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Home My WebLink About12/2013 Tel (631)537-1000 • Fax(631)537-4685 •www.bridgenb.com 5 JBNB 2200 Montauk Highway•P.O.Box 3005 Bridgehampton,NY 11932 004 00005 00 RAGE: 1 410 ACCOUNT: XXXXXX5466 12/31/2013 Address Service Requested RECEIVED NIP I"11MII1f110IIII1III"1144 I00 IIIP"IP411"HI iill 003629 1.0500 AV 0.360 TR00020 JAN - 8 am !!!! m TOWN OF SOUTHOLD ELIZABETH A NEVILLE Southold Town Clerk aa®li m TOWN CLERK 30 BOX 1179 22 SOUTHOLD NY 11971-0959 5 NOW PUBLIC FUNDS ACCOUNT XXXXXX5466 AVG AVAILABLE BALANCE 54,802.76 LAST STATEMENT 11/29/13 70,239.86 AVERAGE BALANCE 60,710.10 43 CREDITS 99,082.94 9 DEBITS 63,766.58 THIS STATEMENT 12/31/13 105,556.22 • DEPOSITS REF # TRACE #.DATE .. AMOUNT REF # TRACE #.DATE AMOUNT 0503225762 12/02 620.25 050446355712/16 2,007.05 0503330271 12/03 390.50 0504546783 12/17 3,993.50 0503487020 12/04 461.00 0504680252 12/18 1,494.75 0503555261 12/05 6,585.05 0504787565 12/19 2,653.00 0503669519 12/06 2,465.85 0504884781 12/20 2,694.75 0503830506 12/09 514.75 0504970798 12/23 28,397.10 0503945760 12/10 5,414.40 0505204816 12/26 4,431.25 H 0804110548 12/11 50.00 0505204853 12/26 10,448.25 0504081504 12/11 3,176.25 0505298274 12/27 5,006.30 cu m 0504171057 12/12 3,125.66 0505549553 12/31 1,273.21 m 0504297004 12713 189.50 0505549520 12/31 1,349.00 0 M = OTHER CREDITS mr DESCRIPTION DATE AMOUNT e 000431264390888 PAYMENTECH POS TRANS 12/03 120.00 0 000431263361880 PAYMENTECH POS TRANS 12/03 3,967.60 -11 000431264390888 PAYMENTECH POS TRANS 12/04 162.00 4, MERCHANT BANKCRD FEE REFUND 12/3/13 12/05 .55 M 000431264390888 PAYMENTECH POS TRANS 12/07 180.00 o 01 000431264392884 PAYMENTECH POS TRANS 12/07 1,500.00 Ea 000431264390888 PAYMENTECH POS TRANS 12/11 25.00 c 000431264390888 PAYMENTECH POS TRANS 12/12 20.50 fO INTEREST AT .0501 % 12/13 1.91 °O~ 000431263361880 PAYMENTECH POS TRANS 12/14 50.00 000431264390888 PAYMENTECH POS TRANS 12/17 1,380.00 IF 000431264390888 PAYMENTECH POS TRANS 12/18 245.00 000431263361880 PAYMENTECH SOS TRANS 12/19 150.00 * * * CONTINUED • NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION Please examine your account statement promptly and report any • Describe the error and explain,if you can,why you believe there inaccuracy as soon as possible. The Uniform Commercial Code is an error.If you need more information,describe the item you requires you to promptly notify us of any unauthorized signature or are unsure about. alteration on your checks. You do not have to pay any amount in question while we are 0. , DIRECT DEPOSITS investigating,but you are still obligated to pay the parts of your bill If you have arranged to have direct deposits made to your account at that are not in question. While we investigate your question, we least once every 60 days from the same person or company,you can cannot report you as delinquent or take any action to collect the call us at(631)537-1000 to find out whether or not the deposit has amount you question. been made. BILLING RIGHTS SUMMARY—ALL OPEN-END CREDIT IN CASE fiRR R QUESTIONS ABOUT YOUR PLANS OTHER THAN HOME EQUITY PLANS C ELECTRONIC TRANSFERS What To Do If You Think You Find A Mistake On Your Statement Telephone or write us at the telephone number or address located on If you think there is an error on your statement,write to us at: the front of statement, as soon as you can, if you think your Bridgehampton National Bank statement orW- .t is wrong or if you need more information about a P.O.Box 3005 transfer on the statement or receipt.We must hear from you no later Bridgehampton,New York 11932 than 60 days after we sent you the FIRST statement on which the error In your letter,give us the following information: • or problfm appearett.—,7 1.`,j' "' ' 7 • Account information:Your name and account number. • Dollar amount:The dollar amount of the suspected error. 1) Tell us your name and account number(if any). • Description of Problem: If you think there is an error on your 2) Describe the CIror or transfer that you are unsure about,and bill,describe what you believe is wrong and whey4 believe it explain as cle jrl'k as you can why you believe it is an error or is a mistake. , why you need more information. You must contact us within 60 days after the error a{rpealred'i'on your statement. 3) Tell us the dollar amount of the suspected error. You must notify us of any potential errors in writing.You may call us, We will investigate your complaint and will correct any error but if you do we are not required to investigate any potential errors promptly. If we take more than 10 business days to do this,we will and you may have to pay the amount in question. credit your account for the amount you think is in error,so that you While we investigate whether or not there has been an error, the will have the use of the money during the time it takes us to complete following are to e: our investigation • We cannot try to collect the amount in question,or report you as • delinquent on that amount. LOAN ACCOUNT SUMMARY OF RIGHTS • The charge in question may remain on your statement, and we This is a summary of your rights,a full statement of your rights and may