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Home My WebLink About01/201202/01/2012 Town Clerk Monthly Report Monthly Report Page January 01, 2012 -January 31, 2012 ."--~"',~1 To the Supervisor: Pursuant to Section 27, sub 1, of the Town Law, I hereby certify that the foregoing is a full and true statement of ail fees and monies received by me, Elizabeth A. Neville, Town C~erk, 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 INTEREST PART PT-HIGHWAY SR.2650.10 SWMD WHOLE Interest Now Account Interest NOW Account 8.67 Sub-Total: $8,67 B.1255.00 Yard SaFe Permits 2 30.00 B.1560.00 Building Permit Fees 11 37,641.00 B.1601.10 Birth Trans, 2 20.00 B.1601.20 Death Trans. 173 1,720.00 Death Trans. - Genealogical 2 22.00 B.2110.10 ZBA Application Fees 13 11,500.00 B.2590,10 House Trailer Permit 2 200.00 Sale Of Used Equipment Used Equipment - Part Town 1 371,00 DB.2590.00 SR.2130.40 SR2590.10 SR.2590.20 A.1255.10 A.1255.20 A.1255.30 A.1289.10 Sub-Total: $51,504.00 Excavation Permits 5 1,346,00 Sub-Total: $1,346.00 Fee not collected 1 -45.00 unknown 1 -15.00 Bags - Retail - Large Bags - Retail - Medium Bags - Retail - Small 2012 - 2 year 2012 - Add'l 2 year Disposal Permit - Guest Disposal Permit - Lessee Disposal Permit - Non Resident Disposal Permit - Replace Disposal Permit-VOiDED 2011-12 Add'l Permit 2012-14 1st Permit 2012-14 Add'l Permit Disposal Permit - Agricultural Sub-Total: -$60.00 171 384.75 268 402.00 85 63.75 2588 77,580,00 465 6,945.00 7 175.00 11 275.00 1 50.00 34 0.00 16 0.00 1 30.00 32 3,840.00 12 720.00 2 240.00 A.2116.10 Sub-Total: $90,705.50 Fee not collected I -6.00 unknown 1 -6.00 Marriage License 6 105,00 Marriage Trans, 3 30.00 CD copy 2 2.84 Photocopies 35 414,50 Check Charge 1 20.00 "Houses" Hard Cover - Retail I 9.21 "Houses" Soft Cover - Retail 4 18.40 Landmark Register 1 6.44 Posters 2 4.60 Initial 12 300.00 Renewals 2010 5 50.00 Renewals 2011 20 200.00 Renewals 2012 101 1,010.00 02/01/2012 Town Clerk Monthly Report Monthly Report Page 2 January 01, 2012 - January 31, 2012 To the Supervisor: Pursuant to Section 27, sub 1, of the Town Law, I hereby certify 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 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 WVVDD A.2116.20 2011 Fines 27 2,775.00 A.2540.10 Bingo Proceeds 4 11.59 A.2540.20 Games Of Chance License I 10.00 A.2544.10 Exempt Dogs 1 0.00 Female, Spayed 32 320.00 Female, Unspayed 3 45.00 Male, Neutered 37 370.00 Male, Unneutered 3 45.00 Purebred Licenses 1 25.00 Replacement Tags 1 3.00 A.2544.20 Dog Adoptions 5 50.00 Dog Redemption - 1 st 1 10.00 Dog Redemptions - 3+ 1 40.00 A.2590.10 Commercial 37 1,850.00 Free - Non-Commer. 