'..' : .... 20,451.31 4 .... .' .... ' 13,361:76 '.961~60'" 199.70 '!,412.50 1~'693:30 '1;023.20'"'
5,498.03 5 621.00 759.40 260.80
8,001.45 6 8,001.45 ' '
7,907.75 9 7,907.75
6,344.55 10 6,344.55
34,350.26 11 34,350.26
13,499.26 12 8,622.46 604.10 465.60 500.00 515.00 769.50 454.70 364.90
4,738.45 13 4,738.45
1,873.2~ 16 1,873.25
28,527.91 17 12,632.50 8,426.49 4,209.52 303.60 253.20 602.10 1,064.10 1,036.40
1,155.51 18 1,155.51
12,950.90 19 12,950.90
5,606.90 20 5 606.90
5,349.40 23 5,349.40'
1,146.50 24 1,146.50
3,887.95 26 3,887.95
29,773.51 27 18,061.81 676.00 493.20 1,056.30 940.10 333.00 1,276.70 974.60 597.90 585.1(;
12,768.23 30 12,768.23
19,224.73 31 2,178.00 208.70 916.40 1,056.80 1,078.00
255,952.46
O.OC 255,952.46
TIPPING FEE
DEPOSIT
3,856.83
1,756.55
12,696.33
VENDING '
MACHINE BAG
DEPOS TS
1,799.25
1,203.00
3,022.25
1,090.50
INTEREST BREAKDOWN & DOUBLE CHECK
TOTAL
DEPOSITS
25,459.96
7,436,65
~'20,451.31
WHOLE TOWN BREAKDOWN 6,285.00
598.84
· : · ' ' . ....... · '.' 0:00' ' .
WHOLE
PART
- HiGHWAy
5,498.03
8,001.45
7,907.75
6,344.55
34,350.26
13,499.26
4,738.45
1,873.25
28,527.91
1,155.51
12,950,96
5,606.96
5,349.46
1,146.56
3,887.95
29,773.51
12,768.23
19,224.73
53% DOG LICENSE
WHOLE TOWN
PART TOWN
HIGHWAY
WASTERWATER
FI SEWER
SWMD
Non-Local Revenues
3nty Dog Lic
9.00
0.00
707.50 WASTE
2,889.62 FI SEWER
SWM D
10,480.96
104,502.06
606.00
5,510.00
2,400.00
125,400.12
TOTAL INTEREST
248,899.14
DOUBLE CHECK
Agency & Trust + Interest
81.75
5,017.26
Sum Of All
5,099.01
627.75
248,899.14
255,952.46
618.75
627.75
5,099.01
254,625.90
3.442
34.323
' ',.' 0.199
1.810
0.788
41.187
81.750