continue to charge you interest on that amount.But,if we responsibilities under the federal Fair Credit Billing Act will be sent to determine that we made a mistake,you will not have to pay the you upon request or in response to a billing error notice. amount in question or any interest or other fees related to that amount. BILLING RIGHTS SUMMARY-HOME EQUITY PLANS • While you do not have to pay the amount in question,you are ill .4'- In Case of Errors or Questions About Your Bill responsible for the remainder of your balance. If you think your bill is wrong,or if you need more information about • We can apply any unpaid amount against your credit limit. a transaction on your bill,write us on a separate sheet at the address shown on your bill as soon as possible. We must hear from you no PAYMENT INFORMATION later than 60 days after we sent you the first bill on which the error or We figure the finance charge on your account by applying the periodic problem appeared. You can telephone us, but doing so will not rate to the"daily balance"of your account for each day in the billing preserve your rights. cycle. To get the "daily balance" we take the beginning balance of , In your letter,give us the following information: your account each day,add any new purchases,advances and/or fees, • Your name and account number. and subtract any unpaid interest or other finance charges and any • The dollar amount of the suspected error. payments or credits.This gives its the daily balance. THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT YOU SHOULD HAVE ADDED YOU SHOULD HAVE WITHDRAWALS OUTSTANDING(NOT CHARGED TO ACCT) IF ANY OCCURRED: SUBTRACTED IF ANY No $ OCCURRED: 1.Loan Advances I.Automatic loan payments 2.Credit Memos 2.Automatic savings 3.Other automatic deposits 3.Service Charges 4.Interest paid 4.Debit memos 5.Other automatic deductions and Payments BALANCE SHOWN ON THIS STATEMENT $ ADD DEPOSITS NOT SHOWN ON THIS STATEMENT (IF ANY) $ TOTAL $ TOTAL $ BEFORE YOU START-PLEASE BE SURE YOU HAVE SUBTRACT W ITHDRAWALS ENTERED IN YOUR REGISTER ALL AUTOMATIC OUTSTANDING $ TRANSACTIONS ON THE FRONT OF YOUR STATEMENT. BALANCE $ SHOULD AGREE WITH YOUR REGISTER BALANCE AFTER DEDUCTING SERVICE CHARGE(IF ANY)SHOWN ON THIS STATEMENT BRNB (06/2013) Tel (631)537-1000• Fax(631)537-4685 •www.bridgenb.com CIP4BNB 004 00005 00 PAGE: 2 410 2200 Montauk Highway• P.O.Box 3005 Bridgehampton,NY 11932 ACCOUNT: XXXXXX5466 12/31/2013 TOWN OF SOUTHOLD ME iiiiNOW PUBLIC FUNDS ACCOUNT XXXXXX5466 ......■ OTHER CREDITS =mem DESCRIPTION DATE AMOUNT 000431264390888 PAYMENTECH POS TRANS 12/19 1,166.00 000431263361880 PAYMENTECH POS TRANS 12/20 90.00 000431264390888 PAYMENTECH POS TRANS 12/20 575.00 000431290851887 PAYMENTECH POS TRANS 12/21 .01 000431264390888 PAYMENTECH POS TRANS 12/22 971.00 000431264390888 PAYMENTECH POS TRANS 12/24 955.00 000431264390888 PAYMENTECH POS TRANS 12/25 667.00 000431264390888 PAYMENTECH POS TRANS 12/27 115.00 CHECKS CHECK # TRACE #.DATE AMOUNT CHECK # TRACE #.DATE AMOUNT 1828* 1136010993 12/09 112.50 1832 1136024240 12/20 135.00 1830 1134007315 12/06 61,602.28 1833 1134007651 12/06 .01 1831 1136002868 12/16 39.00 111/ (*) INDICATES A GAP IN CHECK NUMBER SEQUENCE OTHER DEBITS DESCRIPTION DATE AMOUNT MERCHANT BNKCD FEE 431290853883 12/03 .55 ECOM XFER TO PUBLIC FUNDS 500027685 ON 12/04 AT 13:09 CONF# 12/04 1,377. 19 400455601 DEPOSIT CORRECTION DEBIT 12/26 .05 RETURNED DEPOSIT ITEMS 12/31 500. 00 '.o 0 `0' INTEREST o+ m AVERAGE LEDGER BALANCE: 60,710.04 INTEREST EARNED: 2.40 o o AVERAGE AVAILABLE BALANCE: 54,802.70 DAYS IN PERIOD: 32 0 INTEREST PAID THIS PERIOD: 1.91 ANNUAL PERCENTAGE YIELD EARNED: .05% v INTEREST PAID 2013: 32.93 N o DAILY BALANCE o DATE BALANCE DATE BALANCE DATE BALANCE o+ 12/02 70,860.11 12/12 35,926.69 12/22 53,414.16 0 12/03 75,337.66 12/13 36,118.10 12/23 81,811.26 0o 12/04 74,583.47 12/14 36, 168.10 12/24 82,766.26 O 12/05 81,169.07 12/16 38,136.15 12/25 83,433.26 o 0 12/06 22,032.63 12/17 43,509.65 12/26 98,312.71 M x 12/07 23,712.63 12/18 45,249.40 12/27 103,434.01 00 12/09 24,114.88 12/19 49,218.40 12/31 105,556.22 12/10 29,529.28 12/20 52,443.15 • 12/11 32,780.53 12/21 52,443.16 TOWN OF SOUTHOLD 500015466 Page 3 Tel (631)537-1000• Fax(631)537-4685 • www.bridgenb.com 11!! ; A B ma • 2200 Montauk Highway• P.O.Box 3005 Bridgehampton,NY 11932 11011,NOLOTOIVII CUM F6 we molAvonaurtratwomitt 1828 _ - 7_ 1010111X1 .I_l.•I -' - - - aa1TICIANY11aa1 1X/1011Sg - - I $.112.50 I A! Ow 1reed7•M oNaW10P^� a a a_ 3 -_ f1§cm.m [v� !'!: -2:4 Oo1701a=Mope T • 5, _ SigiliS 1•111111111111, 00018280 40214066646 05000154660[! .' -` _ aa�aia11010 iiiiiiiin 1828 — $112.50 — 12/09/2013 c21 Ll 1828 — $112.50 — 12/09/2013 r.,--- _--v... .x«rvn-I.0. y _txws:aiwftw„ .«,....,, — Cagfal Ona.NA Richmond VAR/5000060 7830 1 I i o tOVMOtA IRHMt 1° wii �`404111111114 1 •820081fiF0/20'ISf2040Q0074472608 • dallalaVlotits NM1 taadOYQNV MA 12140011 I 1'•. 'i Mgr rmlry a.M Arora i11/40/.010 XOXrlab Monied Two sat an00'^ $"/1802aa - - 1 SClS0YNJAR0r.1 5aMq?61. 0010 M.� 8 -(AONENA :O@146202fa 1203203 p I Deposit 7WO1967r aEYO Nwa013•KIIIN i 00018300 00214066674 0500015466X'Q _ /. 