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242003 2 /10/2015 (9, CITY OF CARMEL, INDIANA VENDOR: L2370 CHECKAMOUNT: $*******110.00* ONE CIVIC SQUARE I N S C C U-ASFECARMEL, INDIANA 46032 PO BOX 6271 CHECK NUMBER: 242003 INDIANAPOLIS IN 46206-6271 CHECK DATE: 02/10/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 HOOVER 55.00 OTHER EXPENSES 101 5023990 SHOEFF 55.00 OTHER EXPENSES Child Support Bureau -MS11 Department of Child Services 402 W WASHINGTON ST INDIANAPOLIS IN 46204-2243 AARON,HOOVER C/O CITY OF CARMEL ONE CIVIC SQUARE ATTN KAREN HUFFMAN ARMEL IN 46032 PLEASE RETAIN THIS PAGE FOR YOUR RECORDS COURT CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT 29D01-9810-DR-0614 0003454074 $55.00 0 o, Total ASFE Due for the above listed cases $55.00 18 p: Protecting our children,families and future Michael Pence,Governor Mary Beth Bonaventura, Director Indiana Department of Child Services Child Support Bureau 402 W.Washington Street MS-11 Indianapolis, Indiana 46204 317-233-5437 FAX: 317-233-4925 www.in.gov/dcs NCPASFE Child Support Hotline:800-840-8757 Child Abuse and Neglect Hotline:800-800-5556 January 18,2015 ANNUAL SUPPORT FEE NOTICE Employers Please Note:In instances where the Child Support Bureau does not have the address of the non-custodial parent,this notice is sent in the care of the last known employer.Employers are asked to forward this notice to your employee,or inform the Child Support Bureau if the non-custodial parent is no longer employed with your company. Dear AARON HOOVER, This notice is to inform you that pursuant to IC 33-37-5-6 and IC 31-16-15,the 2015 Annual Support and Maintenance Docket Fee (ASFE) for the listed child support case(s) shown below is due by 06/30/2015.The$55.00 fee is due for each individual case. In order to assure proper credit: • Include the coupon on the bottom of this notice with your payment. • Write on your check or money order the ISETS case number(s)listed on the coupon and clearly note that the payment is for the ASFE. • DO NOT COMBINE your ASFE payment with a child support payment. This is the only notice you will receive for this year's fee.If the total amount shown is not received by 06/30/2015,an Income Withholding Order will be sent to your employer to withhold the balance owed for the current year's fee for each case eligible for income withholding.If you have any questions about this notice,please contact the Kidsline at(317)233-5437 or(800)840- 8757. NOTE:You may also receive an ASFE notice from your County Clerk's office regarding any past due ASFE balances from previous years.Please contact the County Clerk about those notices. Thank you Indiana State Child Support Bureau Department of Child Services ----------------------------------------PLEASE DETACH AND RETURN COUPON WITH PAYMENT-------------------------------------------- Child Support Bureau -MS11 Department of Child Services 402 W WASHINGTON ST INDIANAPOLIS IN 46204-2243 DONALD D. SCHOEFF 10138 N PARK AVE INDIANAPOLIS IN 46280-1618 PLEASE RETAIN THIS PAGE FOR YOUR RECORDS COURT CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT 29D01-0811-DR-1476 0006295516 $55.00 0 o, Total ASFE Due for the above listed cases $55,00 41. �a . N/ f qt+���C 'J / s a Jg Protecting our children,families and fkure Michael Pence,Governor Mary Beth Bonaventura, Director Indiana Department of Child Services Child Support Bureau 402 W.Washington Street MS-11 Indianapolis, Indiana 46204 317-233-5437 FAX:317-233-4925 www.in.gov/dcs NCPASFE Child Support Hotline:800-840-8757 Child Abuse and Neglect Hotline:800-800-5556 January 18,2015 ANNUAL SUPPORT FEE NOTICE Employers Please Note:In instances where the Child Support Bureau does not have the address of the non-custodial parent,this notice is sent in the care of the last known employer.Employers are asked to forward this notice to your employee,or inform the Child Support Bureau if the non-custodial parent is no longer employed with your company. This notice is to inform you that pursuant to IC 33-37-5-6 and IC 31-16-15,the 2015 Annual Support and Maintenance Docket Fee (ASFE) for the listed child support case(s) shown below is due by 06/30/2015.The$55.00 fee is due for each individual case. In order to assure proper credit: • Include the coupon on the bottom of this notice with your payment. • Write on your check or money order the ISETS case number(s)listed on the coupon and clearly note that the payment is for the ASFE. • DO NOT COMBINE your ASFE payment with a child support payment. This is the only notice you will receive for this year's fee.If the total amount shown is not received by 06/30/2015,an Income Withholding Order will be sent to your employer to withhold the balance owed for the current year's fee for each case eligible for income withholding.If you have any questions about this notice,please contact the Kidsline at(317)233-5437 or(800)840- 8757. NOTE:You may also receive an ASFE notice from your County Clerk's office regarding any past due ASFE balances from previous years.Please contact the County Clerk about those notices. Thank you Indiana State Child Support Bureau Department of Child Services -----------------------------------------PLEASE DETACH AND RETURN COUPON WITH PAYMENT----------------------------------------------- Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee /-- Purchase Order No. Terms 11V 4,27/ Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) If V l< CC !r y J !J !l Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. , 20- Clerk-Treasurer 20Clerk-Treasurer VOUCHER NO. WARRANT NO. G�3-7 ALLOWED 20 IN SUM OF $ 2-71 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or (,ol -23%�0 .5,3-,-cYd bill(s) is (are) true and correct and that the oZ3�9v 57�76-D materials or services itemized thereon for til which charge is made were ordered and received except �y 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund