HomeMy WebLinkAboutNorth Fork Head Start ®OFF04
ELIZABETH A.NEVnJX h`�®� ®may Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® Fax(516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ®� � Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 170-N Residential Non-Residential X
Fee $ 25.00 New Existing X
Name Of Owner NORTH FORK HEAD START
------------------------------
Mailing Address 1 ST. ACNES R.C. SCHOOL
------------------------------
Mailing Address 2 SIXTH STREET
----- ------------------------
City St Zip CREENPORT NY 11944-0000
-------------------- -- ----------
Property Address 1 SIXTH STREET
------------------------------
Property Address 2
----- ------------------------
City St Zip CREENPORT NY 11944-0000
-------------------- -- ----------
Owner Telephone No. 516-477-1748
Tax Map No. section 6.00 block 1 lot 1 .000
------ --- ------
Cross Street MAIN ROAD
------------------------------
----------------------------------
Issue Date: 3/23/98 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
Ts )-k Fo r S4o�
Ex
�cit� �}�-a nr�
S C4 Ln �
a�-Q r5
Coh
��,� 51 s4-e,�
_ y L.I.,Head Start Child Development Services' Inc.
98 Austin Street,Patdiogue,W.Y.'1177Q
_ �. .
SUFFOLK i
A_ YMEHT YOUCHER
PAYEE EN' 40,315
D/w(�(�
P.V.N0:
CHECK NO.
5,454 p
10
P.O.NO.
VENDOR ACC.N l 1 r LIHSCDS VENDOR ACC.NO.
EXP.
DATE OF INV. INV.NO. DESCR PTIONFUND DEPT. ACCT. AMOUNT
rbc /d6,
r f
• trtY•`s f
TOTAL AMOUNT
! OFVOUCHER
VERIFICATION
P.O.Approved
R R Attached DATE „-{ VOUCH R PREPARED BY
Expenditure Code
Distribution Check
Remarks DATE
VOUCHER APPROVED BY DIRECTOR OF FINANCE
i r J
i 1)
DATE, ,'-VOUCHER APPROVED BY EXEC DIRECTOR/ADM DIRECTOR
ADM-241`1ev10/934