HomeMy WebLinkAboutPerone, Frank A RESOLUTION 2014-499
ADOPTED DOC ID: 9848
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2014-499 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
JUNE 3,2014:
WHEREAS Frank A. Perrone supplied the Town of Southold with a Clean-up Deposit fee in the
amount of$250.00 for his Beach Wedding at Southold Town Beach and
WHEREAS the Southold Town Recreation Director Ken Reeves has informed the Town Clerk's
office that this fee may be refunded, now therefore be it
RESOLVED that Town Board of the Town of Southold hereby authorizes a refund be issued in
the amount of$250.00 to Frank A. Perrone, P 0 Box 651, Southold,New York 11971.
Gi4"efee44.11P
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Robert Ghosio, Councilman
SECONDER:Louisa P. Evans, Justice
AYES: Ghosio, Dinizio Jr, Ruland, Doherty, Evans, Russell
Vendor No
Town of Southold, New York - Payment Voucher
.....................................
Vendor Name Vendor Address
..................................... .
.............. ....................
Perrone,Frank A. P 0 Box 651
Southold NY 11981
Vendor Telephone Number
....................................
.....................................
....................................
Vendor Contact
Invoice Invoice Invoice Net Purchase Order
Number Date Total Discount Amount Claimed Number Description of Goods or Services :::General Ledger:Fiunil acid:Account:Number:::
2014-499 6/3/2014 250.00 250.00 Refund of Beach Wedding
...........................................
.. ....... ..............................
......... .................................
Clean-up deposit 5/17/14
Total
Payee Certification Department Certification
The undersigned(Claimant)(Acting on behalf of the above named claimant) I hereby certify that the materials above specified have been received by me
does hereby certify that the foregoing claim is true and correct,that no part has in good condition without substitution,the services properly
been paid,except as therein stated,that the balance therein stated is actually performed and that the quantities thereof have been verified with the exceptions
due and owing,and that taxes from which the Town is exempt are excluded. or discrepancies noted,and payment is approved.
Signature Title Signature ,, C`".9' .� _ '" /'_Q/LJ
Company Name Date Title 'lb' I . ..i _�. Date L "q t y
. •
�c �a. 970 Peconic Lane
Ken Reeves ��.o P.O. Box 267
Recreation Supervisor ti Peconic,NY 11958
Town of Southold '.1'''...r , 631.765.5182
....,.,rt Ken.Reeves @town.southold.ny.us
TOWN OF SOUTHOLD
RECREATION DEPARTMENT ANNN
1 tk.' i
ri ON SOUTHOLD TOWN BEACHES 011q��
� ' PLEASE PRINT LEGIBLY P�.•'
APPLICATIONS DUE AT LEAST
THREE(3)MONTHS BEFORE EVENT
_ / ,/
�
Today's Date: 1 — S j
Applicant's Name: r1 dV K 4 ?ea rui N
P c. i3o�r s
Address:
y o 3' ?tem mew? "Rp f.ts T. So v Y n* ,v y
Home Phone: Business Phone:
Cell Phone: 7542-6 7 3 -964-'2 E-mail address: V K 16PR/caae di Q 6'44*ft' "3 N!
Name of Bride/CyVor /Spouse#1: t PA'4/c A 'P«ltoN e
Name of e/Groom/Spouse#2: £L Y "o sit 1 .t 4 iv 4
Beach Requested: i c+W N Ao+f ere/
(Town Beach,Gull Pond,Kenney's,McCabe's,New Suffolk,Goose Creek,etc.)
Number of Guests: .2 D Number of vehicles:
Day and date of use: .5 / 7 " /
Length of ceremony: From: /P:30 A.M. P.M. To:/4.3 0 A.M. P.M.
Number of temporary parking permits requested:
Please allow ample time to set up and clean beach after use. Town beaches are
closed from dusk until dawn.
Is the bride/gij n/spous• : • 'dent of e s o i outhold? YES ❑NO
Applicant's Signature: /% „/ -1L4
FEES:
Residents: Free of Charge Non-Residents: $50 (under 50 participants)
$75 (over 50 participants)
Refundable cleanup deposit of$250 required for all applicants.
Please note: Fees must be paid once application is approved. Checks made
payable to TOWN OF SOUTHOLD. Please submit separate
checks.
e S2uet sr y Aize ico 3V
•
TOWN OF SOUTHOLD 2013 INDEMNITY AGREEMENT
STATE OF NEW YORK )
tQfv4 Nwv_ ) ss.:
COUNTY OF SUFFOLK )
This Agreement is made this a Lt day of Fe►o U-6tV9 , 20 I between the Town of
Southold (hereinafter"Town") and 1-" v(kV) Gt. P f V(GY■ . G\ Et Li Y O VI I Zrt v1/4.",
(hereinafter"Applicant").
In consideration of issuance by the Town's Recreation Department of an approval to
utilize a Town Beach, the Applicant voluntarily agrees to indemnify and hold the Town
and its officers, employees, and agents harmless from and against any and all losses,
liabilities, damages, or costs sustained by any person for personal injury, death, or
property damage arising out of, or as a consequence to the use of the Town property.
The undersigned further agrees to indemnify and hold harmless the Town and its officers,
employees, and agents from and against any and all losses, liabilities, damages, or costs
which may be imposed upon, incurred by or asserted against the Town by reason of any
act of omission of the undersigned, which result in damage or injury of any kind to any
person or any property and which arises out of or is any way connected with the event
permitted by this approval.
APPLI NT: . jor
By: �f/
Sworn to before me this €14 61/(7t0 ----
2I-My of T-- , 201
411, ELIZABETH BRAUN
, .� No • - blic - State of New York
A v/ NO. 01BR61B3105
Notary Pu.4 c Qualified In New York County
My Commission Expires 3110 ISM
FOR OFFICE USE ONLY
FACILITY IS: REQUEST IS:
AVAILABLE {✓( APPROVED
NOT V ILABLE { } DENIED { }
Recreation Department Supervisor
CERTIFICATE OF INSURANCE REQUIRED? aYES U NO
Application fee of (..:1$50 ❑$75 received on:
? 2� Date ? Check Number
J1`7�� 31
Deposit of$250 received on: 3
Date Check Number
* * * RECEIPT * * *
Date: 04/04/14 Receipt#: 166883
Quantity Transactions Reference Subtotal
1 Guarantee Bid Deposits 5/17/14 Wedding $250.00
Total Paid: $250.00
Notes:
Payment Type Amount Paid By
CK#333 $250.00 Perrone, Frank A.
Name: Perrone, Frank A.
405 Richmond Rd East
Southold, NY 11971
Clerk ID: LINDAC Internal ID:5/17/14 Wedding