241 0.00 Resid. - Non-Comm. 187 935.00 Voided 8 0.00 A.2590.20 Guest 15 450.00 Lessee 5 150.00 Motel 14 280.00 Non-Resident Seasonal 5 750.00 Replacement Sticker 8 0.00 Resident 2020 12,120.00 Sticker Missing 5 0.00 Voided Sticker 8 0.00 A.2590.30 A.2590.30 10 29.55 A.2590.60 Landowner Fees 91 91.00 A.2650 Used Equipment - Whole Town 1 677.77 Landowner Void 1 0.00 SS1.2130.00 Septic Permit - Construct - Resid. Septic Permit - Operation - Resid. Sub-Totah $23,196.90 4 40,00 1 10.00 Sub-Total: $50.00 02101/2012 Town Clerk Monthly Report Monthly Report Page 3 January 01, 2012 - January 31, 2012 To the Supervisor: Pursuant to Section 27~ sub 1, of the Town Law, I hereby certify that the foregoing is a full and true statement of al~ fees and monies received by me, Elizabeth A. Neville, Town Clerk, 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 Amount paid to: Amount paid to: Amount paid to: Amount paid to: Amount paid to: Total State, County & Local Revenues: $166,751.07 Total Local Shares Remitted: NYS Ag. & Markets for spay/neuter program 88.00 NYS Environmental Conservation ............................................................................................................ 556.45 NYS Health Dept. For Marriage License ................................................................................................................. 135.00 State Share Of Games Of Chance License 15.00 T1 - Sales Tax ................................................................................................................................................................... 3,60 $167,549.12 Total Non-Local Revenues: $798.05 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 Date From: 1/1/2012 To: 1/31/2012 DOG LICENSE MONTHLY P~EPORT 02/08/2012 Suffolk 47 Send Copy To: Animal Population Control Elizabeth A. Neville Southold Town Clerk Town of Southold 10 LICENSE TYPES AND FEES ~ ~ Unspayed Spayed 0 Statutory Fee Statutory Fee Local Fee (D) Late Penalty (E) Spayed Fee (F) Unspayed Fee {G) ~ (B) (C) 1. Spay/Neuter 69 69 NO FEE @ 0.00 0.00 @ 10.00 690.00 0 @ 0.00 0.00 @ 1.00 69.00 NO FEE 2. Unspay/Unneuter 6 6 6 @ 0.00 0.00 NO FEE @ 15.00 90.00 0 @ 0.00 0.00 NO FEE @ 3.00 18.00 3. Exemption 1 1 NO FEE NO FEE NO FEE NO FEE NO FEE NO FEE 4. Purebred (1 10) 1 1 0 0.00 0.00 @ 0.00 0.00 @ 25.00 25.00 @ 0.00 0.00 @ 1.00 1.00 @ 3.00 5. Purebred (11-25) 0 0 0 0.00 0.00 @ 0.00 0.00 @ 50.00 0.00 @ 0.00 0.00 @ 1.00 0.00 @ 3.00 0.00 6. Purebred (26+) 0 0 0 100.00 0.00 @100.00 0.00 @ 0.00 0.00 @ 0.00 0.00 @ 1.00 0.00 @ 3.00 0.00 7. TOTALS 77 77 6 $0.00 $0.00 $805.00 $0.00 $70.00 $18.00 REPLACEMENT AND PUREBRED Colu~ H Colu~ul I (Local) Colu~u% J (Statutory) TAG ORDERS PROCESSED # Each Tag Fees Tag Fees 8. Replacement Tags 0 0.00 0.00 9. Purebred Tags 1 3.00 0.00 10. TOTALS 1 $3.00 $0.00 DISBURSEMENTS (to T.C.V.) (to County) (to Animal Population Control) 12. Local% of 7B + 7C $0.00 15. Stat% of 7B + 7C $0.00 13. Local% of 7D + 7E + 10I $808.00 16. Stat% of 10J $0.00 14. Total $808.00 17. Total $0.00 Amount paid to: County Treasurer for Dog Licenses ........................ Amount paid to: NYS Ag. & Markets for spay/neuter program ................ 18. 100% of 7F + 7G $88.00 $0.00 $88.00 LICENSE SUMMARY 1. Number of Original Standard Dog Licenses: 2. Number of Original Purebred Dog Licenses: 3. Number of Standard Renewals (including New Owner Licenses): Number of Purebred License Renewals: Total of Lines 1-3: 0 6O 77 02/01/2012 Page: I Cash Cate.qory Solid Waste Management District Sub-Cate.qory Adoption Alarm Fees Account # SR.2650.10 Account # SR.2650 10 Account # WHOLE Account # WHOLE Beach Permits Building Permit Fees Certification, Birth Certification, Death Town of Southold Summary Daily Cash Report January 01,2012 - January 31,2012 Qty Description 2562 2012 - 2 year 125 2012 - Add'l 2 year 2687 Category Sub-Total, I Fee not collected I unknown 2 Category Sub-Total. 1 Fee not collected 1 unknown 2 Category Sub-Total. 5 Dog Adoptions 5 Category Sub-Total. 27 2011 Fines 12 Initial 5 Renewals 2010 20 Renewals 2011 101 Renewals 2012 165 Category Sub-Total. 15 Guest 5 Lessee 14 Motel 5 Non-Resident Seasonal 8 Replacement Sticker 2020 Resident 5 Sticker Missing 8 Voided Sticker 2080 Category Sub-Total. 11 Building Permit Fees 11 Category Sub-Total. 2 Birth Trans. 2 Category Sub-Total. 173 Death Trans, 2 Death Trans - Genealogical 175 Category Sub-Total. 3 Marriage Trans. Amount 76,800.00 1,87500 $78,675.00 45.00 -15.00 -$60.00 -6.00 -6.00 -$12.00 50.00 $60.00 2,775.00 30000 50.00 200.00 1,01000 $4,335.00 450.00 150.00 280.00 750.00 0.00 12,120.00 0.00 0.00 $13,750.00 37,641.00 $37,641.00 20.00 $20.00 1,720.00 22.00 $%742.00 Ceriification, Marriage 30.00 02/01/2012 Page: 2 Cash Category Conservation (DECALS) Dog Licenses Highway Excavation Historical Items House Trailer Permits Interest Now Account Landowner Misc. Cash Town of Southold Summary Daily Cash Report January 01, 2012 - January 31, 2012 Sub-Category Original Original Original Original PB Renewal Renewal Renewal Renewal Renewal Renewal Rep Tags Qty Description Amount 3 Category Sub-Total... $30.00 10 Conservation (DECALS) 586,00 10 Category Sub-Total... 9 Female, Spayed 2 Female, Unspayed 4 Male, Neutered 1 Male, Unneutered $586.00 99.00 36.00 44.00 18.00 16 Category Sub-Total... $197.00 1 Purebred Licenses 26.00 I Category Sub-Total... 1 Exempt Dogs 23 Female, Spayed 1 Female, Unspayed 33 Male, Neutered 2 Male, Unneutered $26.00 0.00 25300 1800 363.00 36.00 60 Category Sub-Total... $670.00 1 Replacement Tags 3~00 1 Category Sub-Total... $3.00 5 Excavation Permits 1,346.00 5 Category Sub-Total... $1,346.00 1 "Houses" Hard Cover- Retail 10.00 4 "Houses" Soft Cover- Retail 20.00 1 Landmark Register 7.00 2 Posters 5.00 8 Category Sub-Total... $42.00 2 House Trailer Permit 200.00 2 Category Sub-Total... $200.00 1 Interest NOW Account 8.67 I Category Sub-Total... $8.67 91 Landowner Fees 91.00 1 Void 0.00 92 Ca.go. Sub~Total... 2 CD copy 35 Photocopies $91.00 3.09 414.50 02/01/2012 Cash Cate,qory Racing And Wagering Redemptions Returned Sale Of Used Equipment Shellfish Solid Waste Management District Town of Southold Summary Daily Cash Report January 01,2012 - January 31,2012 Sub-Category Bingo Games Of Chance Page: 3 Qty Description Amount 37 Category Sub-Total... $417.59 4 Bingo Proceeds 11.59 4 Category Sub-Total... $11.69 1 Games Of Chance License 25.00 1 Category Sub-Total... $25.00 1 Dog Redemption - 1st 10.00 1 Dog Redemptions- 3+ 40.00 2 Category Sub-Total... $80.00 1 Check Charge 20.00 1 Category Sub-Total... $20.00 1 Used Equipment - Part Town 371.00 1 Used Equipment- Whole Town 677.77 2 Category Sub-Total... $1,048.77 37 Commercial 1,85000 241 Free- Non-Commer. 000 187 Resid.