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Transfer Confirmation
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5466 TOWN CLERK 265.53 113387 78
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Number Account Transfer Amount New Balance Confirmation Number
7685 TOWN CLERK-CONS 265 53 00 400066971
LICENSES
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https://web3.secureinternetbank.com/pbi pbi1961/Pbi1961.ashx?WCI=ExpressXfr&WCE=PFCo... 1/20/2016
0111212016Town Clerk Monthly Reporti. Page 1
- • . December 01, 2015-December 31, 2015
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
Account# Account Description Fee Description Qty Local Share
AGENCY&TRUST . T1 030 Clean-Up Deposit 3 750 00
Road Clean-up Dep 1 1,500 00
Sub-Total: $2,250.00
FISD SS2.2130 00 January Fl Sewer District Rent 2016 31 6,975 00
January Installment 2 450 00
June Fl Sewer District Rent 2016 6 1,350 00
June Installment 1 225 00
Sub-Total: $9,000.00
INTEREST Interest Now Account Interest NOW Account 1 1 14
Sub-Total: $1.14
PART B 1255 00 Yard Permit 10 150 00
B 1560 00 Building Permit Fees 11 45,531.50
B 1601.20 Death Trans. 209 2,090 00
8.2110 10 Public Events 1 250 00
ZBA Application Fees 11 7,750 00
B.2590 10 House Trailer Permit 3 450 00
B.2590 40 Event Fee 1 250 00
Sub-Total: $56,471.50
PT-HIGHWAY DB.2590 00 Excavation Permits 13 2,342 50
Sub-Total: $2,342.50
SWMD SR.2130 40 Bags- Retail- Large 28 184 50
Bags- Retail-Medium 30 225 00 _
Bags- Retail-Small 18 64 50
SR.2590 10 Disposal-2015 1st Permit 3 45 00
Disposal-2016 1st Permit 1053 31,590 00
Disposal-2016 Add'I Permit 222 3,330 00
Disposal-2016 Guest/Lessee 6 150 00
Disposal- Replacement 13 0 00
Disposal-Void 7 0 00
SR.2590.20 2014-16 Add'I Permit 1 60 00
2015-17 1st Permit 5 600 00
2015-17 Add'I Permit 3 180 00
Sub-Total: $36,429.00
WHOLE A.1255 10 Marriage License 4 70 00
Marriage Trans 10 100 00
A.1255.20 Photocopies 338 547 05
A.2116 10 Alarm- Initial 15 375 00
Alarm- Renewal 1 10 00
•
Alarm- Renewals120 1,200 00
Renewals 2013 1 10 00
Renewals 2014 7 70 00
A.2116.20 Alarm- Fines 39 3,825 00
A.2540 10 Bingo Proceeds 5 13 81
A.2544 10 Dog License Female, Spayed 26 260 00
01112/2016Town Clerk Monthly Report Page 2
1.. December 01, 2015-December 31,2015
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
Dog License Female, Unspayed 1 15 00
Dog License Male, Neutered 24 240 00
Dog License Male, Unneutered 2 30 00
• A.2544.20 Dog Adoptions 1 10 00
Dog Redemption- 1st 2 20 00
Dog Redemption-2nd 2 40 00
Dog Redemptions-3+ 1 30 00
A.2590 10 Replacement 1 0 00
Shellfish-Commercial 25 1,250 00
Shellfish- Free, Non-Commercial 103 0 00
Shellfish- Resident, Non-Comm 69 345 00
A.2590.20 Beach-Guest 8 320 00 .
