HomeMy WebLinkAbout04/2014 05/15/2014 Town Clerk Monthly Report Page 1
April 01, 2014-April 30, 2014
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
AGENCY&TRUST T1 Tree Book- Retail 1 8.29
T1.030 Guarantee Bid Deposits 8 1,872.00
Sub-Total: $1,880.29
FISW SS2.2130.00 Sewer District 31 7,650.00
Sub-Total: $7,650.00
INTEREST Interest Now Account Interest NOW Account 1 6.21
Sub-Total: $6.21
PART check written for 2 different amounts 1 -1,518.00
8.1255.00 Yard Sale Permits 32 480.00
B.1560.00 Building Permit Fees 38 43,477.41
B.1601.10 Birth Trans. 1 10.00
Birth Trans. -Genealogical 2 22.00
B.1601.20 Death Trans. 178 1,780.00
Death Trans. -Genealogical 2 22.00
B.2110.10 Public Events 7 1,650.00
ZBA Application Fees 12 12,150.00
B.2590.10 House Trailer Permit 4 850.00
B.2590.40 Beach Wedding 1 50.00
Clean-up 0 0.00
Event Fee 1 250.00
Fireworks 1 100.00
Sub-Total: $59,323.41
PT-HIGHWAY DB.2590.00 Excavation Permits 11 1,960.00
Sub-Total: $1,960.00
SWMD SR.2130.40 Bags- Retail-Large 48 108.00
Bags- Retail-Medium 205 307.50
Bags- Retail-Small 75 56.25
SR.2590.10 2014 1st Permit 873 26,190.00
2014 add'I permit 183 2,745.00
Disposal Permit-Guest 3 75.00
Disposal Permit- Lessee 4 100.00
Disposal Permit- Missing Sticker 1 0.00
Disposal Permit- Non Resident 1 50.00
Disposal Permit- Replace 46 0.00
Disposal Permit-VOIDED 2 0.00
SR.2590.20 2012-14 1st Permit 0 0.00
2013-15 Add'1 Permits 1 60.00
2014 1 st pemit 2 240.00
2014 add'I permit 8 480.00
2014-16 1st Permit 44 5,280.00
2014-16 Add'I Permit 17 1,020.00
2014-2016 1st Permit 10 1,200.00
2014-2016 Add'] Permit 5 300.00
Sub-Total: $38,211.75
WHOLE A.1255.10 Marriage License 10 165.00
05/15/2014 Town Clerk Monthly Report Page 2
April 01,2014-April 30, 2014
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
Marriage Trans. 6 60.00
A.1255.20 Photocopies 564 343.25
A.1255.30 Check Charge 1 20.00
A.1289.10 "I Love Southold" Sticker 2 2.30
Liber D 1 10.13
A.2116.10 Initial 7 175.00
Renewals 2012 1 10.00
Renewals 2013 7 70.00
Renewals 2014 152 1,520.00
A.2116.20 2013 Fines 5 500.00
2014 Fines 11 1,100.00
A.2540.10 Bingo Proceeds 5 19.73
A.2544.10 Female, Spayed 25 250.00
Female, Unspayed 1 15.00
Male, Neutered 27 270.00
Male, Unneutered 6 90.00
A.2544.20 Dog Adoptions 1 10.00
Dog Redemption- 1 st 6 60.00
A.2590.10 Commercial 6 300.00
Free-Non-Commer. 143 0.00
Non-resident 4 200.00
Replacement 0 0.00
Resid. - Non-Comm. 123 615.00
Voided 9 0.00
A.2590.20 Guest 73 2,920.00
Lessee 7 280.00
Motel 4 160.00
Non-Resident Seasonal 21 3,150.00
Replacement Sticker 28 0.00
Resident 1093 10,930.00
Sticker Missing 1 0.00
Voided Sticker 1 0.00
A.2590.30 A.2590.30 (Decals) 8 11.15
Sub-Total: $23,256.56
WWDD SS1.2130.00 Septic Permit-Construct- Resid. 8 80.00
Septic Permit-Operation- Resid. 8 80.00
Sub-Total: $160.00
05/15/2014 Town Clerk Monthly Report Page 3
April 01, 2014-April 30, 2014
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
Total Local Shares Remitted: $132,448.22
Amountpaid to: NYS Ag. & Markets for spay/neuter program ....................................... . ....................................................................................._............................................................... 73.00
Amountpaid to: NYS Environmental Conservation ................................................................................................................................................................................................................................................. 190.85
Amountpaid to: NYS Health Dept. For Marriage License ........................................................................................................................................_....................................................... ....................... 225.00
Amountpaid to: T1 -Sales Tax ................................... ............................................................................................................._................................................................................................................................................1.1.11........................ 1.78
Total State, County & Local Revenues: $132,938.85 Total Non-Local Revenues: $490.63
Elizabeth A.Neville being duly sworn,says that she is the Town Clerk,that the foregoing is a full and true statement of all fees and monies received
by her during the month stated above,excepting only such fees and applications and payments of which are otherwise provided for by law.