1~ 411 1830 — $61,602.28 — 12/06/2013 1830 — $61,602.28 — 12/06/2013 SCIWilatinallaiMUNIK 101181/ARAPAS4 MAN 1.0. 1 Nraa11NN1naN.Xw $.39.00 • __ O, P aaunw 3 i .- cm • 0 .NEN?No.WOspara.MO /'�fqY/(Y.Y/�Hl• o O 00018310 d'02 1.4066674 05000154660 0 - 1I O N O N CV O O N O O N 1831 — $39.00 — 12/16/2013 1831 — $39.00 — 12/16/2013 %o M O :.O ----..... i t, ro.Naa1( r •... �i1 ..ai•a.a. leu 9 i J ° e 0 PO Sal 1179 nOLMIcAA Arnim tv.2.3 Z 02 gar ' _ a$ 01Eal�iOi Nrea•�w.nlaN.rn S»tu.0o _ ( _ - _ mCI 00018320 40!14066644 05000454860(� _.�__.-_._. .. 1832 — $135.00 — 12/20/2013 1832 — $135.00 — 12/20/2013 . .„, _. TOWN OF SOUTHOLD 500015466 Page 4 III n I._ 0000g10ZOIRIGUNK _ --.' *. ..... 1833 4820bPIQ OMbt 0010*73057013 1, ! tsoeen0lno,itll'J11111d1 eou0ogrisn eo O.WV�riH �� 17!04017 f �1 I,, 1 9ro.Of j ,..., LpexYn OeellA RrM J c.pA. N.A,A. d VA DO5000 0 OeONOr i _.:�A62QOFItAOOb00Z2011120800D073OO�i ''� - .... 1 remand OInOP..- 00r.IMe m 0 ('APITAT.ONl:,VA -;001(O'79W6 12052013 I.' 1i 1 AIcLLNOND,VA 00021. { ` Deport 752701%7T 4 6, O4e3eran3 ! POO IB33+ 1:0214066694 0500015466+ 1 1833 - $0.01 - 12/06/2013 1833 - $0.01 - 12/06/2013 • ill Tel (631)537-1000• Fax(631)537-4685 •www.bridgenb.com Cfil° 2200 Montauk Highway• P.O.Box 3005 Bridgehampton,NY 11932 0 0 4 0 0 0 0 5 0 0 PAGE: 1 4 BACCOUNT: XXXXXX7685 12/31/2013 Address Service Requested RECEIVED MONO hiirililinniniiinlnunrwnliirlNuiiulurlrrnlihildlh JAN - 8 2014 Nmoms 003630 0.6500 AV 0.360 TR00020 mime MOM TOWN OF SOUTHOLD Southold Town clerk smomm TOWN CLERK — CONS LICENSES 30 BOX 1179 0 SOUTHOLD NY 11971-0959 0 PUBLIC FUNDS ACCOUNT XXXXXX7685 LAST STATEMENT 11/29/13 .00 AVG AVAILABLE BALANCE 559.48 1 CREDITS 1,377.19 AVERAGE BALANCE 559.48 1 DEBITS 1,377.19 THIS STATEMENT 12/31/13 .00 • OTHER CREDITS DESCRIPTION DATE AMOUNT ECOM XFER FROM NOW PUBLIC FUNDS 500015466 ON 12/04 AT 13:09 12/04 1,377.19 CONF# 400455601 OTHER DEBITS DESCRIPTION DATE AMOUNT NYSDEC DECALS ACH 205913350012726 12/17 1,377.19 DAILY BALANCE `" DATE BALANCE DATE BALANCE DATE BALANCE 12/04 1,377.19 12/17 .00 O O O O ►i O O O O O O O, O I, O O ON O e-1 01 CCI --1 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION Please examine your account statement promptly and report any • Describe the error and explain,if you can,why you believe there inaccuracy as soon as possible. The Uniform Commercial Code is an error. If you need more information,describe the item you requires you to promptly notify us of any unauthorized signature or are unsure about. alteration on your checks. You do not have to pay any amount in question while we are DIRECT DEPOSITS investigating, but you are still obligated to pay the parts of your bill le. i If you have arranged to have direct deposits made to your account at that are not in question. While we investigate your question, we least once every 60 days from the same person or company,you can cannot report you as delinquent or take any action to collect the call us at(631)537-1000 to find out whether or not the deposit has amount you question. been made. -`-�� BILLING RIGHTS SUMMARY-ALL OPEN-END CREDIT IN CASFirMk]i�OR OUESTIONS ABOUT YOUR PLANS OTHER THAN HOME EQUITY PLANS ELECTRONIC TRANSFERS What To Do If You Think You Find A Mistake On Your Statement Telephoneto us at the telephone number or address located on If you think there is an error on your statement,write to us at: the front M statement, as'soon as you can, if you think your Bridgehampton National Bank statement or receipt is wrong or if you need more information about a P.O.Box 3005 transfer on the statement or receipt.We must hear from you no later Bridgehampton,New York 11932 than 60�p p theFPRST statement on which the error In your letter,give us the following information: or pro ear • Account information:Your name and account number. 1) Tell us your name and account number(if any). • Dollar amount:The dollar amount of the suspected error. • Description of roblem: If you think there is an error on your 2) Describe the err it or transfer that you are unsure about,and bill,describe what you believe is wrong and why os believe it explain as cleat`as you can why you believe it is an error or is a mistake. y .,w)a why you need more information. You must contact us within 60 days after the error appeared on your statement. 3) Tell us the dollar amount of the suspected error. 'You must notify us of any potential errors in writing.You may call us, We will investigate your complaint and will correct any error but if you do we are not required to investigate any potential errors promptly. If we take more than 10 business days to do this,we will and you may have to pay the amount in question. credit your account for the amount you think is in error, so that you While we investigate whether or not there has been an error, the will have the use of the money during the time it takes us to complete following are true: • We cannot try to collect the amount in question,or report you as our investigation delinquent on that amount. LOAN ACCOUNT SUMMARY OF RIGHTS • The charge in question may remain on your statement, and we This is a summary of your rights,a full statement of your rights and may continue to charge you interest on that amount.But,if