Beach- Non-Resident 3 450 00
Beach- Replacement 2 0 00
Beach- Resident 861 8,610 00
- Beach-Void 2 0 00 1
A.2590 30 A.2590 30 8 15 47
Bell Jar License Bell Jar License 1 10 00
Bingo License Bingo Licenses 48 360 00
Euthanasia Euthanasia 1 0.00
Sub-Total: $18,226.33
WVVDD SS1.2130 00 Septic Permit-Construct- Resid. 7 70 00
Sub-Total: $70.00
Total Local Shares Remitted: $124,790.47
Amount paid to NYS Ag & Markets for spay/neuter program59.00
Amount paid to NYS Environmental Conservation ._. 265.53
Amount paid to , NYS Health Dept. For Marriage License ...... 90.00
Amount paid to State Share Of Bell Jar License ._. 15.00 •
Amount paid to State Share Of Bingo Licenses ..- -. 540.00
Total State, County & Local Revenues: $125,760.00 Total Non-Local Revenues: $969.53
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
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From 12/1/2015 To: 12/31/2015 DOG LICENSE MONTHLY REPORT 01/08/2016 •
Suffolk 97 Send Copy To: Animal Population Control Elizabeth A. Neville
Southold Town Clerk
Town of Southold 10
LICENSE TYPES N
AND FEES 0 w N Unspayed Spayed
o y h y Statutory Fee Statutory Fee Local Fee (D) Late Penalty (E) Spayed Fee (F) Unspayed Fee (G)
triN w N K (B) (C)
1. Spay/Neuter 50 50 0 NO FEE @ 0.00 0.00 @ 10.00 500.00 0 @ 0.00' 0.00 @ 1.00 50.00 NO FEE
2. Unspay/Unneut 3 3 . 0 3 @ 0.00 0.00 NO FEE @ 15.00 45.00 0 @ 0.00 0.00 NO FEE @ 3.00 9.00
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 0 1.00 0.00 0 3.00 0.00
6. Purebred(26+)' 0 0 0 @ 100.00 0.00 @ 100.00 0.00 .8 0.00 0.00 @ 0.00 0.00 @ 1.00 0.00 @ 3.00 0.00
7. TOTALS 53 53 0 3 $0.00 $0.00 $545..00 $0.00 $50.00 $9.00
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 $59.00
13. Local% of 7D + 7E + 101 $545.00 16. Stat% of 10J $0.00
14. Total $545.00 17. Total $0.00
Amount paid to: County Treasurer for Dog Licenses $0.00
Amount paid to• NYS Ag. & Markets for spay/neuter program $59.00
.
LICENSE SUMMARY
1. Number of Original Standard Dog Licenses: 15
2. Number of -Original Purebred Dog Licenses: 0
3. Number of Standard Renewals (including New Owner Licenses) : 38 -
4. Number of Purebred License Renewals: 0
5. Total of Lines 1-3: 53
L
NEW YORK STATE DEPARTMENT OF HEALTH
Empire State Plaza-Coming Tower Monthly Report of
Bureau of Accounts Management-Revenue Unit-Room 1717
Albany,New York 12237-0016 Marriage Licenses Issued
SEE INSTRUCTIONS AT BOTTOM OF PAGE
Report for the month of DEP NO.
December 2015
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 2003,1 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 135 to 138 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 • / i i�n ' 01/08/2016
Mailing AGO-ss
Amount of remittance with this report P.O Box--1 179
$ 90.00 Southold,NY 11971
E-mail Address Phone
•
E.neville@town.southold.ny.us (631) 765-1800
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¢.. -..-..¢
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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)
STATE OF NEW YORK DO NOT WRITE IN THIS SPACE
AMOUNT REC'D. ENT. BY
REPORT OF BINGO FEES COLLECTED REFUND CHECKED BY
DEPOSITED CODE
PURSUANT TO CHAPTER 437&438,LAWS OF 1962
SHEET NO. 1 OF 1
MONTH OF December , 2015
NAME OF MUNICIPALITY Town of Southold COUNTY Suffolk
P.O. ADDRESS P O Box 1179,Southold,NY 11971
CODE NUMBER 4737900
NUMBER OF
NAME OF ORGANIZATION LICENSE NO. OCCASIONS AMOUNT
American,Legion Post 803 47 210 201 01829 48 900 00
A.) TOTAL FEES COLLECTED $900.00
B) DELIVERED TO MUNICIPAL TREASURY $360 00
C)TRANSMITTED HEREWITH TO STATE COMPTROLLER $540 00
TOTALS
•
CERTIFICATION OF ISSUING OFFICER:
Elizabeth A.Neville ,hereby certifies that-he is the
Southold Town Clerk of the Town of Southold
State of New York;that-he has prepared the annexed report,issued the licenses listed therein and that such report is a true and correct statement
of operations for the period which it covers.
via eg a_
Issuing Officer
CERTIFICATION OF REMITTING OFFICER:
Scott A. Russell ,hereby certifies that-he is the
SupPrvisor of the Town •f Southold
State of New Ybrk;that-he has examined the annexed report,that-he knows such report to be a e and correct statement of operations for the period
which it covers and that the amount remitted herewith is the full amount,payable to the State Co . oiler for such period pursuant to Chapter 438 of
the Laws of 1962,as amended.
