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Home My WebLink AboutUsed VehicleELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fsx (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Febmary 15, 2012 Gerald Doroski 65 August Lane Greenport, NY 11944 Dear Mr. Doroski: Congratulations. At the regular Town Board meeting held on February 14, 2012 the Town Board accepted the bid of Gerald Doroski for a 2003 Ford Crown Victoria. A certified copy of the resolution is enclosed. The bid deposit you submitted can be used toward the total bid awarded. Thank you for your bid. Very truly yours, UBS. Lynda M Rudder Deputy Town Clerk Postage r!J Cedifled Fee D Return Receipt Fee D (Endorsement Required) Restricted Delivery Fee C;I (Endorsement Required) r~- Total Postage & Fees C3 · Complete Items 1, 2, and 3. Also complet~ Item 4 if RestriCted Dellve~ Is desired. · Print your name and address on the reverse so that we can retum the card to you. · Attach this card to the back of the mallplece, or on the front ff space permits. 1. Article Addressed to: 2..a~flcle Number ~'rans~r ~-n e~n,/ce ~ PS Form 3811, February 2004 D. Is dellve~ addmas o3fferent from item 1'~ If YES, enter de{Ive~ address below: [] No I~'ce~medMalm [] Exp~Ma~ [] In~u~ M,,il ~ C.O.D. ~" 7007 0710 0003 2876 2620 ~' : i ~ i 1 ~-1 ~ } · Complete Items 1,2, and 3. AJco complete Item 4 if Restricted Delivery is de~lred. · Print your name and address on the reverse so that we can return the card to you. · At. ch this card t~ back of the malipieco, or on the front ~its. 1. Article Addressed~ C. Date of Dalivery addmes ~ tern1? I~yes If YES, enter delivery address below: [] No 3. Service Type ~C~tlfled Mall [] Express Mall [] Registered [] F~etum Receipt for Merchendles [] Insured Mall [] C.O.D. 4. Rest~cted Dalive~ (Extra Fee) [] Yes 2, Article Number PS Form 381 1, February 2004 Dome~c Rmum Receipt 7003 3110 0001 8549 3447 m m IT' ® ~ ~ · Complete Eems 1, 2, and 3. Also complete item 4 if Restricted Delivery Is desired. · Print your name and address on the reverse so that we can tatum the card to you. · Attach this card to the back of the mailplece, or on the front if space permits. 1. Article Addressed to: C. Dtste of D~livery D. Is del~y address different ~m ~ 1~/ I-I Ye~ If YES, enter delivery address below: [] No [] Registered r'l Return Receipt for [] Insured Mall [] C.O.D. 4. Restrtsted Delivery? (Ex~a Fee) 2. A~ticle Number (~,,,,w'~,~om~san,~e~ 7003 3110 0001 8549 3430 PS Form 3811, February 2004 Domestic Retum Receipt I~M'lS4o m Postage Certified Fee Return Reeefpt Fee (Endorsement Required) Restricted DelIve~j Fee (Endorsement Required) Total Postage & Fees · Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to your · Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 2. Artick~ Number (rmnder f~m serv,~e/abe0 PS Form 3811, February 2004 D ~gent D. Is delivery address different fn3m item 1 ? ~f YES, enter delivery address below: [] No ttledMall [] Express Mall Registered r'l Return Receipt for Merchandise [] Insured Mail [] C.O.D. 4. Restricted Deliver/? (Ex~a F~e) [] yes 7007 0710 0003 2876 2699 ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 15, 2012 Michael Makon Grace Quality Used Cars 945 Lincoln Highway Morrisville, PA 19067 Dear Mr. Makon: At the regular Town Board meeting held on February 14, 2012 the Town Board accepted the bid of Gerald Doroski for a 2003 Ford Crown Victoria in the amount of $655.00. A certified copy of the resolution is enclosed. Y.