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.
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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