- Non-Comm. 935.00 8 Voided 0.00 473 Category Sub-Total... $2,788.00 1 2011-12 Add'l Permit 30.00 26 2012 - 2 year 78000 340 2012 - Add'l 2 year 5,070.00 32 2012-14 1st Permit 3,840 00 12 2012-14 Add'l Permit 720.00 171 Bags - Retail- Large 384.75 268 Bags - Retail - Medium 40200 85 Bags - Retail - Small 63.75 2 Disposal Permit- Agricultural 24000 7 Disposal Permit-Guest 175.00 11 Disposal Permit - Lessee 275.00 I Disposal Permit- Non Resident 50.00 34 Disposal Permit- Replace 000 16 Disposal Permit-VOIDED 0.00 1006 Category Sub-Total... $12,030.50 Vital Statistics Marriage 6 Marriage License 240.00 02/01/2012 Page: 4 Cash Cate.clorY Wastewater Disposal District Yard Sale Permits ZBA Application Fees Sub-Cate.qory Town of Southold Summary Daily Cash Report January 01, 2012 - January 31, 2012 Payment Method Received Thru CASH $121,134~67 COUNTER CHECK $46,37845 MAIL CREDIT CARD $3600 OFFICE $127,977.12 $2,29900 $37,273.00 Qty Description Amount 6 Category Sub-Total... $240.00 4 Septic Permit - Construct- Resid 40.00 1 Septic Permit - Operation - Resid. lQ00 5 Category Sub-Total... $$0.00 2 Yard Sale Permits 30.00 2 Category Sub-Total... $30.00 13 ZBAApplication Fees 11,50Q00 13 Category Sub-Total... $11,500.00 Grand Total ......................... $167,549.12 STATE OF NEW YORK REPORT OF GAMES OF CHANCE FEES COLLECTED PURSUANT TO CHAPTER 960, LAWS OF 1976 NAME OF MUNICIPALITY_ Town of Southold DO NOT WRITE IN THIS SPACE AMOUNT REC'D. ENT. BY REFUND CHECKED BY DEPOSITED CODE SHEET NO. 1 OF 1 MONTH OF January , 2012 COUNTY Suffolk P.O. ADDRESS [ 1 NUMRER OF NAME OF ORGANIZATION LICENSE NO. OCCASIONS AMOUNT t Greenport Fire Depadment I 47-210-201-05588 1 25.00 P.O Box 1179, Southold, NY 11971 CODE NUMBER 4737900 A.) TOTAL FEES COLLECTED B.) DELIVERED TO MUNICIPAL TREASURY C.) TRANSMI'I~ED HEREWITH TO STATE COMPTROLLER $25.00 $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 period which it covers. ,~m . ~.~ .__ CERTIFICATION OF REMITTING OFFICER: Scott A. Russell hereby certifies that - he is the $ U p erv i So i' 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 pe'riod which it covers and that the amount remitted herewith is the full amount payable to the J~~ State Comptroller f uch period pursuant to Chapter 960 of the Laws of 1976, as amended. t/ Remitting Office.r. ~Ew YO,~K sr^~ D~.^R~*"~N' ~>" ,~^L ~' Monthly Report of Empire State Plaza - Coming lower Bureau of Accounts Managemcnt- Revenue Unit-Room 1258 Marriage Licenses Issued AIb~my, New York 1223%0016 ~ SEE INSTRI CTIONS AT BOTTOM OF PAGE Report tbr the month of January 2012 City or l'own of Southold C unt~ of Suffolk DEP NO. $ Check # DO NOI'WRIFE IN ABOV£ SPACE Pursuant to the provisions ol Secdon 15 of the Domestic Relations l,aw, as last amended by Chapter h2 ol the I,ax~g of 2003. [ herewith transmit to the State Commissioner of ]lealth a fcc oftx,,ent) I;'.o dcihus alld ifty ccnts for each marriage lice se issued bx mc during the month co'~cred b} this repor~ (If ONK license ~as issued place number in thc lirsl space 6 inchlsive (IfNO licenses were ss cc wrtc NONI. in thc above space) Make remittance by CHECK or MONEY ORD ! >, pavane to thc Smtc Department of Health DO NOT SEND CASH Amount of remittance with this report $ 135.00 Name el (Sty or I o,.,,n Clerk (Please Print) Elizabeth A. Neville Signature o( C2..v or Town Cleztk- ~ IMte 02/01/2012 Mailing Adcbcss P.O Box 1179 Southold, NY 11971 Enevillc(i~ t own. so ut h o [ d. n .