~ur--bid-dcpc, ait is being returned to you. Thank you for your bid. /4o ehe& , 3p[ eC{Verytrulyyours' Lynda M Rudder Deputy Town Clerk EBS. ELIZABETH A. NEVILLE, M~IC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 15, 2012 Donald Grim PO Box 300 Cutchogue, NY 11935 Dear Mr. Grim: At the regular Town Board meeting held on February 14, 2012 the Town Board accepted the bid of Gerald Doroski for a 2003 Ford Crown Victoria in the amount of $655.00. A certified copy of the resolution is enclosed. Your bid deposit is being returned to you. Thank you for your bid. Very truly yours, Lynda M Rudder Deputy Town Clerk ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD February 15, 2012 Thomas Swenson 50 Hempstead Drive Sound Beach, NY 11784 Dear Mr. Swenson: At the regular Town Board meeting held on February 14, 2012 the Town Board accepted the bid of Gerald Doroski for a 2003 Ford Crown Victoria in the amount of $655.00. A certified copy of the resolution is enclosed. Your bid deposit is being returned to you. Thank you for your bid. Very truly yours, Sns. Lynda M Rudder Deputy Town Clerk RESOLUTION 2012-158 ADOPTED DOC ID: 7600 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2012-158 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON FEBRUARY 14, 2012: RESOLVED that the Town Board of the Town of Southold hereby accepts the bid of Gerald Doroski, in the amount of $655.00, for Asset # 2794, 2003 Ford Crown Victoria. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Jill Doherty, Councilwoman SECONDER: William Ruland, Councilman AYES: Ruland, Talbot, Doherty, Kmpski Jr., Evans, Russell ELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Four (4) bids received Gerald Doroski 65 August Lane Greenport, NY 11944 516-381-9658 Thomas Swenson 50 Hempstead Drive Sound Beach, NY 11784 631-885-4884 Grace Quality Used Cars 945 Lincoln Highway Morrisville, PA 19067 215-736-3334 Donald Grim PO Box 300 Cutchogue, NY 11935 631-921-1037 BID OPENING Used Vehicle - Supervisor Bid Opening 2/2/12 10:00 A.M. Crown Vic $655.00 $588.00 $459.00 $421.00 GRACE QUALITY USED CARS, INC. 945 Lincoln Highway Morrisville, PA 19067 Phone (215) 736-3334 * Fax (215) 736-9693 e-mail:policecars2000~hotmail.com Janua~ 31,2012 Attn: Ms. Elizabeth A. Neville, Town Clerk Municipal Building 53095 Main Road Southold, NY 11971 RE: Bid for Surplus Vehicles Please consider our bid, respectfully submitted along with the required bid deposit, to purchase the following two (2) used police cruisers: ID Year Make Model Mileage ~ VIN Bid / Amount #1 2003 Ford Crown 158,000 X3X116489 $459.00 Victoria #2 2006 Chevy Tahoe 207,300 6Rl15353 $599.00 * Following bid opening, kindly provide us with your tabulation list, summarizing all other offers you've received for the same vehicles. * Please note, that our bid to purchase is contingent on the immediate availability of the vehicles and titles. * Please notify us of future municipal vehicles sale. Thank You, Michael Makon, President Grace Quality Used Cars, Inc. $ S CHECK DATE COST CENTER Drawe~ Capi~l One, N.A, i~,?OO:;~R?2qq,' ,:&&&~OL, 8?ql: ?1:, 8O,,,DO0: 19821 J NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of a materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official' opening of the bid. ed)~~~ (Sign (Corpdr~te Title) ' ] (if any) Printed Name Company Address fro0 14~r,~'r~g) ~ eooor~0ol.