Southold Town Supervisor Date Southold Town Clerk Date
INTEREST BREAKDOWN
WHOLE TOWN 23,329.56 WHOLE 1.109
53%DOG LICENSE 0.00 PART 2.819
HIGHWAY 0.093
WHOLE TOWN 23,329.56 F1 SEWER 0.364
PART TOWN 59,273.41 SWMD 1.817
HIGHWAY 1,960.00 WASTE WATER 0.008
FI SEWER 7,650.00 TOTAL 6.210
SWMD 38,211.75
WASTE WATER 160.00
TOTAL OF DISTRICTS 130,384.72
- r
NON LOCAL REVENUES&MISC. -
AGENCY&TRUST, SALES TAX 1,882.07 TOTAL OF D1STS 130,584.72
BID SPECIFICATION FEES 0.00
INTEREST ACCOUNT 6.21
COUNTY TREASURER 0.00 TOTAL.NON-LOCAL
NYS AG&MARKETS SPAYINEU TER 0.00 REVENUES 2,304.13
NYS ENVIRONMENTAL - . 190.85
NYS HEALTH DEPT MARRIAGE 225.00 132,888.85
STATE-BELL JAR/GMS OF CHANCE 0.00
STATE-BINGO 0.00
2,304.13
April 2014
Transfer Confirmation
Completed:May 16,2014 10:06:00 AM EST
Transfer From:
Number Account Transfer Amount New Balance
*****5466 TOWN CLERK 190.85 200110.64
Transfer To:
Transfer To Deposits
NumberAccount Transfer Amount New Balance Confirmation Number
*****7685 TOWN CLERK- 190.85 190.85 400761813
CONS LICENSES
5/16/2014
Date I #of Unal Gross Salesl Commission Net Sale
01-APR-14 5 57.00 3.14 53.86
02-APR-14 0 0.00 0.00 0.00
03-APR-14 0 0.00 0.00 0.00
04-APR-14 0 0.00 0.00 0.00
05-APR-14 0 0.00 0.00 0.00
06-APR-14 0 0.00 0.00 0.00
07-APR-14 0 0.00 0.00 0.00
08-APR-14 0 0.00 0.00 0.00
09-APR-14 0 0.00 0.00 0.00
10-APR-14 0 0.00 0.00 0.00
11-APR-14 0 0.00 0.00 0.00
12-APR-14 0 0.00 0.00 0.00
13-APR-14 0 0.00 0.00 0.00
14-APR-14 0 0.00 0.00 0.00
15-APR-14 0 0.00 0.00 0.00
16-APR-14 1 0.00 0.00 0.00
17-APR-14 5 10.00 0.55 9.45
18-APR-14 12 25.00 1.38 23.62
19-APR-14 0 0.00 0.00 0.00
20-APR-14 0 0.00 0.00 0.00
21-APR-14 9 30.00 1.66 28.34
22-APR-14 2 0.00 0.00 0.00
23-APR-14 12 25.00 1.38 23.62
24-APR-14 9 25.00 1.38 23.62
25-APR-14 15 30.00 1.66 28.34
26-APR-14 0 0.00 0.00 0.00
27-APR-14 0 0.00 0.00 0.00
28-APR-14 2 0.00 0.00 0.00
29-APR-14 12 0.00 0.00 0.00
30-APR-14 6 0.00 0.00 0.00
Total: 202.00 11.15 190.85
Page 2 of 2
5/16/2014
Account Statement Summary
Agent ID: 2059 Telephone: (631)-765-1800
Agent Name: TOWN OF SOUTHOLD
Address: 53095 Main Road
P O Box 1179,Suffolk
Southold NY 11971
Account Notice#: 2059-4 Account Notice Date: 05/01/2014
Billing Period: 04/01/2014-04/30/2014
Sales Summary
Gross Sales: 202.00
Commissions: 11.15
Net Sales: 190.85
Account Details Open Amounts Pending Amounts
Previous Balances 0.00 0.00
Current Charges: Net Sales 190.85
Current Charges:Adjustments 0.00
Current Charges: Non Returned Documents 0.00
Previously Disputed Transactions (Resolved this period) 0.00 0.00
ACH Failures reported 0.00
ACH Failures Paid(this period) 0.00
ACH Failures Scheduled for Payment(this ACH) 0.00 0.00
Total 190.85 0.00
Agent Review Activity Since 05/01/2014 Open Amounts Pending Amounts
Amount Disputed 0.00 0.00
Disputed Amounts Resolved 0.00 0.00
New ACH Failures Reported 0.00
ACH Failures Paid 0.00
ACH Failures Scheduled for Payment(since 05/01/2014) 0.00 0.00
Total 0.00 0.00
Account Summary
Amount to be Swept on or after
05/16/2014 12:00:00 AM 190.85
Pending Charges 0.00
Account Balance 0.00
Page 1 of 2
05/15/2014 Town Clerk Monthly Report Page 1
April 01,2014-April 30,2014