we responsibilities under the federal Fair Credit Billing Act will be sent to determine that we made a mistake,you will not have to pay the you upon request or in response to a billing error notice. amount in question or any interest or other fees related to that amount. BILLING RIGHTS SUMMARY-HOME EQUITY PLANS • While you do not have to pay the amount in question, you are In Case of Errors or Questions About Your Bill responsible for the remainder of your balance. If you think your bill is wrong,or if you need more information about • We can apply any unpaid amount against your credit limit. a transaction on your bill,write us on a separate sheet at the address shown on your bill as soon as possible. We must hear from you no PAYMENT INFORMATION later than 60 days after we sent you the first bill on which the error or We figure the finance charge on your account by applying the periodic problem appeared. You can telephone us, but doing so will not rate to the"daily balance"of your account for each day in the billing preserve your rights. cycle. To get the "daily balance" we take the beginning balance of In your letter,give us the following information: your account each day,add any new purchases,advances and/or fees, • Your name and account number. and subtract any unpaid interest or other finance charges and any • The dollar amount of the suspected error. payments or credits.This gives us the daily balance. THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT YOU SHOULD HAVE ADDED YOU SHOULD HAVE WITHDRAWALS OUTSTANDING(NOT CHARGED TO ACCT) IF ANY OCCURRED: SUBTRACTED IF ANY No $ OCCURRED: 1.Loan Advances 1.Automatic loan payments 2.Credit Memos 2.Automatic savings 3.Other automatic deposits 3.Service Charges 4.Interest paid 4.Debit memos 5.Other automatic deductions and Payments BALANCE SHOWN ON THIS STATEMENT $ ADD DEPOSITS NOT SHOWN ON THIS STATEMENT (IF ANY) $_ TOTAL $ TOTAL $ BEFORE YOU START-PLEASE BE SURE YOU HAVE SUBTRACT WITHDRAWALS ENTERED IN YOUR REGISTER ALL AUTOMATIC OUTSTANDING $ TRANSACTIONS ON THE FRONT OF YOUR STATEMENT. BALANCE $ SHOULD AGREE WITH YOUR REGISTER BALANCE AFTER DEDUCTING SERVICE CHARGE(IF ANY)SHOWN ON THIS STATEMENT B R N B (06/2013) • * * * RECEIPT * * * Date: 12/23/13 Receipt#: 160507 Quantity Transactions Reference Subtotal 1 Interest NOW Account decmber 2013 $1.91 Total Paid: $1.91 Notes: Payment Type Amount Paid By CASH $1.91 Town, Clerk's Office • Same: Town, Clerk's Office P.o. Box 1179 Southold, NY 11971 Clerk ID: LYNDAR Internal ID:decmber 2013 Bridgehampton National Bank Account: 500015466 2200 Montauk Highway Date: 12/26/2013 Bridgehampton, NY 11932 Page: 1 • TOWN OF SOUTHOLD ELIZABETH A NEVILLE BOX 1179 SOUTHOLD, NY 11971-0959 Customer Notification of Account Adjustment Original Amount: $10,448.25 Correct Amount: $10,448.20 Adjustment Amount: $0.05 We have adjusted your account to correct an error in your deposit. For convenience, we have provided the images of the deposit correction, including your deposit ticket and the item(s) which caused the error. If you have any questions or need any assistance, please call us at (631) 537-1000. Thank you for doing business with Bridgehampton National Bank. IliDebit Deposit CorrectionIN—a9�NN08C) a o_�� (Decrease) en T 7h� 1r,,ty�?o-o y 0 TEMS --t'6� 0 7- Bridgehampton National Bank —I ODEPOSITS MY Original Amount: $I0 44825 Date: 12/26/13 i 0 — .M<, i, '°""""" "' T OF AVAI.D, Correct.Amount $10,448.20 Auxiliary On-us: ( 3 g II _ $ M"';V Uµy,Ln;f`•u^'Sf i~ Adjustment Amount: $0.05 Routing Number: 021406667 0 "��' c' a Account Number: 500015466 ELIZABETH A.NEVILLE SOUTHOLD TOWN CLERK :Its.BRIDGE[-L1,11PTON Remarks: total carried forward incorrectly soon MAIN as [ZL]NATIONAL. . SOUTHOLD,NY Ami BANK ,�„ : 1:0 2 7 40666 71: 050007 5466• 40 Debit$0.05 Deposit$10,448.25 (Original Credit) IBRIDGEHAMPTON NATIONAL BANK SOUTHOLD IE1ANCH 51"SWOlt 99t.SIM�N,y3pd� CASH IN TICKET OZ160 £t/NIZ;I=LT 68000: UlQH1ilOS 01 0505234853 2013-12-26 50009917 S433.00 09:20 12/26/13 Brid�ehampton National Cash In Ticket >021406667< Southold 05 505204853 2013-12-26 I:❑2 04066671: 100000050 Lu' 700 Deposit$10,448.25 (Original Credit)Back Debit$433.00 0 Page: 2 Customer Notification of Account Adjustment HARRY Y BARMAN OR HAYKUHI BASHIAN 1095 BONNIE PRINGLE zloa10 14 2 6 BAYVIEW DR • 60.791214 617 2ND ST. PLAINVIEW,NY 11003 12`1 NIAA)-)) GREENPORT,NY 11944.1311 •. // 1DATE C.AC./ r& Date Pay to the }C ^^^tt1 A ��(�]\ 1 T�''� A(\ �/�{�/1I/h $ /•� �t /yI 1^ rJ • ' 7 "..``� ��Il),��.Y,1�, IWVI t �U(111•I •D Ia. ., ORDER OF SII��`O 1�.4 +VW� I $ ZO �� Y G Ord of • r _ �U� — —Dollars t8 7 �l/LCt. DOLLARS- .- • CHASE CO CaJ gan Chase Bank,NA +Gh www.chasa.com I For /l 141/1 __ /�V .4�e El,2., moi.. ,,,,,c, , / 9—,9—,%—.,_' "�-� / ls7E. I 1:0214079121:70i 17 6803711' 1,09.5 • ;1:02i00002,LI: i8967876iu•0Li,2 • Check#1095 $10.00 Check#0142 $30.00 JOEL RERMAN s0-666/214 214 2 WILLIAM R HIPPNER so-7572/22t4 2 429 ANNE REITMAN P.O.80X 528 1 '��/�7 IRIS M HIPPNER PECONIC.NY 11956 DATE 41 —/_/j7 _ 215 MOCKINGBIRD LANE -Cla1i'-+— 2`f- ,.1,L+/J SOIrrEOLD,NY 11971 _ �t�a n 17"� -- PAY TO THE I i'y^/'�J'/ ,'' ldVtae zeau SS707•e:'.aL.-"i�Imr..,,... . ^Q• / OFlDN�O,F/.—yf�•� ly��Shc/_ �� ¢---' �/'�•//V f PAY TO —�`�'a'�'^" a��77.�Cblf7l-'•(•YG '1 ,Y tO S•r•J /� / �((/ '))--aa« THE ORM OF ...�, 1 IL •=.,_/�� DOLLARS 8 �. i 7,...._:...,' ., Kx RRIDCEHAMITON ax„x ao,o : u4 vaso Noel /��L (''NATIONAL H.,193. 1'e0kk A : RANK w„xms.nmm ` ' :I r -i '= xr1n.`74_)-4547/t"• xP 0z. vWWII u�v+waur /e/i/-JC �' /(JJy am_ AV MEMO - _'__ hlrxl0 7-/ice/.� )— •(A�/Jy[// 1:0 2 140666 71: 13000 10 59011 22L4757861:1261000ILS250211'2429 Check#2142 $30.00 Check#2429 $65.00 2564 .- i-. I . .1 .. T1lr"�T CHASE 0 Pamela LConway ! 50-7512ta 2517 1. owl CITERA ELECTRIC COR �PORATION �MewYe•0011 a' '12 w Brian H Conay comma,NEW YORK lr1-2.21 05 Booth Rd j i)rzs 12/17/13 a Southold.NY 11971 � � .,, �� 11 s 631-765-5505 vnyro THE Town Of Southold �A•• ORDER OF'. W •66.00 rNy fi,,ie SO0 COLA --• C1N'k_ 1 $ q o•w Eighty-Five and 00/100 ._ .t Order of DOLLARS 1 t'- r J-00/,---- Moira, 8 "• ~ . Town Of Southold -- Town Hall Annex 8 54375 Main Rd. r CAPITAL ONE BANK,N.A. • Southold,NY 11971-0959 ��w'� . C/� Yst. sevmma,Hr n0.» /B HED. 4930 Stillwater Ave , ° �` i PO025841r .02100002 L+: 85830463711 t••�=- ---'^"=7--- ,' I Debit$85.00 _1:0 2 140 79 1 21:11.01 2 6'•3 5060..20_2 5 17 1 I Check#2517 $90.00 CAROL A.SZYNAKA ro97 3669 ROSLAK ELECTRIC INC osaz 6796 MARK SZYNAKA cur0H00uo,uY1 s3soiea 1011,1,, 1400 CALVES NECK RD. / 1///// 3 - i//1 I: DATE S'/%li Z 3 2n SOUTHOLD,NV 1197712 b,d0 PAY 1Q � ` / / 7 10 rxe ,.yllij ,(�1�[�t ,.,/ 111111011 D,� ( ,.. Jc9-yam— _ I$ 9v Pay to the order of (/ W • , t� C,U �$ v 00 . 'DO LLAfls 8 -,1 __`–. err lar 8 9 citebank' �►i Bank ,.a. LITIWIK N.A.BR Kr FOR�•P/.�%+1. .•-�. GYSSS�..,.li°�....- nrrrAvexueArirtHsrasT/(/ - 1".-tt`3851•• M HEw wR1c r.waa _ 7 1 1D06796tP 1:02 140 79 1 21:11'0124 R00272� 611• 1 • Memo ✓ Debit$90.00 I:0210000891. 0072275911' 3669 Check#3669 $90.00 • Page: 3 Customer Notification of Account Adjustment ............ ... . .......... .SON INC 2133 SLAK ELECTRIC INC oo.eTPO 0780 ONTRACTOR GUANV54 11CUTCHOGIIE,NY 119350164 T11971 DATE /a�l9�J3_ s0efi6ala DATE .w LS Z(7/3 iO TKe PAven or r n �7 p Z asoal of n4.• S. 4�o^ �Pu tlure �IZvs1 /1�v[,aCrf-G.%,I..W.G 1$ /O 7_., n/1 1/ r '—y /-CF�G.[ w'� _ oouAR6 e `-'� : � ''�� `" DOLLARS 8 I�SeunoNAi 1m _ : !! RANK CapitalC-Balli , _ • .. • FOR 1 O�Ci Vl l / __v FOR 1y V_l+r� �a�. .. e•002L33e .1:02L4066671: 0500 047211' / / R•00678De• 102 L 4079 L 211.0 L 24 00272•,61• Debit$90.00 Debit$90.00 1787 z10 56 2 8 9 I WILLIAM E.HAMILTON 35 MT.VERNON STREET I, SUSAN F.BLOOM /�-/ ROGERELD PARK,NJ 07660 ////� f STEVEN D.BLOOM DAIS / 3 ` DATE I� PAYNNE 1. 1 p {1'AY IOTHI: / - '---„ � t 1 ORDER OF ///2A-✓'n..I TI. /✓I AI.//' /14�o- a—pi. $/O�v" 1 1 c ORDER or .� //00siz • C�/y 2D 1, .4� lv., Cf[� i11 _ 1 —S2—Z----A—P=---4---A.1 ---4,, DOLLARS 8 _-_ 'S �QLJ _fedi.. "JT,� RS 8 r.�. C�1Ofl9Baflk 1 �: JP-Morgan 4 FOR 36Y3 e,�, I. i JPM9ryan Chau Bank NA t 11.00178711• 1:02 L40791.21:322 60 6 w87e• • NewAAdN.New Yolk ;7`�'^� ...__._. - �.^�.—r_�--.c:.—= .-.;r�_�—.. e1LMW_ ��r/y/�_3D.s� "4-440"- - 00 ma "' Debit$100.00 1:0 2 L0000 2 LI: 00 5 34 14341'0 284 Check#0289 $100.00 'sass OAsEERe�le. X131 M&B ELECTRICAL CONTRACTING,LLC _ c&.2D GUARRIELLO&SON INC Iu11150560LM,P 1P0953 .. 1.7284.2244 •� 1 DAGSSEPC.BOX 2450NTRACTOfl men ewers Mt I0311505-1e50 12/1512013 3 SOUTHOLD,NY 11971 .—_/,091_43_"--- _ PAY 1 momof Town of Southold $•'100.00 NO OF SOV In 0`° ._--J$/(0,0C.21-' 2- One Hundred and 00/100 '0114/25 p�€— rs U��"-.---, - ioo ` - DOLLARS 8 a es2oAEeCaprnN Southold Town Hall Annex I N�A1nolvu �• •. Attn:Roger Richert r® 8 1 l:,e�:..,•• 54375 Main Rd M. ® 4 1-166/�S -_ 1 .L9 PO BO%1179 c®6 II ! VJ- FOR IAE 11971-1179 •,. =SWANK 4 8.00 2 L 3 Ln• I:0 211466674 0 5000 04 7 2u• d1 11.00545511. 1:2214728151: 83L06782841' • • • Debit$100.00 ,,...-~ Debit$100.00 DAIT•NCE Am, am.M -- ----------y.Guia_0.n..ne.,. ,,.—i.,...,,.,,.,.,n,...•.^mL�Ju.: KEL•ROB 5 2188 NESCONSET HWY.,n109 ]•32.210 OC•eIE01cuT 12925 v P0.160/14.47 .tea./ W STONY BROOK,NY 11790 ,9116 [t f,CIS 1l Ik- 1 BD HOLDINGS,LLC DATE ELEC R��1R. (631)9811889 (.,f[/3,4 /1•- 5495 FISHERS 151Ano,NY 063n0 51-7011/2111 /� A / .7� J 12-10-2013 rnY 1/IZ Iw.1L.{^^y GAAP Y[., n-(5° L°K -- DOLLARS 400540 8= AMouNr I� e oFuwvlwN CHECK $'"" "125.00 C MDIEUpnOF i ia10 13 401A 11 o` �u1 Ho1AL 5495 $ ice o. II Pay: *******""********""*********One hundred twenty-five dollars and no cents 1 3 TO TIE ORDER OR BaBBofMaka. }11 ,I, !1 J Town of Southold Building Dept • r C/'-^`^- dl/r�SSLL`<-a,amu' Town Hall 8 MINIM mums cwoea DETAILS.oAe. 0 —---- --1 / P.O. Box 1179 (��— Southold, NY 11971 IrOO5495I• ,:02 L0003225: 00947BI.4008 LI,. e•OL2925e 1:2016701141: 220265769914 Debit$100.00 - Debit$125.00 • Page: 4 Customer Notification of Account Adjustment 2121 ._.. 2134 GUARRIELLO&SON INC GUARRIELLO&SON INC 1 ORA G6sN TRACTOR OSA 065 ELECTRICAL CONTRACTOR EVO?SO%215 R.O.SOX xts SOUTHOLD.NY11971 SOUTHOLD.NY 11971 //'' 1d- e /3 50.666-114 DATE/l/�Q_...3 SO.SB9.31a C� I l OA S_ C //'//� p EF OF_>f.JV`r�OL.� �W� I$/Jy , ORTMNOF �C�'rig C I� 10,-^1,3 ___ I V/Pr I c✓JE ).3,3 1 D FIFT/ 0,-- DOLUAs 8 t On1 . �o,L_ )° JIG11-rif hue aA -DOLLARS 8.=� ''T n. SSIDarON ... � .s4H� t ff TONAL ��SA11K51FTUN . 