~h ~/~ l l71~q Phone Bid Amount: $ Written bidamount ~'~rL }4,0e'0f'.tJ o&13 ~t~lr~-~ ~-f~.h~' ~)oll~.fq, Bid on: 2003 Ford Crown Victoria, VIN #2FAFP74WX3X116489, Asset #2794 Minimum Bid of 5410.00. RES-2012-85 Authorize and Direct the Town Clerk to Advertise for Bids for Sale of Use... Page 1 of I Authorize and Direct the Town Clerk to Advertise for Bids for Sale of Used Vehicle Tnformation Vote Legislative File # Status Department Meeting Category Sponsors Functions RES-2012-85 Adopted Town Clerk Jan 17, 2012 7:30 PM Authorize to Bid Supervisor Scott Russell Economic Attachments History Download Document Body Document Body RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs the Town Clerk to advertise for bids for the following used vehicle: ~ 2003 Ford Crown Victoria, VIN #2FAFP74WX3X116489, Asset #2794 Minimum Bid of $410.0 Contact department is Supervisor's office (631) 765-1889. Vehicle is to be sold in "as is" condition and may be viewed at Lou's Service Station, Mattituck, NY. Be it further RESOLVED that the Town Board authorizes and directs the Town Clerk to advertise for the sale of same. Public Discussion ' Add Comment Powered by IQM2 Intelligent Heeting Hanagement Solutions http ://southoldtown.iqm2.com/citizens/Detail_LegiFile.aspx?MeetinglD= 1235 &MediaPos... 1/23/2012 hltn-//,rgl, an, l,.-rln ~.rsmldlm~_qharert/dim~?4:tPAFI'14fm'~izel6Oft'x4~llll1~:/lhs-'s.-orod.~L~-.- 1/23/2012 h~an-//n4 m,dedn cnmldlmq-qharedldimxVltPATCHIresize1600x4501htto:/lllss-Drod.hss.aoi-cO--. i/23f2012 NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of a materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. (Signed) ~~~' (Corporate Title) (if any) ~ I Bid Amount: $ Written bid amount Bid on: e~ 00.5 Company. Address Phone NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. Printname ~"j~/'~'~! ~ ~,~fl[fffL Corporate Title ,' (if any) /~ Company Name ,/~/~ Mailing Address Phone Number BID ON Used Police Vehicles 2/12 LEGALNOT1CE NOTICE TO BIDDERS NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold is offering for sale the following USED VEHICLES in "as is" condition: 2003 Ford Crown Victoria, VIN #2FAFP74WX3X116489, Asset #2794 Minimum Bid of $410.00. Contact department is Supervisor's office (631) 765-1889. Vehicle is to be sold in "as is" condition and may be viewed at Lou's Service Station, Mattituck, NY. The bid must be accompanied by a Non-Collusive Bid Certificate, which may be obtained at the Southold Town Clerk's Office, Town Hall, PO Box 1179, 53095 Main Road, Southold, N.Y. 11971 (631) 765-1800, and a bank draft or certified check in the amount of $100.00. The sealed bid(s) will be received by the Southold Town Clerk, at the Southold Town Hall, 53095 Main Road, PO Box 1179, Southold, New York 11971, until 10:00 A.M., Thursday, February 2, 2012 at which time they will be opened and read aloud in public. The Town Board of the Town of Southold reserves the right to reject any and all bids and waive any and all informalities in any bid should it be deemed in the best interest of the Town of Southold to do so All bids must be signed and sealed in envelopes plainly marked, "Bid on Used Vehicles 2-2012", and submitted to the Office of the Town Clerk. Dated: January 17, 2012 ELIZABETH A. NEVILLE SOUTHOLD TOWN CLERK PLEASE PUBLISH ON JANUARY 26, 2011, AND FORWARD ONE (1) AFFIDAVIT OF PUBLICATION TO ELIZABETH A. NEVILLE, TOWN CLERK, TOWN HALL, 53095 MAIN ROAD, PO BOX 1179, SOUTHOLD, NY 11971. Copies to the following: Suffolk Times