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
AGENCY&TRUST T1 Tree Book- Retail 1 8.29
T1.030 Guarantee Bid Deposits 8 1,872.00
Sub-Total: $1,880.29
FISW SS2.2130.00 Sewer District 31 7,650.00
Sub-Total: $7,650.00
INTEREST Interest Now Account Interest NOW Account 1 6.21
Sub-Total: $6.21
PART check written for 2 different amounts 1 -1,518.00
8.1255.00 Yard Sale Permits 32 480.00
8.1560.00 Building Permit Fees 38 43,477.41
B.1601.10 Birth Trans. 1 10.00
Birth Trans. -Genealogical 2 22.00
B.1601.20 Death Trans. 178 1,780.00
Death Trans. -Genealogical 2 22.00
B.2110.10 Public Events 7 1,650.00
ZBA Application Fees 12 12,150.00
B.2590.10 House Trailer Permit 4 850.00
B.2590.40 Beach Wedding 1 50.00
Clean-up 0 0.00
Event Fee 1 250.00
Fireworks 1 100.00
Sub-Total: $59,323.41
PT-HIGHWAY DB.2590.00 Excavation Permits 11 1,960.00
Sub-Total: $1,960.00
SWMD SR.2130.40 Bags- Retail-Large 48 108.00
Bags-Retail-Medium 205 307.50
Bags-Retail-Small 75 56.25
SR.2590.10 2014 1st Permit 873 26,190.00
2014 add'I permit 183 2,745.00
Disposal Permit-Guest 3 75.00
Disposal Permit- Lessee 4 100.00
Disposal Permit-Missing Sticker 1 0.00
Disposal Permit-Non Resident 1 50.00
Disposal Permit- Replace 46 0.00
Disposal Permit-VOIDED 2 0.00
SR.2590.20 2012-14 1st Permit 0 0.00
2013-15 Add'I Permits 1 60.00
2014 1st pemit 2 240.00
2014 add'I permit 8 480.00
2014-16 1st Permit 44 5,280.00
2014-16 Add'I Permit 17 1,020.00
2014-2016 1st Permit 10 1,200.00
2014-2016 Add'I Permit 5 300.00
Sub-Total: $38,211.75
WHOLE A.1255.10 Marriage License 10 165.00
05/15/2014 Town Clerk Monthly Report Page 2
April 01,2014-April 30, 2014
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
Marriage Trans. 6 60.00
A.1255.20 Photocopies 564 343.25
A.1255.30 Check Charge 1 20.00
A.1289.10 "I Love Southold"Sticker 2 2.30
Liber D 1 10.13
A.2116.10 Initial 7 175.00
Renewals 2012 1 10.00
Renewals 2013 7 70.00
Renewals 2014 152 1,520.00
A.2116.20 2013 Fines 5 500.00
2014 Fines 11 1,100.00
A.2540.10 Bingo Proceeds 5 19.73
A.2544.10 Female, Spayed 25 250.00
Female, Unspayed 1 15.00
Male, Neutered 27 270.00
Male, Unneutered 6 90.00
A.2544.20 Dog Adoptions 1 10.00
Dog Redemption- 1st 6 60.00
A.2590.10 Commercial 6 300.00
Free-Non-Commer. 143 0.00
Non-resident 4 200.00
Replacement 0 0.00
Resid. - Non-Comm. 123 615.00
Voided 9 0.00
A.2590.20 Guest 73 2,920.00
Lessee 7 280.00
Motel 4 160.00
Non-Resident Seasonal 21 3,150.00
Replacement Sticker 28 0.00
Resident 1093 10,930.00
Sticker Missing 1 0.00
Voided Sticker 1 0.00
A.2590.30 A.2590.30 (Decals) 8 11.15
Sub-Total: $23,256.56
VWVDD SS1.2130.00 Septic Permit-Construct-Resid. 8 80.00
Septic Permit-Operation-Resid. 8 80.00
Sub-Total: $160.00
05/15/2014 Town Clerk Monthly Report Page 3
" April 01,2014-April 30, 2014
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
Total Local Shares Remitted: $132,448.22
Amountpaid to: NYS Ag. & Markets for spay/neuter program ....................................................................................................................................................................................................................... 73.00
