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Home My WebLink About300004 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 14E 500 s; ONE CIVIC SQUARE INDANA DEPT OF WORKFORCE CHECK AMOUNT: S*****3,647.41 CARMEL, INDIANA 46032 DEVELOPMENT ATTN:ACCT RECV CHECK NUMBER: 300004 �0 SENATE AVE CHECK DATE: 07/12/16 INDI NAPOLISIN 46204-2277 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701. 4110000 07012016 3,647.41 FULL TIME REGULAR VOUCHER NO. WARRANT NO. IU►ltel,v�a�e 1 e� • ��ptcir, '�T�V►: ALLOWED 20 Acck. rkims. • IN SUM OF $ 10 a Se�a�C W-, SE ZD1 Y $ t ON ACCOUNT OF APPROPRIATION FOR"-- s. .4.� Board Members oEP or INVOICE NO. ACCT#/TITLE AMOUNT -y-certify that the attached invoice�s�� or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 /6 el I ature-,` Itle ° Cost distribution ledger classification if claim paid motor vehicle highway fund sna INDIANA DEPARTMENT OF WORKFORCE DEVELOPMEN State Form 43191(R217.08),DWD 1067 10 N.SENATE f� AVE. INDIANAPOLIS,I 46 0 N 402277 +.�7oieCONFIDENTIAL RECORD PURSUANT TO IC 4-1-6,IC 22-419-6 201067011 000unemplink 07/01/2016 loyment programs 808801111001067011 Set:1064 of 1108 CITY OF CARMEL REIMBURSABLE BILL ONE CIVIC SQ Account Number:133438 CARMEL IN 46032-2584 PAYMENT DUE DATE:7/31/2016 AMOUNT DUE:$4,896.61 ,Please tear at line below and return top por on with your check or make payment at our website uplink.in.gov. If payment is made by check,pl ase Include your SUTA account number on the check. The following items apply-to your benefit charges: -- ----------------------------------------------------------------------------------------------------------------------------------- Month/Year --Activity Summary Benefit Chages Interest ----Penalt Total Liabilit for Period ----------------------- ---------------- - $ . ..........$..........---------- .---------------------------------- 5/2016 Previous Balance 1 249.20 0.00 0.00 $0.00 5/2016 Assessment Of Interest/Penalty $0.00 $12.49 $124.92 $0.00 5/2016 Ending Balance $1,249.20 $12.49 $124.92 $1,386.61 0 - ---------------------------------------------------------------------------------------------------y------------------ ----------- $ Month/Year - Activity Summary Benefit Charges Interest Penalty Total Liabilityfor Period ------- ----- --------------- -------- ---------- ------------- ----------------------------- 6/2016Previous Balance $ .00 $0.00 $0.00 6/2016 Assessment of Benefit Charges $3,510.00 $0.00' $0.00 $0.00 6/2016 Ending Balance $3,51.00 $0.00 $0.00 $3,510.00 Ending Balance: $4,896.61 If the Department has referred your account to a collection agency, please note that the total amount set forth on this notice does not include the collection agency's fee. Please add the collection agency's fee to your outstanding balance to satisfy your account. If you fail to pay your tax debt and alb collections fees in full, the Department may assess additional interest and penalties. This is your total liability. Payment mailed after the 20th of the month may not be reflected on this bill. Please pay this amount no later than 07/31/2016. Additional interest will accrue at a rate of 1% per month and a one time penalty of 10% will be assessed on any outstanding-benefit charges-after the-payment due-date. -- ---_. - If you have any questions, please call (800) 437-9136 and ask for a Collection representative I8088 111 (1) 133438 35- 6202972 f(etc wkeJ 6q '(a It14.J r(( ONCV54lI5 t,derc Cq (cam 1.444 o sT4� INDIANA DEPARTMENT OF WORKFORCE DEVELOPMENT aN ' State Form 43191(R217.08),DWD 1067 I I�IIII �I SENATE AVE. 202 IN INDIANAPOLIS,IN 46262 04.2277 �IIII(��II tl�l�l III '+oto. !1' CONFIDENTIAL RECORD PURSUANT TO IC 4-1-6.10 22.4- 9.6 00106 7011 0,'_ fF.� link 06/01/2016 1 ` (' �'' ��Vt 10 54�V1�(`�' Wr1�� wcmv�ormencao�amt 805111891001067011 SetArA of 1137 CITY OF CARMEL Q'QV�a� / XQ REIMBURSABLE BILL ONE CIVIC SQ Account Number:133438 CARMEL IN 46032-2584 PAYMENT DUE DATE:6/30/2016 AMOUt�j 1td,288.05 a a o5� o � Q `I""TvA `�q,1 q d5 � 7 I-r [it Please tear at line below and return top porif n with your check or make payment at our website VI^ov�e Cq.`I uplink.in.gov.If payment is made�by check,please include your SUTA account number on the check. The following items apply to your benefit charges: 1 l`� 35 5 d�t goal t due ---------------------_..Activity Stirnmar---------- -------Beti---Char es----- - " ' ................ . �PirC6 Y Interest Penalty TotalLia ili 5/2016 Previous Balance -- ..TV G so.i o $o.00 $o.00 $o.00 5/2016 Assessment of Benefit Charges ��. $1,560.00 $0.00 $0.00 s' 5/2016 Payment Adjustments ($271. 5) $0.00 $0.00 n I $0.00 5/2016 Ending Balance $1,2885 $0.00 $0.001 $1,288.05 a8.0 �. Ending Balance: qk ,t4 $1,285 a - oN 7�l a If the Department has referred your account to a collection agency,please note that the total amount`se'4 forth on this notice does not include the collection agency's fee. Please add the collection agency's fee to your outstanding balance to satisfy your account. If you fail to pay your tax debt and all collections fees in full,the Department may assess additional interest and penalties. This is your total liability. Payment mailed after the 20th oft ie month may not be reflected on this bill. Please pay this amount no later than 06/30/2016.Additional Interest will accrue at a rate of 1%per month and a one time penalty of 10% will be assessed on any outstanding benefit charges after t e payment due date. If you have any questions, please call (800) 437-9136 and ask for a Collection representative 310 SCo II II I I 80511 89 (1) I I I� I ��II II 133438 35-60