1 FOR��'IOYYt f,S01V .....•....� � ulM -.F f FOO `lam"'Y�(L )1 ' _ 1 �/ • SII./ •F S} DD2L27n• CO 214066671: 050001.0472n• n•002134n•.1:0204066671: 0500040472x' } Debit$150.00 Debit$185.00 2128 B GUARRIELLO&SON INC GUARRIELLO&SON INC USA 0 6 5 ELECTRICAL CONTRACTOR DSA G 6 S ELECTRICAL CONTRACTOR p 50.6(bD14 SOUTHHOLO NY 161971 1 \/S'OUTHO.1PO COx,21I15-7 I ` ` DATE /�/i l/11 A� �,.1 DATE /.J-/��y 1C/.3 50.f'Tn.214 OROFNOF SoU- V`o1.7 (oWN I$' I5TS- - OFOlEHOF Sl7V 04- 1,0T-L) I$ .a•SO9 -j l9 YO E. J.t-010 CLE-C) (z1 a'ken-LI F(LJ o., DOI.uRs 8 -:: 1 ' 0 L)/GOo ID �tJFr3-f Face- _LLARs 8=- f @ atNrTO :71.71- / n� A,TD .YxN,. 1. 1 OGi Ln AL., FOR �nS1U � !� . �A'�y eau21280 1:0214066671: 0500072x• P002129x•.1:021.4066671: 05000404?20 ' Debit$185.00 Debit$225.00 SCOTT H.MCKAY�___..- _ _50-546/214._ _._. 6 9 3 W II, - Andreas E.tk Ts DkyRA 223 Laurel Architecture P.C. NOR romz:o 1.6: Dec R,3 135 LINDA G.MCKAY 31 psta2Ii 2-IIIARRISONAVENUI5 I /) ®ShiD111 I 11 SOUTHAMPTON,NY 11968 IIsi[ / 1I $ �7C t ✓/J/�(� /� ///��////// • ��J/'/I�.(T/////;;;�/I �/� �/� Ij PAY TO THE 70NFI OF $OU TH NOLO 13010 f�1470 PtpF41LTYDMI- 2 0 S 1 PAY TO ( V[1.V r�v/ YL�(.'�-C.�, I $aJ LJ.�/[J 'NZ OF 1 I THF MET OF vh 1 Yv DIX1AP5 8 11.18 IIOY101170 EIFTti OOLLA2r t �U- b L'�u/I+-r/MCI Cf. ;id'-' DOLLARS a •�..•'�'.e.. / u �„ • 4 ii:SINTOUL eoDnn L.• .-. . � Ilq PERneT4 C/D FEE 1 ii c r,L)L J .d1 ..I......x / II.A CA1LLLo3 sbsnz- _,'t V �-- ..1. g ...,............•.�..wn,..�,.e.i �6..A' "Y' Ar EMO w b/,LJT 1_4,.0.1(_/•�,,/g^(/"\�YJyCCJJ//UU (J/{n/ I7$2. '1 4.U �- _--r00775n• 1020003221. 94856 7420x'A:02140E4i: 251. 054092 iRa 0693 L. . Debit$250.00 Check#0693 $250.00 iiiiiii EPIC NAILS&SPA INC. zio 2 11 GERALYN JEAN LANG 50-566/214 5 3 9 338 BROADWAY P O BOX 1143 //'' BETHPAGE,NY 11714-3007 CUTCHOGUE,NY 11935 6�V /. /� ,L/` �l -Y,^ �'y}.^� C�j(,/�J/,/,// DATE $ //� / ..at 44WaDr4 /VW1101 SOUrel6�•- ter ' I $ @C1.Q0 ORDER OF1f'.:4�� ; r�i9�C L//�J � I �`� -C -1) 1► /// �I nn�7y/1 �0)JIZt N&n6IJ t C-ASZ'tj �Ilx1 LJ _ _N, 6 /.e / C 1.2 CI.0QL.(.l2n DOLLARS 8 5-::::: CHASE O • ,��BRIDGEHAMrroN D/ JPoTgan Chafe Wk.N.A. NATIONAL vi+A:rI6pl:Yamm. v..00446mm RANK n T/ .._,/-----Q"..."7--- � xP MEMO I _ . e.fini� ��/_ -/ AT .1:02/00002 LI: 816906 720100 i 16 1:0214066671: 13000LS58 0539 Debit$420.00 Check#0539 $450.00 • Page: 5 Customer Notification of Account Adjustment TURN KEY MODULAR HOMES,INC. r ISLAND FIBERGLASS 10116 24 HARRISON AVENUE sou7HAMPron.NY+I9ea 516(914 JAMES WOODHULL PAY onrfi��/�� ,�. 3A0 PINE NECK ROAD f 6srz,+3213 {,. -� L3_ 340 PIN LD,NY 13571 Dale 11 IQ I7, OnALT,DF__ <n c,4-Qcolc& `�c.�aV�,- l�rU_C— 1 $ as E �areooN`� I$,g. i // � /97/ 1d 1 �,� ��i�w,t.- ooh. 111 OiDP'FSG�C3 4, 24 )(/<.e.�.H-'�u-�I.rra,d-Crriccn� /94.�J- aV DOLLARS fi s._ 'qq Iwo IHa-O3 SI/e 0O4- i a......°.:.N: / Y ` Dollars 8 S`2 ..�.A.......�,...,....v...„. HUDSON CITY SAYINGS BANK .! '1 "'`•'"^�� r gA KWWJ1C990NUNECOM I FOR q OM 6a Lt"�or 0241: 251 I Foo n'OLO1L6N• I:2212723/63: 05 0027 4-.3,___. Debit$1,971.20 Debit$2,006.00 CORA7aNl ASPHALT INC. 9PNN3eNA33rtol.xAT1011ALONl1K 3471 P.O.SOK 120 CUTCNOCUE.NY 11936 CUP11 TCRE. 11935 1OG631l3173NFYS0W /.-) .Au63' I I H gar.( ��0 n 61 6, rl-Ra-rrf "�� 1$Ia6a5,.co 1 :j J 1,)O TE__ 1 A d 51 K.1kt nGi/tk(1 --Pl��t-!'N t�A _ DOuARS fi 0 V 01 C p u M[MO ��1! v0031.710 3:02/406667C 6671: 1300012786s ��pp Debit$2,628.00 • • , A M t1 TIN D. FINNEGAN SCOTT A.RUSSELL - - TOWN ATTORNEY �i��' SupSupervisor martin.finnegan@town.southold.ny.us I�gil , S0612,- JENNIFER ANDALORO �• A.,O` 4 : Town Hall Annex, 54375 Route 25 ASSISTANT TOWN ATTORNEY J�[ J , P.O.Box 1179 jennifer.andaloro@town.southold.ny.us G Q ,z Southold, New York 11971-0959 LORI M.HULSE 'Q #0•,�� Telephone(631) 765-1939 ASSISTANT TOWN ATTORNEY N.ly°OUNT'1 n Facsimile(631) 765-6639 lori.hulse@town.southold.ny.us •• � OFFICE OF THE TOWN ATTORNEY RECEIVED TOWN OF SOUTHOLD RECEIVED Dee 3 ao/3 p - 3 2013 May 15, 2013 Southold Town Clerk Mr. Carlo Ckilittiold Town Clerk 2 Pine Court Riverhead, NY 11901 RE: Returned Check for Commercial Contractor Permit Fees Total Amount Due: $140.00 Dear Mr. Carrillo: The referenced matter has been referred to my office for collection of commercial contractor permit and returned check fees. • As you are aware, your check no. 1527 in the sum of$120.00 dated April 24, 2013, was returned by the bank due to insufficient funds, at which time the bank charged the Town a $20 return check fee. Please be advised that this letter is your final notice. Unless the Town Clerk's office is in receipt of a response from you by June 17, 2013, our office will have no alternative but to pursue all legal remedies. Please stop by the Town Clerk's Office to make this payment so that this matter may be resolved. If you should have any questions, please do not hesitate to call the Town Attorney's Office at 765-1939. Sincerely, Lori M. H Assistant Town Attorney LMH/lk cc: Elizabeth A. Neville, Town Clerk • eitFFOfr tk ELIZABETH A.NEVILLE,MMC �y Town Hall,53095 Main Road • TOWN CLERK C P.O.Box 1179 ti Z Southold New York 11971 REGISTRAR OF VITAL STATISTICS p .LC$ Fax(631)765-6145 MARRIAGE OFFICER 416 