Amountpaid to: NYS Environmental Conservation .................................................................................................................................................................................................................................................................. 190.85
Amountpaid to: NYS Health Dept. For Marriage License .................-................................................................................................................................................................................................................. 225.00
Amountpaid to: T1 -Sales Tax ...................................................................................................................._........................................... ............................................__......................................................................................................................... 1.78
Total State,County &Local Revenues: $132,938.85 Total Non-Local Revenues: $490.63
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.
T-1. l1Y
Southold Town Supervisor Dae Southold Town Clerk Date
05(15/2014. Town of Southold Page: 1
09:33:32 Summary Daily Cash Report
Lynda M Rudder April 01,2014—April 30,2014
Cash Category Sub-Category Oty Fee Description Amount
Clean-up 0.00
Category Sub-Total... $0.00
Account#PART 1 check written for 2 different -1,518.00
amounts
1 Category Sub-Total
Adoption 1 Dog Adoptions 10.00
1 Category Sub-Total... $10.00
Agency&Trust 8 Guarantee Bid Deposits 1,872.00
1 Tree Book-Retail 9.00
9 Category Sub-Total... $1,881.00
Alarm Fees 5 2013 Fines 500.00
11 2014 Fines 1,100.00
7 Initial 175.00
1 Renewals 2012 10.00
7 Renewals 2013 70.00
152 Renewals 2014 1,520.00
183 Category Sub-Total... $3,375.00
Beach Permits 73 Guest 2,920.00
7 Lessee 280.00
4 Motel 160.00
21 Non-Resident Seasonal 3,150.00
28 Replacement Sticker 0.00
1093 Resident 10,930.00
1 Sticker Missing 0.00
1 Voided Sticker 0.00
1228 Category Sub-Total... $17,440.00
Building Permit Fees 38 Building Permit Fees 43,477.41
38 Category Sub-Total... $43,477.41
Certification, Birth 1 Birth Trans. 10.00
2 Birth Trans. -Genealogical 22.00
3 Category Sub-Total... $32.00
Certification, Death 178 Death Trans. 1,780.00
2 Death Trans.-Genealogical 22.00
180 Category Sub-Total... $1,802.00
Certification, Marriage 6 Marriage Trans. 60.00
05/15/2014 Town of Southold Page: 2
0933:32 Summary Daily Cash Report
Lynda M Rudder April 01,2014—April 30,2014
Cash Category Sub-Category ty Fee Description Amount
6 Category Sub-Total. .. $60.00
Conservation(DECALS) 8 Conservation(DECALS) 202.00
8 Category Sub-Total... $202.00
Dog Licenses Original 5 Female, Spayed 55.00
1 Female, Unspayed 18.00
9 Male, Neutered 99.00
3 Male, Unneutered 54.00
18 Category Sub-Total... $226.00
Dog Licenses Renewal 20 Female,Spayed 220.00
18 Male, Neutered 198.00
3 Male, Unneutered 54.00
41 Category Sub-Total... $472.00
Fishers Island Sewer District 31 Sewer District 7,650.00
31 Category Sub-Total... $7,650.00
Highway Excavation 11 Excavation Permits 1,960.00
11 Category Sub-Total... $1,960.00