~y..:?~_ Phone (631) 765-1800 THIS MON'IHLY REPOR'[ OF MAP, P. IAGE I,ICENSISS ISSUED MUST BE TRANS~ITTI£D IO TIll, SPAIE DEPARI'MENT OF IIEALYH AT THE ABOVE ADDRI(SS FOR EACI I M( )NIl t rcgardless of whether or n >t any licenses were issued If no licenses were issue& indicate NONE in the space provided for license numbers l'he issuance ora marriage license makes }ou responsible lot lhe remittance fee of $22 50, regardless of v, hcthcr or not the marriage ceremony ~s ever performed Marriage licenses must bc numbered and reported consccul ~cl} throughout the year starting x~ith number I at the beginning of EACH calendar I)car I>ursuantto hcau mr 5o Sect 9o~d~Ncv'`~rk~t~c~)~m~s~icRc~ati~ns~`aw~h~C~mm~ssmn~f~a~hhasdir~t~dtha~thisr~port~ together ,,,d h an}' fcc must bc transmitted to thc State Dcpamncnt of Heal h bv the 15th of thc month follox,,ing the month ;;hich the report covers New York State Domestic Relations I,a~ 22 provides that my Iown or City Clerk who violales or fails to tempi) x~ith an5 of thc abo~c mentioned reportmg or filing requirements, shallbc ccmcdguilt~ of amisdemeanorandshallpa) a fine not exceeding the sum of onc hundred DOH-963 (09/200,1) STATE OF NEW YORK REPORT OF GAMES OF CHANCE FEES COLLECTED PURSUANT TO CHAPTER 960 LA~¥S OF 1976 NAME OF MUNICIPALITY~T°wn of Southold P.O. ADDRESS ~o Box 1179, Southold, NY 1197' DO NOT WRITE IN THIS SPACE AMOUNT REC'D ENT. BY REFUND CHECKED BY DEPOSITED CODE SHEET NO. 1 OF 1 MONTH OF January 2012 COUNTY Suffolk CODE NUMBER 4737900 NAME OF ORGANIZATION L L Greenport Fire Department LICENSE NO. NUMBER OF OCCASIONS A ) TOTAL FEES COLLECTED B) DELIVERED TO MUNICIPAL TREASURY C ) TRANSMITTED HEREWITH TO STATE COMPTROLLER AMOUNT 2500 $2500 $1000 $1500 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 repod is a true and correct statement of operations for the period which it covers i~1~1~. ~ ~ Issuing Officer CERTIFICATION OF REMITTING OFFICER: hereby certifies that - he is the 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 period pursuant to Chapter 960 of the Laws of 1976~ as amended Remitting O~cer SOUTHOLD TOWN CLERK o~o~ 53095 MAIN ROAD, TOWN HALL PO BOX 1179 SOUTHOLD, NY 11971 THE BRIDGEHAMPTON NATIONAL BANK 54970 MAIN ROAD SOUTHOLD , NY 11971 2/8/2012 1754 PAY TO THE NYS Agriculture & Markets ORDER OF J ~ **88.00 Eighty-Eight and ~~/~~~************************************************************************************************ DOLLARS Jan dogs "'00 I, ? 05000 s Sh~.l:..' SOUTHOLD TOWN CLERK o3-Ol 53095 MAIN ROAD, TOWN HALL PO BOX 1179 SOUTHOLD, NY 11971 2/8/2012 1755 PAYTO THE NYS Departmento£Health ORDER OF I ~ **135.00 One Hundred Thirty-Five and ****************************************************************************************** DOLLARS 0 SOOO l, S h '?-, ~,,' .' O 0 i. ? 