Comptroller Burrelle's Information Town Board Members Chief Flatley Data Construction Town Attorney Dodge Reports Town Clerk's Bulletin Board NON-COLLUSIVE BID CERTIFICATE The undersigned bidder certifies that this bid has been arrived at by the bidder independently and has been submitted without collusion with any other vendor of materials, supplies or equipment of the type described in the invitation for bids, and the contents of this bid have not been communicated by the bidder, nor, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the bidder or its surety on any bond furnished herewith prior to the official opening of the bid. Signed: Print name Corporate Title (if any) Company Name Mailing Address Phone Number BID ON Used Vehicles 2/12B Bid Amount: Page Iofl Rudder, Lynda From: Reisenberg, Lloyd Sent: Monday, January 23, 2012 12:43 PM To: Rudder, Lynda Subject: RE: Publishing. Lloyd H. Reisenberg Network and Systems Administrator Town of Southold, New York IIoyd. reisenberg~,town.southold, n¥.us O. 631-765-1891 C, 631-879-1554 CONFIDENTIALITY NOTICE: This communication with its contents may contain confidential and/or legally privileged information It is solely for the use of the intended recipient(s). Unauthorized interception, review, use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. From: Rudder, Lynda Sent: Monday, January 23, 2012 10:56 AM To: Flatley, Martin; Tomaszewski, Michelle; Blasko, Regina; Woodhull, Ruthanne; Berliner, Sandra; alkrupskitown@yahoo.com; Andaloro, Jennifer; Beltz, Phillip; Cushman, John; Finnegan, Martin; Krauza, Lynne; Legals (cschott@timesreview.com); Ipevans@fishersisland.net; Neville, Elizabeth; Orlando, Vincent; Reisenberg, Lloyd; Russell, Scott; Talbot, Christopher; William Ruland Subject: Please publish these in the 1/26/12 edition of the Suffolk Times l/26/2012 Page I of 1 Rudder, Lynda From: Candice Schott [cschott@timesreview.com] Sent: Monday, January 23, 2012 11:20 AM To: Rudder, Lynda Subject: RE: Hi Lynda, I have received the notices and we are good to go for the 1/26 issue. Thanks and have a great afternoon! Candice From: Rudder, Lynda [mailto:lynda.rudder@town.southold.ny.us] Sent: Monday, ,]anuary 23, 2012 10:56 AM To: Flatley, Martin; Tomaszewski, Hichelle; Blasko, Regina; Woodhull, Ruthanne; Berliner, Sandra; alkrupskitown@yahoo.com; Andaloro, Jennifer; Belt:z, Phillip; Cushman, John; Finnegan, Martin; Krauza, Lynne; Candice Schott; Ipevans@fishersisland.net; Neville, Elizabeth; Orlando, Vincent; Reisenberg, Lloyd; Russell, Scott; Talbot, Christopher; William Ruland Subject: Please publish these in the 1/26/12 edition of the Suffolk Times 1/2 3/2 012 STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK) ELIZABETH A. NEVILLE, Town Clerk of the Town of Southold, New York being duly sworn, says that on the a9~ day of_~h~,~, 2012, she affixed a notice of which the annexed printed notice is a true copy, in a ~oper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit: Town Clerk's Bulletin Board, 53095 Main Road, Southold, New York. Used Vehicle 2-12B F~beth A. Neville Southold Town Clerk Sworn before m~xthis oO.~.-.