Historical Items 2 "1 Love Southold"Sticker 2.50
1 Liber D 11.00
3 Category Sub-Total. .. $13.50
House Trailer Permits 4 House Trailer Permit 850.00
4 Category Sub-Total... $850.00
Interest Now Account 1 Interest NOW Account 6.21
1 Category Sub-Total... $6.21
Misc. Cash 564 Photocopies 343.25
564 Category Sub-Total... $343.25
Racing And Wagering Bingo 5 Bingo Proceeds 19.73
5 Category Sub-Total... $19.73
Redemptions 6 Dog Redemption- 1st 60.00
6 Category Sub-Total... $60.00
Returned 1 Check Charge 20.00
1 Category Sub-Total... $20.00
Shellfish 6 Commercial 300.00
143 Free-Non-Commer. 0.00
4 Non-resident 200.00
05/15/2014 Town of Southold Page: 3
09.33:32 Summary Daily Cash Report
Lynda M Rudder April 01, 2014—April 30, 2014
Cash Category Sub-Category Qty Fee Description Amount
Replacement 0.00
123 Resid.-Non-Comm. 615.00
9 Voided 0.00
285 Category Sub-Total... $1,115.00
Solid Waste Management 2012-14 1st Permit 0.00
District
1 2013-15 Add'I Permits 60.00
2 2014 1st pemit 240.00
873 2014 1st Permit 26,190.00
191 2014 add'I permit 3,225.00
44 2014-16 1st Permit 5,280.00
17 2014-16 Add'I Permit 1,020.00
10 2014-2016 1st Permit 1,200.00
5 2014-2016 Add'I Permit 300.00
48 Bags-Retail-Large 108.00
205 Bags-Retail-Medium 307.50
75 Bags-Retail-Small 56.25
3 Disposal Permit-Guest 75.00
4 Disposal Permit-Lessee 100.00
1 Disposal Permit-Missing Sticker 0.00
1 Disposal Permit-Non Resident 50.00
46 Disposal Permit-Replace 0.00
2 Disposal Permit-VOIDED 0.00
1528 Category Sub-Total. .. $38,211.75
Special Events 1 Event Fee 250.00
1 Fireworks 100.00
2 Category Sub-Total... $350.00
Vital Statistics Marriage 10 Marriage License 390.00
10 Category Sub-Total... $390.00
Wastewater Disposal District 8 Septic Permit-Construct-Resid. 80.00
8 Septic Permit-Operation-Resid. 80.00
16 Category Sub-Total... $160.00
Wedding Beaches 1 Beach Wedding 50.00
1 Category Sub-Total. .. $50.00
Yard Sale Permits 32 Yard Sale Permits 480.00
05/15/2014 Town of Southold Page: 4
09,33:32 Summary Daily Cash Report
Lynda M Rudder April 01,2014—April 30,2014
Cash Category Sub-Category Qty Fee Description Amount
32 Category Sub-Total. $480.00
ZBA Application Fees 12 ZBA Application Fees 12,150.00
12 Category Sub-Total. .. $12,150.00
Zoning Board Of Appeals 7 Public Events 1,650.00
7 Category Sub-Total... $1,650.00
Grand Total........ ... ...... ..... ... $132,938.85
05/15/2014 Town of Southold Page: t
9:32:40 AM DECALS Import Transaction Report
Lynda M Rudder April 01,2014-April 30, 2014
Date Agent Total Sales Less Commission Net Due to Encon UserlD
04/01/2014 57.00 3.14 53.86 LYNDAR
04/17/2014 10.00 0.55 9.45 CAROLH
04/18/2014 25.00 1.38 23.62 LYNDAR
04/21/2014 0.00 0.00 0.00 CAROLH
04/21/2014 30.00 1.66 28.34 CAROLH
04/23/2014 25.00 1.38 23.62 CAROLH
04/24/2014 25.00 1.38 23.62 CAROLH
04/25/2014 30.00 1.66 28.34 CAROLH
Report Totals: $202.00 $11.15 $190.85
NEW YORK STATE DEPARTMENT OF HEALTH
Empire State Plaza-Coming Tower Monthly Report of
Bureau of Accounts Management-Revenue Unit-Room 1258
Albany,New York 12237-0016 Marriage Licenses Issued
SEE INSTRUCTIONS AT BOTTOM OF PAGE
Report for the month of DEP NO.
