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Home My WebLink About301397 07/28/16 I I CITY OF CARMEL, INDIANA VENDOR: L2370 "° ONE CIVIC SQUARE I N Sl C C U-ASFE CHECK AMOUNT: $*******275.00* r. ,_� CARMEL, INDIANA 46032 PO BOX 6271 CHECK NUMBER: 301397 9M�roN.�. INDIANAPOLIS IN 46206-6271 CHECK DATE: 07/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 CARTER 1 55.00 OTHER EXPENSES 101 5023990 DIALLO 1 55.00 OTHER EXPENSES 101 5023990 MARTIN 1 55.00 OTHER EXPENSES 101 5023990 NAVARRETTE 55.00 OTHER EXPENSES 101 5023990 SCHERICHi 55.00 OTHER EXPENSES I I VOUCHER NO. WARRANT NO. ALLOWED 20 [N,S_GGV —r4S F e� IN SUM OF $ PQ $ V7S,00 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# - ---- - - - - ---- _ _—___ -_ I hereby certify that the attached invoice(s), E6( C -ncc✓' S a 23 Fav ss,oa or bill(s) is (are) true and correct and that I% the materials or services itemized thereon Lo F fA�arA�'I for which charge is made were ordered and t,a 1i"0arm ktc received except co( S ter:cLk 20 16 Signatre7 Cost distribution ledger classification if ° Title claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199 CITY OF CARMEL An invoiceor 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. t'O F6 71 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) r S v e o rk 55 oa A SS, ob L. tva va fK�t `' ' & SS ,ra SC .c�;c.(^ � .� SS.o9 L ttz rool4ce4sele.,00 SAwin cel vr► c w P . Total 2,-7,5. .o I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20- Clerk-Treasurer 20Clerk-Treasurer Order to Withhold Income for the 2016 Indiana Annual Support Fee Indiana Department of Child Services State Child Support Bureau Per Indiana Statutes IC-33-37-5-6 and IC-31-16-15 ASFEIWO July 18, 2016 y - CITY OF CARMEL ONE CIVIC SQUARE ATTN KAREN HUFFMAN CARMEL IN 46032 This is an Order to Withhold Income for the;201.6;Annual Support Fee. This fee is charged to non-custodial_parents-pursuant-to---- Indiana statute. You are require -by-fm,IC-3-3-37-5-6 and IC 31-16-15,to deduct these amounts from the employee's income. The deduction should be made from the next payroll,or as soon thereafter as practical. You may remit,either in check form,which should be forwarded to the Indiana State Central Collection Unit(INSCCU),or electronically(please see instructions below). This deduction is in addition to any other child support or support-related payments you may be deducting. • General information: • This is a once a year fee deduction that should be made AFTER all other child support payments are deducted. If the child support obligation deducted each pay period always exceeds the CCPA limits,you cannot withhold the fee. The child support obligation,your fee,plus the ASFE combined,cannot exceed the CCPA limits. • Even if you are not currently withholding child support for the employee(e.g.the non-custodial parent is paying directly), the ASFE fee still needs to be withheld. Employees with questions should contact the Kidsline at 317-233-5437 or 800- 840-8757. • ' A separate payment is required for this fee;do not combine the fee with regular child support payments. • You may retain a two dollar($2.00)fee from the employee's income for this withholding. • Even if the child support obligation ceased within the current year,the fee is neither waived nor prorated. • Paying via Check: • Please complete the list on the reverse of this letter and send it with the payment to the address listed on the reverse. A copy of this list MUST accompany the payment,unless payments are sent electronically. • Please note that the P.O.Box for the fee payments!is different than for regular child support payments. • If possible,please combine the Annual Support Fees withheld from all employees listed in a single check. • Paying Electronically: • The fee can be paid by using the Child Support Bureau's FREE Employer Online Payment System. If you're not currently using the,site to process your regular child support,payments,we can set you up to process the fees only. Formor_e__._ -=--- --- - --information-concerning this process;please call 3T7=23Z=032or 1-800-2y2-0403,option 1. • The fee CAN NOW also be sent electronically(ACH)but you must follow these instructions. Set up the fee as a separate child support deduction and add ASFE to the beginning of the ISETS case number as shown on the reverse of this document. ADP clients must use the P O Box 620 as the payee address and add ASFE to the beginning of the ISETS case number,as only payments with this address will go electronically to Indiana. Ceridian clients must assign the garnishment INSDUI for the payments to go electronically. Consumer Credit Protection Act(CCPA): Federal law requires states to limit the amount which can be collected by income withholding to 60%of disposable earnings per pay period,or 500%of disposable earnings if your employee is supporting another souse or - dependent child(current family). If earnings are not sufficient to make the fullpayment(which may include'the$2:00 fee);partial deductions should be made up to the CCPA limit. If you have any questions,please contact the Child Support Burl au,EMPLOYER MAINTENANCE UNIT(EMU)at 317-232-0327 or 1-800-292-0403 or EMUna,DCS.IN.gov.. SIGNATURE C. ofCynthia Longest Deputy Director Department of Child Services 1 of 2 Child Support Bureau THE EMPLOYEES LISTED BELOW OWE THE 2016 INDIANA ANNUAL SUPPORT FEE. • The remittance for the Annual Support Fee must be mailed separately to the special ASFE P O Box address listed below. • You are not obligated to make a payment for employees/income payees listed if he/she is no longer employed by your company.If there is an outstanding paycheck, send the amount requested from the list below while not exceeding the CCPA limits. If an employee/income payee is not employed by your-company,please complete column 3 of.the,list and fax to (317)232-0290. Please retain a copy of the completed list for your records.If additional or multiple payments are needed,a copy of this list is to be sent with your payments. Employer Name: CITY OF CARMEL DBA: Make Check Payable to: FEIN: 356000972 INSCCU-ASFE P O Box 6271 Indianapolis IN 46206-6271 Employee's Name Employee's Date of Last Day ISETS Case# Amount Amount SSN Worked or . Due Paying Never' Employed, per case' ` per case CARTER,MARCUS L. 312-74-3975 ASFE3671874 $55.00 DIALLO,AMADO T. 132-78-7902 ASFE7473904 $55.00 MARTIN,DAVID 315-58-4956 ASFE7682307 $55.00 NAVARRETTE,JUAN 564-95-8825 ASFE6841213 $55.00 SCHERICH, STEVEN B. 312-52-5721 ASFE3638797 $55.00 2 of 2 July 18, 2016