~ day of~2012. ~ Itlotary Public LYNDA M. ~ NOTARY PUGLIC, State of New York No. 01 ~O6020932 Qua ified in Suf~)tk County~ Southold Town Board - Letter Board Meeting of January 17, 2012 RESOLUTION 2012-85 ADOPTED Item # 5.19 DOC ID: 7484 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2012-85 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JANUARY 17, 2012: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs the Town Clerk to advertise for bids for the following used vehicle: 2003 Ford Crown Victoria, VIN #2FAFP74WX3X116489, Asset #2794 Minimum Bid of $410.00. Contact department is Supervisor's office (631) 765-1889. Vehicle is to be sold in "as is" condition and may be viewed at Lou's Service Station, Mattituck, NY. Be it further RESOLVED that the Town Board authorizes and directs the Town Clerk to advertise for the sale of same. Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: William Ruland, Councilman SECONDER: Albert Krupski .Ir., Councilman AYES: Ruland, Talbot, Doherty, Krupski .Ir., Evans, Russell Generated January 18, 2012 Page 30 ~ DON"if PE~EL STICKER - SEE FROM FRONT BACK! IJ~J{.~ EF490695 I~J VOID ~Tal~l NEW YORK ~A~ REGI81~A~ON DOCUME~ ~ PSD K29872 2003 FORD NONTRANSFERABLE 4DSD BK 2FAFP74WX3Xl16489 003947 G 8 EF490695 MAR 08 2006 w,/~,, [,,~uc~l DMM RVH627 ~x,,*~, PERM TOWN OF SOUTHHOLD *NYMA* PO BOX 1179 EXEMPT SOUTHOLD NY 11971 0.00 The front of this document may be photocopied to show to authorities. CHANGE OF ADGRESS - YOU must notify Motor Vehicles within 10 days, Write your new address on the other s~e of this document. VEHICLE TRANSFER INFORMATION · If NONTRANSFERABLE is ptinted on the front of this document, you must use your title to transfer ownemh[p of the vehicle. · If TRANSFERABLE is printed on the front of this document, New York State will no._~t issue a title for this vehicle, You can transfer ownership using this document but not a photocopy of this document. Ownership Transferred to Date REGISTRANT'S STATEMENT: I am the registered owner of the vehicle desc~bed on the other side, or e member of the th~n o~ an officer of the corporation registering the vehicle, and have the right to dispose of the vehicle. Signature of Current Registrant ~.ny~dmv.¢om license plates you just received or that are already on your vehi~e? -. ~ INSTRUCTIONS "~ · Remove old sticker. WASH & DRY area. · PEEL SLOWLY beginning hem ..... · Place sticker on inside of windshield as shown to the right, and press gently around edges of sticker. TO~N OF SOUTHHOLD PO BOX 1179 / $OUTHOLD NY 11971 006442 IGE OR ERASURE WILL VOID THI~ TITLE --ANY FALSE STATEMENT !S AMI~.~EMEANOFI ODOM~RDISCLOSURE STATEMENT r/ '_ C~MtCTF RF ,..._..~ R EADI~G F~der~landSta~eLawrequiretl~atyoustatethem eageo e i i les Ibedo~lthi~certtfleaewhentranserrtn§ol~ e~ ~p,~-.',"~~i~! Fa lur~ todo so~ or prOViding a false statement, may result in fines an(Eor imprisonment. ! certify that, to {he best of my kn~vledge, this edometer reading (check one): ~ , (~o tenths) t-J1. reflects theACTLIA~ MILE~,GE of the vehicle described on the front ~ ODOI~IETERHAS ~PACE FOR- r'12. EXCEEDS MECHANICAL L..IMITS (odometer started o eat, ze o) ~FIve Digits exct~ngfecths ~ 3. not the ectu~at miteage. ~VA~NING ODOMETER OlSCREPANC~ · E]six DIg~ts 'excluding tenths DAMAGE D~SCLOSURE S~ATEMENT (TO be Completed by Owner Named on Face of Title) t t certify that, since I acquired t,h. is vehicle il ~hasDhasn~t(checkone~beenwrecked~destr~ed~rdamagedt~t~ext~nt~h~het~ta~estirn~teera~a~ ¢~0st o! parts and labor to rebuild ~r~econstruct the vehicle to its pre-~ccident condition, and for leg~! operation o~ [h~m~ ~_.retaltv~,lueoft~evehicle~Hhe'timeof less..2. :i ' -. ;; Note: If the 'flas=b~x is checked~ an anti-theft examblation ~s requited ~fore re, qistration. Any subsequent ~le will carry L~e brand r~eb~#t SalvaRe f ~r we transfer the vehiele, bo~t or manufactured home described on this certificate. At the time of transfer, this title ~s subje~ct Only ~o the liens or encu~'an~ ~sted on this:ce~ificate,-ff'any, raiso certify that this is the most recent title issued for this vehi~e, boat qr '~factur~d]~ome. Note: ~ectlon 2113 of ~h& Vehicle and Traffie Law requires ~hat appticatlon for a titl~ ~st I~e made within ~0'~ ¢~ transfe~ $~ ON II ~ Reassignment ~ Manufactured Home Dealer Or Registered Boat Dea!er 0 0 DOMETER DiSCLOSU f~E STAT~EM ENT ~ ~ is disclosed. resutt in fines andfr~? Impri$onment~ Odometer reading (check ~e~ FEpAN ACCOUNTING & FINANCE DEPT. John A. Cushman, Town Comptroller Telephone (631) 765-4333 Fax (631) 765-1366 E-mail: accountingw~town.southold.ny.us TOWN HALL ANNEX Feather Hill, Building 10 620 Traveler Street P.O. Box 1179 Southold, NY 11971-0959 TOWN OF SOUTHOLD OFFICE OF THE SUPERVISOR MEMORANDUM To: Jon Sheadn From: John Cushman /~L(~j Date: July 1, 2002 Re: Automobile Insurance Be advised that we have taken delivery of the following vehicle for the Town Hall fleet. Please add it to our insurance policy, effective immediately: 2003 Ford Crown Victoria, VIN #2FAFP74WX3X116489, Tag # B13, Asset #2794 Your attention to this matter is appreciated. cc: Betty Neville, Town Clerk 2003 FORD 'NONTRANSFERABLE': 4DSD~ BK 2FAFP74WX3Xl1648~ , 003947 G 8 CG706010 ~ 03 2002 w,~,~,, n,,~¢y! KLB RVH622 E~,~ PERM TOWN OF SOUTHHOLD *NYMA* PO BOX 1179 EXEMPT SOUTHOLD NY 11971 0.00 VEHICLE INVOICEWARNOCK FLEET No. LW Dodge-Chrysler-Jeep-Ford-Chevrolet-U D Trucks P.O. Box 524 * 175 Route 10 E. HANOVER, NEW JERSEY 07936 76~3 Telephone (973) 884-2100 · Fax (973) 884-2650 SOLDTO: ~ ~ (IF DATE 6~ TRRtlm ;R ST ~ SALESMAN K~ I ;R,S~E ADDRESS: ~ ~ 11971 MAKE MODEL N~ USED VIN KEY NO. ~ FIN ~R ~ ~:Di~I ~ FIRE AND THE~ ~ PUBLIC LIABILI~-AMT. ~ COLLISION-AMT. DEDUCT. ~ PROPER~ DAMAGE-AMT. O~ONAL EOUIPMENT AND ACCES~OmF~ GROUP DESCRIPTION PRICE SALES T~ P. ~. ~ ~ LICENSE AND TITLE TOTAL DASH PRICE FIN ~-~7 FIN~CIN~ INSUR~CE TOTAL ~ME PRICE 8I~ ~= S~LEME~: DEPOSIT CASH ON DELIVERY · ~ADE-~, N/R L~SS UEN VIN PAYMENTS TOTAL New York State Department of Motor Vehicles MV-82' ' ' VEHICLE REGISTRATION/TITLE APPLICATION Batch File NO. []Cl Orig [] Activity [] Renewal This form is also available on OMV's web site - www.nysdmv.com [t-1 Dup [] Actlvily W/RE [] Renew W/RR DP OV PA Special I AT BV CF CO CP ER EX FL Gl IF MO NE NF NR NU OD ($) CO PL EaO, .............. ~ RENEW plate ~~ ~ C~E ~ ~r P~te Nu~r ~ (~ ~x~) ~ ~SE BUY~ ~ ~YES DNO or~P? OYes DNo ~ New ~ Leas~ New ~ Us~ D L~d Us~ -You do ~t ~ve to fifl in ~is ~ion if you a~ a ~mp~t~ R~i~tion Authod~n (MV-95), or ADDRESS WHERE OWNER GETS MArL ~e~Oity or Town AUTHORIZATION: The registrant named in box ~ b aulhedze~ to register the vehicle described I~ box VEHICLE IDENTIFICATION NUMBER VEHICLE DESCRIPTION ~RFPT~d4X3X t tGM~ ~ly Type Fo~ Other Vehicles 0 pic~-up OVa~ O Motorcycle n?o~ OT~CI~ ~lTmile~ O0~be, c°l~K 1 Ll~ade~ W.l~ht · and O~/~lershiP) ~ Reg/Title No. MV-82 (10/01) State PAGE 1 OF 2 CHANGES NAME CHANGE: PEnt former name exactly as it appears on the current registration or title. TO change information on a current registration and/or title, be sure to enter the new information on page I of this form. (See Form MV-82.1, Registering a Vehicle in CHANGES: Descr/be any vehicle changes and the reasons for the chanties. New York State, for more informaifon.) ADDITIONAL VEHICLE INFORMATION ~ QUESTIONS 1-3 MUST BE COMPLETED. 