0`` / Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER -0,00 FREEDOM OF INFORMATION OFFICER �� www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 2, 2013 CERTIFIED MAIL RETURN RECEIPT REQUESTED Carlo Carrillo 2 Pine Court Riverhead, NY 11901 Dear Sir: • The bank returned your check no. 1527 in the amount of$120.00 due to insufficient funds. The check was payment to the Southold Town Clerk. This office is required to collect the money for the check and a $20.00 returned check charge for each check. Payment must be cash, money order, or certified check. The total amount due is $140.00 ($120.00 +20.00). Payment must be received be close of business on May 10, 2013. Failure to pay this amount within the specified time will result in the referral to the Town Attorney's office for collection and the permit will be voided. Thank you for your anticipated cooperation. Sincerely, dLA-J,a_n\?.ccr,,QC9* - Lynda M Rudder Deputy Town Clerk encs • m .! RID�GEHAMPTON SIONAL 004 0 5 049 2206 Manta&Highway PO lex 3005 bid _�.1m.NY 11932 car. • Southold 54970 Main Rd • Southold NY 11971 \ TOWN OF SOUTHOLD \1 ELIZABETH A NEVILLE `1r.O\ TOWN CLERK BOX 1179 SOUTHOLD NY 11971-0959 ACCOUNT: 500015466 AS OF: 04/30/13 PAGE 1 ****************************************************** * FOR DEPOSITED ITEMS RETURNED * * ****************************************************** THE FOLLOWING CHECKS HAVE BEEN RETURNED PAYOR REASON AMOUNT BROTHERS MAINTENANCE CK#1527 INSUFFICIENT FUNDS 120.00 TOTAL ITEMS CHARGED BACK TO YOUR ACCOUNT 120.00 YOUR ACCOUNT BALANCE IS 94,555.95 A ' NBRIDATIGEHAMPTON PC) Box 3005 II 2200 Montauk Highway Bridgehampton, NY 11932 631.537.1000 • www.bridgenb.com SUBSTITUTE CHECKS AND YOUR RIGHTS IMPORTANT INFORMATION ABOUT YOUR CHECKING ACCOUNT What Is a Substitute Check? `lo make check processing faster,federal law permits banks to replace original checks with"substitute checks."These checks are similar in size to original checks with a slightly reduced image of the front and back of the original check. The front of a substitute check states: "This is a legal copy of your check.You can use it the same way you would use the original check."You may use a substitute check as proof of payment just like the original check. Some or all of the checks that you receive back from us may be substitute checks. This notice describes rights you have when you receive substitute checks from us.The rights in this notice do not apply to original checks or to electronic debits to your account. However,you have rights under other law with respect to those transactions. What Are My Rights Regarding Substitute Checks? In certain cases, federal law provides a special procedure that allows you to request a refund for losses you suffer if a substitute check is posted to your account (for example, if you think that we withdrew the wrong amount from your account or that we withdrew money from your account more than once for the same check).The losses you may attempt to recover under this procedure may include the amount that was withdrawn from your account and fees that were charged as a result of the withdrawal (for example,bounced check fees). The amount of your refund under this procedure is limited to the amount of your loss or the amount of the substitute check,whichever is less.You also are entitled to interest on the amount of your refund if your account is an interest-bearing account. If your loss exceeds the amount of the substitute check,you may be able to recover additional amounts under other law. 411 ou use this procedure,you may receive up to $2,500 of your refund(plus interest if your account earns interest)within 10 business days after we ived your claim and the remainder of your refund (plus interest if your account earns interest) not later than 45 calendar days after we received your claim. We may reverse the refund (including any interest on the refund) if we later are able to demonstrate that the substitute check was correctly posted to your account. How Do I Make a Claim for a Refund? If you believe that you have suffered a loss relating to a substitute check that you received and that was posted to your account,please contact us at: Bridgehampton National Bank PO Box 3005 •2200 Montauk Highway Bridgehampton,NY 11932 631.537.1000 • You must contact us within 40 calendar days of the date that we mailed(or otherwise delivered by a means to which you agreed) the substitute check in question or the account statement showing that the substitute check was posted to your account,whichever is later.We will extend this time period if you were not able to make a timely claim because of extraordinary circumstances. Your claim must include: • A description of why you have suffered a loss (for example,you think the amount withdrawn was incorrect); •An estimate of the amount of your loss; •An explanation of why the substitute check you received is insufficient to confirm that you suffered a loss; and 410 copy of the substitute check [and/or] the following information to help us identify the substitute check: Check Number, Payee's Name, Amount of the Check). U.S. Po' Se vice,. CERTIFIED MAILTM RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) coFor delivery information visit our website at www.usps.come k Cl reistc &r€ce. C;..., RJ r..