HomeMy WebLinkAbout4) Payout (Rutkoski $264,149.55) THE SUFFOLK COUNTY NATIONAL BANK
P.O. BOX 9000
RIVERHEAD, NY 11901
Page: 2 D
PERIODIC STATEMENT
—� Account #: CK -000630000099 TOWN OF SOUTHOLD
Jul 31, 2003
Transaction Information (continued)
Date Check# Description Amount
07/09 W/T BK OF NYC 63,133.90
07/09 W/T BK OF NYC 41,069.25
07/09 W/T BK OF NYC 22,001.55
07/09 W/T BK OF NYC 12,415.50
07/10 Deposit 2,435.00
07/10 Deposit 245,467.80
07/11 wire transfer 27,437.95-
07/11 wire transfer 245,421.76-
07/11 W./T MFRS BUF 27,437.95
07/16 W/T BK OF NYC 20,491.27
07/16 W/T BK OF NYC 18.,163.81
07/16 W/T BK OF NYC 32,092.49
07/16 W/T BK OF NYC 37,305.87
07/16 W/T BK OF NYC 350,083.79
07/16 W/T BK OF NYC 42,306.70
07/18 CREDIT FOR CHECK# 621 ;.450.00
07/21 Deposit 1,4,24.00
07/22 Deposit -,:L90-.96
07/30 W/T BK OF NYC 38•;9'53,.84
07/30 W/T BK OF NYC 60,,953.94
07/30 W/T BK OF NYC , 57:10
07/30 W/T BK OF NYC 2,344.45
07/30 W/T BK OF NYC 61,923.00
07/30 W/T BK OF NYC 148,955.11
07/30 W/T BK OF NYC 657,415.78
07/31 Interest Credit 45.53
07/31 Deposit 3,377.90
Automated Clearing House
07/02 ACH Deposit NY ACH PMT, TRACE 00308916 941.63
07/07 ACH Withdrawal USATAXPYMT, EFTPS - CHICAGO
ID: 120318820284148 104,568.25-
07/07 ACH Withdrawal WITHHOLD, NEW YORK STATE
ID: CONF3C309399736 19,141.93-
0713A6,,: ACH DOVO TgAjV#P*jW.'s, ;,.._,. sP TI,,OSKf
07/18 ACH Withdrawal USATAXPYMT, EFTPS - CHICAGO
ID: 120319922023337 116,204.82-
07/18 ACH Withdrawal WITHHOLD, NEW YORK STATE
ID: CONF3C321713736 19,104.68-
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SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Approved by Office of Management and PAGE OF
' REOUEST FOR ADVANCE Budget, No.80—RO183 1 1 PAGES
OR REIMBURSEMENT 1, 0.
x•en..erboth be:e. 2. BASIS OF REQUEST
TYPE OF 1:1ADVANCE ® MENT URSE• ❑ CASH
PAYMENT b."X'•the oppWable boa
(Sen instrl[ctionREQUESTEDa an back) ❑ FINAL ® PARTIAL ❑ ACCRUAL
3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO 4. FEDERAL GRANT OR OTHERS. PART AL PAYMENT REQUEST
WHICH THIS REPORT IS SUBMITTED IDENTIFYING NUMBER ASSIGNED NUMBER FOR THIS REQUEST
BY FEDERAL AGENCY
CCC and USDA—NRCS 73-21031-02-671 Request #1
6. EMPLOYER IDENTIFICATION 7. RECIPIENTS ACCOUNT NUMBER 8, PERIOD COVERED BY THIS REQUEST
NUMBER OR IDENTIFYING NUMBER FROM (month,do V.Year) TO(month,day,Veer)
11-6001939 9/30/02 -5/29/2003
9.RECIPIENT ORGANIZATION 10. PAYEE(WAere cheek 4 to be sent G different than Item e)
Name r Town of Southold• Name [ Town of Southold
53095 Route 25
NumberNumber it PO Box 1179 ands0ut t VXP 68991560073
awtr Siate r Southold, NY 11971-0959 C(tv,state
and Zt P Code r
11, COMPUTATION OF-AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED
(a) (b) (e)
PROGRAMS/FUNCTIONS/ACTIVITIES ► FPP TOTAL
a. Total program (Aso date)
outlays to date 5/29/03 $528,299.10 $ $ $
b. Lees:Cumulative program Income
c. Net program outlays (Line a minus 528,299. 1.0
line )
d. Estimated net cash outlays for advance
period
e. Total (Sum of lines a&d) 528,299'10
f. Non-Federal share of amount ori line a 264,149.55
. Federal share of amount on line e
264,149.55
IT. Federal payments previously requested
1. Federal share now requested (Line p
minus line h) 264,149.5 264,149.55
�. Advances require1by t month
month,when reqed by Federal gragency for use In d month
Ing prescheduledvances
d month
12. ALTERNATE COMPUTATION FOR ADVANCES ONLY
a. Estimated Federal cash outlays that will be made during period covered by the advance $
b. Leas:Estimated balance of Federal cash on hand as of beginning of advance period
e. Amount requested (Lina a rninus line b) $
13. CERTIFICATION
F
HORIZED CERTIFYING OFFICIAL DATE REQUEST
I certify that to the best of my knowleI SUBMITTED
and belle( lay date above are correct a ����
that all outlays were made In accordanO �---�
with the grant conditions Or Other agrNA E ANO TITL TELEPHONE (AREA
meet and that payment Is duo and has CODE, NUMBER,
been previously requested.
Horton EXTENSION)
r (631)765-1889
This space for agency use
270-102 —
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