1. I certify that, to the best of of my knowledge, this vehicle [] has been or [~has not been wrecked, destroyed or damaged to such an extant that the total estimate, or actual cost, of parts and labor to rebuild or reconstruct the vehicle to the condn~on it was in before an accident, and for legal operation on the mad or highways, is more than 75% of the retail value of the vehicle at the time of loss. (Checkicg the "has been" box means the vehicle must have an anti-theft examination before being registered end that the title issued will have the statement "Rebuilt Salvage" on it.) 2. Is this vehicle owned and registered by you for your own personal use? [] Yes [~No ff "Yes", go to question 3 below, ff "No", check any of the following boxes that apply: [] It is a passenger vehicle to be used for hire with a driver and operated in: [] New York City r'1A jurisdiction other than NYC, that regulates taxis [] A jurisdiction that does not regulate taxis [] It is a passenger vehicle that is rented or leased without a d~iver, and is registered in: [] My name [] The name of the leasing or rental company [] It requires a commercial operating authority permit: [~[] NYS DOT Permit Ne. [] I.C.C. Permit No. [] US DOT Permit No. It is government-owned. [] It is used as an [] ambUla~i:~' ~ e~bulette Check this box if: [] payment is received to carry passengers [] It is a commercial tow truck with a GV1NR of at least 8,6001bs. [] It is used as a hear~. ~ '~ ?i' ~". [] It is used only as a farm vehicle (Form MV-260F, Part 1, must be attached). [] It is used only as an agricultural truck. 3. Has this vehicle been modified to change its registration class? [] Yes [] No If "Yes", explain 4. Is this vehicle a pick-up truck with an unladen weight of 5,000 pounds or less, used exclusively fo~r non-comme, rcial purposes, with no advertising ;~nYWhere on it? [] Yes [] No '~ ' Do You Want? [] Passenger Plates [] ~0~m~rc~,liPl~_te~:: CERTIFICATION: The information I have given on this application is tree to the best ct my knowledge. I certify that the vehicle is f~lly equipped as mquireq by the Vehicle and Traffic Law, and has passed the required New York State inspection within the past 12 months, or has qualified for a time extension (Form VS- 1077) and will be inspected within 10 days. I also certify that apprppdate insurance coverage is in effect, and that the vehicle will be operated In accordance with the Vehicle and Traffic Law. If I am applying for replacement registrar[on items, I certify that the registration is not currently under suspension or revocation. If I have plates in a series reserved for a special group, I cedffy that I am still eligible to receive them, and that~J~e only~u:je set of these pla_.Jas, ff I em using a credit card for payment of any fees In connection with this .pplication, l understand that m~l~e~low~l~o~uthorizes j~my credit card. PHnt Name Here I), ~-'~*,/' ~ [H/TI'I~J, '~d~J ~4::~Sign Here ~..."'~ ('/ ~'~"//,,~--~ My signature authodzes Sign. ' ' TO Be Completed by a Registered New York state De~ier Only - List any additional Lienholders Lisnholder Number Lienholder Name Mailing Address NY DEALER CERTIFICATION: I certify that all information provided on this application is true. I take responsibility for the integrity ct the papers delivered to the Motor Vehicles office. (z~o C~de) '-82 (10~1) PAGE 2 OF 2