- / •. tage $ Li r.4 \ - i:.Fee tr Return• ceipt Fee stmar O ndorsem- Required) ere ry/y Restricted Delivery Fee 0 (Endorsement Required) ? ru CP QTotal Postage&Fees $ C Sent To im C ^i$, rzi Street,Apt No.0.cr �^^�)Q &" r 1 F r, or PO Box No. W ring. 0 . ._. City,State,ZIP+- i'(LY , - i_. N y 1190 PS Form 3800,August 2006 See Reverse for Instructions SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete Items 1,2,and 3.Also complete A. Signature r item 4 If Restricted Delivery is desired. X / /❑Agent • Print your name and address on the reverse `Cly' Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery • Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No Cel-NA o Ca.rri`ko a Rr\e COu rk ,1\le .Vle&.d 1•1‘1 '1 O 3. Service Type tertif(ed Mail 0 Express Mail ❑Registered 0 Return Receipt for Merchandise ❑Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7009 0820 0001 7820 8464 (Transfer from service label) — ; PS Form 3811,February 2004 Domestic Return Receipt 102592 02-Mg1540 • 1,0,"c fFO fr ELIZABETH A. NEVILLE,MMC �� 4& l/0•1 Town Hall, 53095 Main Road • TOWN CLERK I,, e, P.O.Box 1179 ti 2 Southold New York 11971 REGISTRAR OF VITAL STATISTICS `b' rrt 1 • O •V Fax(631)765-6145 MARRIAGE OFFICER 'j' fit`/ Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �j 4:111. www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER Y'g OFFICE OF THE TOWN CLERK SOLID VIAi? 5VI?f Effective Date: 04/24/2013 Expiration Date: 04/30/2015 Permit Number: 1367 Fee Paid: $120.00 ( 2012-14 1st Permit ) This Solid Waste Disposal Permit is issued in accordance with Southold Town Board Resolution dated November 1, 1983, and as may be amended (May 22, 1984)from time to time. Organization Name: Name: Brothers, Maintenance Address: 2 Pine Ct City ST Zip: Riverhead, NY 11901 Owner/Principal Officer: Brothers, Maintenance Phone#: (516) 903-0206 is authorized to dispose of solid waste from the following truck at the Southold Town Landfill site, • C.R.48, Cutchogue, New York, in accordance with the above Resolution. The Solid waste shall originate within the Town of Southold, and shall contain no chemicals, hazardous, or toxic wastes. VEHICLE INFORMATION Make: 2006 Ford Model: Pick Up Color: «VehicleColor>> No Rear Axles: 1 Capacity (C.Y.): 6086 License Plate No: 18376MB (TOWN SEAL) By Authority of: SOUTHOLD TOWN BOARD Date: 04/24/2013 Elizabeth A. Neville, Southold Town Clerk (A COPY OF THIS PERMIT SHALL BE CARRIED IN EACH TRUCK ) • , ' ..1.'i'. „4,.....0)...)..ff/c52.. 11? - , , 1 ., / . t, ' i 6 , ' , . . . , ' , , t . . , , I 1 , ,I. I ,1 i , 1. , , 'I - X 20 • ELIZADETH A.NEVILLE,MMC 0'0� ss, Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 • Southold,New York 11971 REGISTRAR OF VITAL STATISTICS `) �� Fax(631)765-6145 MARRIAGE OFFICER :_'j, �',' southoldtown.northfork.net Telephone(631)765-1800 RECORDS OF MANAGEMENT OFFICER : �j * �►�'�� FREEDOM OF INFORMATION OFFICER = . 8MII )0 • 614: ' 1 6 1.112 I a_S „ $1 Nee le I SOLID WASTE DISPOSAL PERMIT - 0 e) 40: I/ 11 •Effective Date: 04 013 + Vt Expiration Date: /20 1 j, Permit Number: Fee Paid: $120.00 ( 2012-14 1st Permit ) ksT This Solid Waste Disposal Permit is issued In accordance with Southold Town Board Resolution dated November 1, 1983,and as may be amended (May 22, 1984)from time to time. Organization Name: Name: Brothers, Maintenance Address: 2 Pine Ct City ST Zip: Riverhead, NY 11901 Owner/Principal Officer: Brothers, Maintenance Phone P. (516)903-0206 WII is authorized to dispose of solid waste from the following truck at the Southold Town Landfill site, C.R.48,Cutchogue, New York, in accordance with the above Resolution.The Solid waste shall originate within the Town of Southold,and shall contain no chemicals,hazardous,or toxic wastes. • VEHICLE INFORMATION Make: 2006 Ford Model: Pick Up Color: Black No Rear Axles: • 1 Capacity(C.Y.): 6086 License Plate No: 18376MB (TOWN SEAL) By Authority of: SOUTHOLD TOWN BOARD Date: 04/24/201312 Elizabeth A.4 . eville Sou old Town Clerk (A COPY OF THIS PERMIT SHALL BE CARRIED IN EACH TRUCK) • • • • • • December 2013 TOWN CLERK XX5466 Page 1 2/26/2014 Reconciliation Summary BANK STATEMENT--CLEARED TRANSACTIONS: Previous Balance: 70,239.86 Checks and Payments 9 Items -63,766.58 Deposits and Other Credits 43 Items 99,082.94 Service Charge 0 Items 0.00 Interest Earned 0 Items 0.00 Ending Balance of Bank Statement: 105,556.22 YOUR RECORDS--UNCLEARED TRANSACTIONS: Cleared Balance: 105,556.22 Checks and Payments 0 Items 0.00 Deposits and Other Credits 1 Item 1,637.00 Register Balance as of 1/2/2014: 107,193.22 Checks and Payments 12 Items -271,131.58 Deposits and Other Credits 76 Items 279,538.90 Register Ending Balance: 115,600.54 • • • December 2013 TOWN CLERK XX5466 Page 2 2/26/2014 Uncleared Transaction Detail up to 1/2/2014 Date Num Payee Memo Category Clr Amount Uncleared Checks and Payments Total Uncleared Checks and Payments 0 Items 0.00 Uncleared Deposits and Other Credits 1/2/2014 Deposit DEPOSIT c 1,637.00 Total Uncleared Deposits and Other Credits 1 Item 1,637.00 Total Uncleared Transactions 1 Item 1,637.00