Remitting Officer
STATE OF NEW YORK DO NOT WRITE IN THIS SPACE
REPORT OF GAMES OF CHANCE AMOUNT REC'D. ENT. BY
FEES COLLECTED REFUND CHECKED BY
DEPOSITED CODE
PURSUANT TO CHAPTER 960, LAWS OF 1976
SHEET NO. 1 OF 1
MONTH OF December , 2015
NAME OF MUNICIPALITY Town of Southold COUNTY Suffolk
P.O.ADDRESS P O Box 1179,Southold, NY 11971
CODE NUMBER 4737900
NUMBER OF
NAME OF ORGANIZATION LICENSE NO. OCCASIONS AMOUNT
American, Legion Post 803 47 210 20103 026 1 25.00
A.) TOTAL FEES COLLECTED $25 00
B) DELIVERED TO MUNICIPAL TREASURY $10 00
C) TRANSMITTED HEREWITH TO STATE COMPTROLLER $15.00
TOTALS
CERTIFICATION OF ISSUING OFFICER: •
Elizabeth A.Neville ,hereby.certifies that-he is the
Southold Town Clerk of the Town of Southold
State of New York;that-he has prepared the annexed report,issued the licenses listed therein and that such report is a true and correct statement
of operations for the period which it covers.
Clef0A41,Ala
_ Issuing Officer
CERTIFICATION OF REMITTING OFFICER:
Scott A. Russell ,hereby certifies that-he is the
Supervisor of the Town of Southold
State of New York;that-he has examined the annexed report,that-he knows such report to be true and correct statement of operations for the period
which it covers and that the amount remitted herewith is the full amount payable to the State Co troller for such eriod pursuant to Chapter 960 of
the Laws of 1976,as amended.
tut
Remitting Officer
01/08/2016 Town of Southold Page 1
9 30 01 AM Proceeds Report
Lynda M Rudder For All License Types
Date Range 12/01/2015 to 12/31/2015
License Type License# Organization Name Receipt Date Occasion Receipts Expenses Profits Cash
2015-Bingo 4017 American, Legion Post 803 12/01/2015 12/01/2015 $930 00 $773 75 $151 56 $4 69
2015-Bingo 4017 American, Legion Post 803 12/08/2015 12/08/2015 $1,103.00 $1,773 75 -$670 75 $0 00
2015-Bingo 4017 American, Legion Post 803 12/15/2015 12/15/2015 $925 00 $773 75 $146 71 $4 54
2015-Bingo 4017 American, Legion Post 803 12/23/2015 12/23/2015 $822.00 $758 75 $61 35 $1 90
2015-Bingo 4017 American, Legion Post 803 12/29/2015 12/29/2015 $913 00 $823 75 $86 57 $2.68