April 2014
City or Town of Southold Check#
DO NOT WRITE IN ABOVE SPACE
County of Suffolk
Pursuant to the provisions of Section 15 of the Domestic Relations Law,as last amended by Chapter 62 of the Laws of 2003, I herewith transmit
to the State Commissioner of Health a fee of twenty two dollars and fifty cents for each marriage license issued by me during the month covered
by this report.
Licenses issued were numbered from 11 to 20 inclusive.
(If ONE license was issued place number in the first space only!) (If NO licenses were issued write"NONE" in the above space.)
Make remittance by CHECK or Name of City or Town Clerk (Please Print)
MONEY ORDER payable to the State Elizabeth A. Neville
Department of Health
Signature of City or Town Clerk Date
DO NOT SEND CASH 05/15/2014
Mailingd ss
Amount of remittance with this report P,O Box 1179
$ 225.00 Southold, NY 11971
E-mail Address Phone
E.neville(cr�,town.southold.ny.us (631)765-1800
t$#. ae'^` '"• rt .` ssz z: +ra*zm- '�ma,.r..,� -'3� �' ,�a u w a�+s -v,< s„
�Ry,4u '" t` "`''
E
;<`�r� ':a. ,i aaa IV Wk>n ...td-e.
THIS MONTHLY REPORT OF MARRIAGE LICENSES ISSUED MUST BE TRANSMITTED TO THE STATE DEPARTMENT OF
HEALTH AT THE ABOVE ADDRESS FOR EACH MONTH regardless of whether or not any licenses were issued. If no licenses were issued,
indicate NONE in the space provided for license numbers.
The issuance of a marriage license makes you responsible for the remittance fee of$22.50,regardless of whether or not the marriage ceremony is
ever performed.
Marriage licenses must be numbered and reported consecutively throughout the year starting with number 1 at the beginning of EACH calendar
year.
Pursuant to the authority of Section 19 of the New York State Domestic Relations Law,the Commissioner of Health has directed that this report,
together with any fee must be transmitted to the State Department of Health by the 15th of the month following the month which the report covers.
New York State Domestic Relations Law 22 provides that any Town or City Clerk who violates or fails to comply with any of the above
mentioned reporting or filing requirements,shall be deemed guilty of a misdemeanor and shall pay a fine not exceeding the sum of one hundred
dollars on conviction thereof.
DOH-963 (09/2004)
From: 4/1/2014 To: 4/30/2014 DOG LICENSE MONTHLY REPORT 05/15/2014
Suffolk 97 Send Copy To: Animal Population Control Elizabeth A. Neville
Town of Southold 10 Southold Town Clerk
LICENSE TYPES
AND FEES o o• b Unspayed Spayed
y y y Statutory Fee Statutory Fee Local Fee (D) Late Penalty (E) Spayed Fee (F) Unspayed Fee (G)
0 o w 4G (s) (C)
....... --- ---....-........_ ----._.._..------...... __._.. `._-.--.._ -- -----..._.. -- -._ --.._................_......................
