NYS Town Clerk's AssociatonVOUCHER
DEPARTMENT
TOWN CLERK
Claimant Do Not
Write in this Area
Date Voucher Received
CLAIMANTS r
NAME AND NEW YORK STATE TOWN CLERKS ASSOCIATION
ADDRESS c/o Donna A. Combs, RMC/CMC
Warrensburg Town Clerk
NYSTCA Membership Chair
3797 Main Street
Warrensburg, NY 12885
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Voucher #
DATE VENDERS
INVOICE #
QUANTITY DESPCRIPTION OF MATERIALS OR SERVICES
UNIT PRICE
AMOUNT
7/1/2012 New York State Town Clerks Association Annual Dues 75.00/year 75.00
July 1, 2012 -June 30, 2013
TOTAL $ 75.00
CLAIMANT'S CERTIFICATION
[, Donna A. Combs, RMC/CMC certify that the above account in the amount of $75.00
is true and correct; that the items, services and disbursements charged were rendered to or for the municipality on the dates stated; that no part has been paid
or satisfied; that taxes, from which themunicipaolity is exempt; are not included; and that the amount claimed is actually due.
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Date Signature Title
DEPARTMENT APPROVAL
The above services or materials were rendered or furnished to the municipality
on the dates stated and the charges are correct.
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Date Authorized Signature
AL FOR PAYMENT
This claim is approved and ordered paid
from the appropriations indicated above.
Auditing Board
APPLICATION FORM FOR
MEMBERSHIP YEAR July 1, 2012 -June 30, 2013
Please Type or Print Clearly to Insure Accurate Listin:= In the Association Directory
PLEASE FILL OUT THIS INFORMATION, EVEN IF THERE HAVE NOT BEEN ANY
CHANGES.
* * * THANK YOU FOR YOUR COOPERATION!
'Town o~ 'UU A~y~i ~4,R
Name of Municipality County ~Ut~C~(IQ.~S S
Town Clerk (Print name)
Chris-~r~ -i a I-I~1
I1.1~xilin~ ?.Cl!~r°.$^ /%?~!l+r~cr .rill ~~ r~rirltPG~ ?^ ~IiTP! t!t?vl
ao m ~ ~e. ~ l~o~n~ers ~~-uS
Telephone #: ( g~~J ) a~(~ ~ ~j~1~ 1 Ext.
Fax #: (~~ ) ~~g' 1 ~~ ~ Population ~, p0~
Email address:
_ G'FU L~CO-J ®`tow !J ~ us t~`,~G~- m leS -
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?
Yes No /
Yes No _~
2 yr 4 yr li
Yes
Yes ~~
No /
No
Would you be interested in serving as a District Director? Yes No
Senatorial District #
Assembly District # .
Senator's Name
Assemblyperson's Name
Are you willing to be a Key Communicator with your State Representative? Yes
If you indicated yes please specify by circling the Representatives name.
Please fill in the above portion and return this entire form with your payment
Of .$75.00 t0: Donna-A.-Combs, RMC/CMC
NYSTCA Membership Chair
Warrensburg Town Clerk
3797 Main Street
Warrensburg, NY 12885
NEW YORK STATE TOWN CLERKS ASSOCIATION
June 18, 2012
Dear Fellow Clerk:
Enclosed is a VOUCHER for your membership for the year, JULY 1, 2012 -JUNE 30, 2013.
Please fill this out and return to me with your application form. Don't forget to keep a copy for
your own records.
Also enclosed is an APPLICATION FORM to be filled out and returned to me 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 if there have been no changes so that we
may verify that the information 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 NYSTCA 30~' Anniversary conference in
Saratoga and are already planning for next year's conference, which will be held in Buffalo at the
HYATT. 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 conference expense.
Each member may apply for a 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 518-623-4561 (phone); 518-623-3831 (fax)
or email at dcombs(a~,nycap.rr.com if you have any questions about membership.
Very truly yours,
l~oruaa CZ. C'.am8a, ~~.JLC/C.NtC
Donna A. Combs. RMC/CMC
NYSTCA Membership Chair
Warrensburg Town Clerk
3797 Main Street
Warrensburg, NY 12885
Enclosed: Application
Voucher