NYS Town Clerks Association
..
DEPARTMENT
TOWN CLERK
[CLAIMANT - DO NOT
WRITE IN THIS AREA] VOUCHER
NUMBER
DATE VOUCHER RECEIVED
FUND - APPROPRIATION AMOUNT
A1410.4 50.00
TOTAl SSO.OO
ENTERED ON ABSTRACT NO.
- VOUCHER -
New York State Town Clerks Association, Inc.
CLAIMANT'S~arie L. Little, RMC I
NAME NYSTCA Membership Chair
AND Royalton Town Clerk
ADDRESS 5316 Royalton Center Roa0
~iddleport, NY 14105 ~
DETAILED INVOICES MAY BE ATTACHED. AND TOTAL ENTERED ON THIS VOUCHER.
CERTIFICATION BELOW MUST BE SIGNED.
TERMS
PURCHASE
ORDER NO.
DATE VENDOR'S QUANTITY DESCRIPTION OF MATERIAlS DR SERVICES UNIT PRICE AMOUNT
INVOICE NO.
7/1/09 New York State Town Clerks Association, In( .
Annual Dues Payment
Effective: July 1 , 2009 - June 10, 2010 50.00 50.00
COpy~
'""'--...-.
[SEE INSTRUCTIONS ON REVERSE SIDE] TOTAl $50.00
CLAIMANT'S CERTIFICATION
I. 1'~ a r i e L.L i t tIe, RM C . certify that the above account in the amount of $ 50. 00
is true and correCt; that the items, services and disbursements charged were rendered to or for the municipality on the dates stated; that no part has been paid or
satisfied: that taxes. from which the municipality is exempt. are not included: and that the amount claimed is actually due.
July 1, 2009
DATE
I~II~ Y ~ JAiL
SlGNATU
(SPACE BELOW FDR MUNIOPAL USE)
NYSTCA Membership Chair
mLE
DEPARTMENT APPROVAL
APPROVAL FOR PAYMENT
The above services or materials were rendered or
furnished to the municipality on the dates stated and
the charges are correct
This claim is approved and ordered paid
from the appropriations indicated above.
t9(zzI0]
DATE
r.~~
. AUTHORIZED OFFICIAl
DATE
AUDITING BOARD
New York State Town Clerks Association, Inc.
Marie L. Little, Membership Chair
Royalton Town Clerk
5316 Royalton Center Rd.
Middleport, NY 14105
Tel 716-772-2431 Fax 716-772-2748
trclerkl@rochester.rr.com
APPLICATION FORM FOR
MEMBERSHIP YEAR July 1, 2009 - June 30,2010
Please Tvpe or Print Clearly to Insure Accurate Listinl!: In the Association Directorv:
PLEASE FILL OUT TIDS INFORMATION, EVEN IF THERE HAVE NOT BEEN ANY CHANGES.
* * * THANK YOU FOR YOUR COOPERATION! * * *
Name of Municipality
County
Town Clerk (Print name)
Mailing address (address will be printed in directory)
Telephone #: (
)
Ext.
Fax #: (
)
Population
Email address:
Do you collect or receive taxes?
Are you appointed?
Term length
Is your office in your home?
Are you a new town clerk this year?
Would you be interested in serving as a District Director?
Yes No
Yes No
2yr 4yr
Yes No
Yes No
Yes No
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Please fill in the above portion and return this form with your dues payment of$50.00 to:
Marie L. Little, RMC
NYSTCA Membership Chair
Royalton Town Clerk
5316 Royalton Center Road
Middleport, NY 14105
PLEASE NOTE:
*In order to properly process dues payment, include this entire page with the voucher when submitting to your
bookkeeping department for payment, so that both check and above membership information can be returned to me.
Dues are sent to the Membership Chairman at the above address. Thank You
.. i
NEW YORK STATE TOWN CLERKS ASSOCIATION
June 15,2009
Dear Fellow Clerk:
Enclosed is a VOUCHER for your membership for the year, JULY 1. 2009 - JUNE 30. 2010.
Please fill this out and return to me with your application fonn. Don't forget to keep a copy for
your own records.
Also enclosed is an APPLICATION FORM to be filled out and returned tome along with your
check so that your town may be correctly listed in our directory. Please note the dues include your
deputy(s). Please fill out the application completely, even ifthere have been no changes so that we
may verify that the infonnation we have on file for your town is up to date.
All members will receive our quarterly newsletter, the Recorder and a directory of Town Clerks
throughout the state. The membership will entitle you and your deputy(s) to reduced registration for
the annual conference. We have just completed our conference in Rochester and are already
planning for next year's conference, which will be held in Saratoga Springs. The annual conference
is the best educational program available to Town Clerks. When your budget requests are made in
September, please remember to include this conferenc;;e expense. Each member may apply fora
scholarship to attend the annual conference. You will find a Scholarship application form in the fall
edition of the Recorder.
We feel that the commitment to our organization continues to be very important and as in the past,
regional meetings will be held throughout the state offering interesting and beneficial programs.
You will find the locations listed in the Recorder and receive a notice for the one in your area.
Your district director or any of the officers, listed in the directory are available to you for any
questions or problems. Please feel free to contact me at 716-772-2431 (phone); 716-772-2748 (fax)
or email attrclerkl@rochester.rr.comifyou have any questions about membership.
Very truly yours,
.JKa.de .e. 1!ittle, 9l.Me
Marie L. Little, RMC
NYSTCA Membership Chair
Royalton Town Clerk
5316 Royalton Center Road
Middleport, NY 14105
Enclosed:
Application
Voucher