1. Spay/Neuter 52 52 0 NO FEE @ 0.00 0.00 @ 10.00 520.00 0 @ 0.00 0.00 @ 1.00 52.00 NO FEE
2. Unspay/Unneut 7 7 0 7 @ 0.00 0.00 NO FEE @ 15.00 105.00 0 @ 0.00 0.00 NO FEE @ 3.00 21.00
3. Exemption 0 0 NO FEE NO FEE NO FEE NO FEE NO FEE NO FEE
4. Purebred(1-10) 0 0 0 @ 0.00 0.00 @ 0.00 0.00 @ 25.00 0.00 @ 0.00 0.00 @ 1.00 0.00 @ 3.00 0.00
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 59 59 0 7 $0.00 $0.00 $625.00 $0.00 $52.00 $21.00
REPLACEMENT AND PUREBRED Column H Column I (Local) Column J (Statutory)
TAG ORDERS PROCESSED # Each Tag Fees Tag Fees
8. Replacement Tags 0 0.00 0.00
9. Purebred Tags 0 0.00 0.00
.....-.......--.._.._..._..- - ---._....---....-_..........................--.......... _._..._..---........_.._............
_..._.. --._._...
10. TOTALS 0 $0.00 $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 18. 100% of 7F + 7G $73.00
13. Local% of 7D + 7E + 10I $625.00 16. Stat% of 10J $0.00
__........_..........
------- --------
14. Total $625.00 17. Total $0.00
Amount paid to: County Treasurer for Dog Licenses. . . . . .. . . .. . . .. . . .. .. .. . $0.00
Amount paid to: NYS Ag. & Markets for spay/neuter program. .. . . .. . . . . . . . . . $73.00
LICENSE SUMMARY
1. Number of Original Standard Dog Licenses: 18
2. Number of Original Purebred Dog Licenses: 0
3. Number of Standard Renewals (including New Owner Licenses) : 41
4. Number of Purebred License Renewals: 0
S. Total of Lines 1-3: 59
• SOUTHOLD TOWN CLERK THE BRIDGiEHAMPTON NATIONAL BANK 1847
53095 MAIN ROAD,TOWN HALL S497o MAIN ROAD
PO BOX 1179 SOUTHOLD,NY 11971
SOUTHOLD,NY 11971 50.666/214
5/1612014
PAY TO Gh ORDER THE NYS Agriculture&Markets $-,-73.00
OF
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April 2014 dogs `
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SOUTHOLD TOWN'CLERK THE BRIOGENAMPTON NATIONAL BANiK 1848
53095 MAIN ROAD,TOWN HALL 549T0 MAIN ROAD'
PO BOX'1179 SOUTHOLD,NY 11971
SOUTHOLD,NY 1197`1 50.6661214
5!16!2014
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Two Hundred Twenty-Five Only****** DOLLARS
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FO BOX 1179 SOUTHOLD'NY 11971
SOUTHOLD,NY 11971 50.666214
5/16!2014
9? PAY TO
ORDER THE Supervisor Scott A. Russell $**132,450.00
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April 2014 recpts
11'00 184911' 1:0214066671: 05000 154661I'
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05/15/2014 Town of Southold Page: 1
9:32:10 AM Proceeds Report
Lynda M Rudder For:All License Types
Date Range:04/01/2014 to 04/30/2014
License Type License# Organization Name Receipt Date Occasion Receipts Expenses Profits Cash
2014-Bingo 4016 American, Legion Post 803 04/01/2014 04/01/2014 $1,014.00 $823.75 $184.54 $5.71
2014-Bingo 4016 American, Legion Post 803 04/08/2014 04/08/2014 $1,018.00 $823.75 $188.42 $5.83
2014-Bingo 4016 American, Legion Post 803 04/16/2014 04/15/2014 $677.00 $648.75 $27.40 $0.85
2014-Bingo 4016 American, Legion Post 803 04/22/2014 04/22/2014 $1,010.00 $823.75 $180.66 $5.59
2014-Bingo 4016 American, Legion Post 803 04/29/2014 04/29/2014 $1,022.00 $963.75 $56.50 $1.75
Totals: $4,741.00 $4,083.75 $637.52 $19.73