Totals: $4,693 00 $4,903 75 -$224 56 $13 81
01/08/2016 Town of Southold Page. 1
9 30 41 AM DECALS Import Transaction Report
Lynda M Rudder December 01,2015- December 31, 2015
Date Agent Total Sales Less Commission Net Due to Encon UserlD
12/09/201522.00 1.21 20 79 CAROLH
12/10/2015 32.00 176 30.24 CAROLH
12/16/2015 22.00 1.21 20 79 SABRINA
12/23/2015 22.00 1.21 20 79 SABRINA
12/28/2015 91 00 5 01 85 99 CAROLH
12/29/2015 5 00 0 28 4 72 CAROLH
12/30/2015 67 00 3 69 63 31 CAROLH
12/31/2015 20 00 1 10 k 18.90 BONNIED
Report Totals: $281.00 $15.47 $265.53
01/08/2016 Town of Southold Page. 1
09.53:04 - - Summary Daily Cash Report
Lynda M Rudder December 01, 2015—December 31, 2015
Cash Category Sub-Category Qty Fee Description Amount
Adoption 1 Dog Adoptions 10 00
1 Category Sub-Total... $10.00
Agency&Trust 3 Clean-Up Deposit 750 00
1Road Clean-up Dep 1,500 00
4 Category Sub-Total... $2,250.00
' Alarm Fees 1 Renewals 2013 10 00
7 Renewals 2014 70 00
8 Category Sub-Total. .. $80.00.
Alarm Permits 39 Alarm-Fines 3,825 00
15 Alarm-Initial 375 00
•
1 Alarm-Renewal 10 00
120 Alarm-Renewals 1,200 00
175 Category Sub-Total... $5,410.00
Beach Permits 8 Beach-Guest 320 00
3 Beach-Non-Resident 450 00
2 Beach-Replacement 0 00
861 Beach-Resident 8,610 00
2 Beach-Void 0 00
876 Category Sub-Total. .. $9,380.00
Building Permit Fees 11 Building Permit Fees 45,531 5.0
11 Category Sub-Total . .. $45,531.50
Certification, Death 209 Death Trans. 2,090 00
209 Category Sub-Total. . . $2,090.00
Certification, Marriage 10 Marriage Trans 100 00
10 Category Sub-Total. . . $100.00
Conservation(DECALS) - 8 Conservation (DECALS) 281 00
8 Category Sub-Total. .. $281.00
Dog Licenses Original 4 Dog License Female, Spayed 44 00
1 Dog License Female, Unspayed 18.00
9 Dog License Male, Neutered 99 00
1 Dog License Male, Unneutered - 18 00
15 Category Sub-Total . .. $179.00
Dog Licenses Renewal 22 Dog License Female, Spayed 242 00
15 Dog License Male, Neutered 165 00
01/08/2016 Town of Southold Page: 2
09:53.04 = Summary Daily Cash Report
Lynda M Rudder December 01,2015—December 31,2015
Cash Category Sub-Category Qty Fee Description Amount
1 Dog License Male, Unneutered 18 00
38 Category Sub-Total. .. $425.00
Euthanasia 1 Euthanasia 0 00
1 Category Sub-Total . .. $0.00
Fishers Island Sewer District 31 January Fl Sewer District Rent 6,975 00
2016
2 January Installment 450 00
6 June Fl Sewer District Rent 1,350 00
2016
1 June Installment 225 00
40 Category Sub-Total... $9,000.00
Highway Excavation - 13 Excavation Permits 2,342.50
13 Category Sub-Total. .. $2,342.50
House Trailer Permits 3 House Trailer Permit 450 00
3 Category Sub-Total. .. $450.00
Interest Now Account 1 Interest NOW Account 1 14
1 Category Sub-Total. .. $1.14
Misc.Cash 338 Photocopies 547 05
338 Category Sub-Total. .. $547.05
, Racing And Wagering Bell Jar 1 Bell Jar License 25 00
1 Category Sub-Total... $25.00
Racing And Wagering Bingo 48 Bingo Licenses 900 00
5 Bingo Proceeds 13.81
53 Category Sub-Total. .. $913.81
Redemptions 2 Dog Redemption-1st 20 00
2 Dog Redemption-2nd 40 00
1 Dog Redemptions-3+ 30 00
5 Category Sub-Total. .. $90.00
Shellfish 1 Replacement 0 00
25 Shellfish-Commercial 1,250 00
103 Shellfish-Free, 0 00
Non-Commercial
69 Shellfish-Resident, Non-Comm 345 00
198 Category Sub-Total... $1,595.00
Solid Waste Management 1 2014-16 Add'I Permit 60 00
District
5 2015-17 1st Permit 600 00
01/08/2016 Town of Southold Page: 3
09:53.04 '' r Summary Daily Cash Report
Lynda M Rudder December 01, 2015—December 31, 2015
Cash Category - Sub-Category Qty Fee Description . Amount
3 2015-17 Add'I Permit 180 00
28 Bags-Retail-Large 184.50
30 Bags-Retail-Medium 225 00
18 Bags-Retail-Small 64 50
3 Disposal-2015 1st Permit 45 00
1053 Disposal-2016 1st Permit 31,590 00
222 Disposal-2016 Add.'Permit 3,330 00 -
6 Disposal-2016 Guest/Lessee 150 00
13 Disposal-Replacement 0 00
7 Disposal-Void 0 00
1389 Category Sub-Total. .. $36,429.00
Special Events 1 Event Fee 250 00
1 Category Sub-Total . .. $250.00
Vital Statistics Marriage 4 Marriage License 160 00
4 Category Sub-Total. .. $160.00
Wastewater-Disposal District 7 Septic Permit-Construct- 70 00
Resid •
7 Category Sub-Total... $70.00
Yard Sale Permits 10 Yard Permit 150 00
10 Category Sub-Total. . . $150.00
ZBA Application Fees •
11 ZBA Application Fees 7,750 00
11 Category Sub-Total. . . $7,750.00
Zoning Board Of Appeals 1 Public Events 250 00
1 Category Sub-Total. .. $250.00
Received Through Total
Cash Total: ' '$22,685.09
COUNTER $125,760 00 Check Total: $81,776.01
Credit Total: $20,639.40
Debit Total: $30.00
Money Order Total: $0.00
Online Total: $0.00
Multi-Entry Total: $469.50
Other/Unknown: $160.00
Grand Total : $125,760.00