5 5.' m:O 2 ~m,O&~&?~: $OUTHOLD TOWN CLERK o3.o~ 53095 MAIN ROAD, TOWN HALL PO BOX 1179 SOUTHOLD, NY 11971 2/8/2012 1756 PAY TO THE Supervisor Scott A. Russell ORDER OF I ~ *'166,769.67 One Hundred Sixty-Six Thousand Seven Hundred Sixty-Nine and ************************************************************ DOLLARS 11'O03.?SFall' m-'O2~m, oFaFaf=?m: Bridgehampton National Bank Page I of 1 Transfer Confirmation Completed: 0210812012 09:28:00 AM EST Transfer From Number Account Transfer Amount New Balance ..... 5466 TOWN CLERK 556.45 191142.52 Transfer To Deposits Number Account Transfer Amount New Balance Confirmation Number ..... 7685 TOWN CLERK - CONS LICENSES 556.45 556.45 400385577 https://ns.bankbyweb.net/PBl_PBl 196 l/Pbi 1961 .Asp?WCI=ExpressXfr&WCE=PFConfirm... 2/8/2012 02/01/2012 Town of Southold DECALS Import Transaction Report January 01, 2012 - January 31, 2012 Page: Date 01/03/2012 01/04/2012 01/05/2012 01/09/2012 01/13/2012 01/17/2012 01/18/2012 01/19/2012 01/20/2012 01/24/2012 Aqent Total Sales 3900 29.00 94.00 176.00 2900 44.00 88.00 29.00 29.00 29.00 Less Commission 2~15 1 ~60 5.18 6.95 1.60 243 484 1.60 1.60 1.60 NetDue to Encon 36.85 27.40 88.82 169.05 27.40 41.57 83.16 27.40 27.40 27.40 UserlD LYNDAR CAROLH CAROLH CAROLH CAROLH LYNDAR CAROLH CAROLH CAROLH C^ROLH Report Totals: $586.00 $29.55 $556.45 02/01/2012 Town of Southold Proceeds Report For: All License Types Date Range: 01/01/2012 to 01/31/2012 Page: 1 License Type 2011-Bingo 2011-Bingo 2011-Bingo 2012-Bingo 2012-Bingo License # 4013 4013 4013 4014 4014 Organization Name American, Legion Post 803 American, Legion Post 803 American, Legion Post 803 American, Legion Post 803 American, Legion Post 803 Receipt Date Occasion Receipts Expenses Profits Cash 01/03/2012 01/03/2012 $758.00 $763,00 -$5.00 $0.00 01/24/2012 01/24/2012 $866.00 $768.75 $94.33 $2~92 01/31/2012 01/31/2012 $786.00 $753,75 $31.28 $097 01118/2012 01/10/2012 $92200 $768.75 $148.65 $4.60 01/18/2012 01/17/2012 $87200 $76875 $100.15 $3.10 Totals: $4,204.00 $3,823.00 $369,41 $11.59 SOUTHOLD TOWN CLERK o3-o~ 53095 MAIN ROAD, TOWN HALL PO BOX 1179 SOUTHOLD, NY 11971 THE BRIDGEH~PTON NA33ONAL BANK 54970 MAIN ROAD SOUTHOLD, NY 11971 1/9/2012 1747 PAY TO THE Supe~isor Scon A. Russell [ ~ **313.48 ORDER OF Three 11undred Thiaeen and ********************************************************************************************DOLLARS DSW credit card "' 0 0 I, ? h ?"' '"-0 8 I, L,O r-, r. f::, ?,-" 0 SO00 I, St, BP. ii' SOUTHOLD TOWN CLERK 03 o~ 53095 MAiN ROAD, TOWN HALL PO BOX 1179 SOUTHOLD, NY 11971 THE BRIDGEHAMPTON NATIONAL BANK 54970 MAIN ROAD SOUTHOLD, NY 11971 50-666/214 1/19/2012 1749 ~ $ **12o.6o PAY TO THE Buries Reliable ORDER OF Hundred "went;' and ********************************************************************************************** One . DOLLARS I~1 ~ ,'OOl,?hcl"' i:O~I,L, OF=F=,e,?': OC;O001, Shr-¢,"' SOUTHOLD TOWN CLERK 03-0~ 53095 MAIN ROAD, TOWN HALL PO BOX 1179 SOUTHOLD, NY 11971 THE BRIDGEHAMPTON NATIONAL BANK 54970 MAIN ROAD SOUTHOLD, NY 11971 1/10/2012 1748 PAY TO THE Robert & Keri Kaminskcy o~ o~ iS **~.6o DOLLARS ~ ~ II'BO