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Home My WebLink About309381 3/24/17 9a w 59'4 CITY OF CARMEL, INDIANA VENDOR: L2370 ONE CIVIC SQUARE I N S C C U-ASFE CHECK AMOUNT: S"""'"110.00' s r' CARMEL, INDIANA 46032 PO BOX 6271 CHECK NUMBER: 309381 +y_ INDIANAPOLIS IN 46206-6271 CHECK DATE: 03/24/17 �TON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 110.00 OTHER EXPENSES Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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�h(ours`,_rate 1per�-hour, number of units, price per unit, etc. Payee v��'�1U(�Y�.O�J-n C) 1A!!SGG U 1 ffi O_ Purchase Order No. Terms Q 1 qWP10� !�� Date Due 4hok Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �5 E 55°° 1 E c S av Total 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 Eric J. Holcomb,Governor Mary Beth Bonaventura, Director Indiana Department of Child Services Child Support Bureau INDIANA 402 W.Washington Street MS11 Indianapolis,Indiana 46204 CHILD www,in.gov/dcsisupport.htm SMICES Child Support Kidsline: 800-840-8757 CAS45 02/13/2017 NOTE:D UE DA TE IS EARLIER THAN PREVIOUS YEARS 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 JOHN W. MCALLISTER This notice is to inform you that pursuant to IC 33-37-5-6 and IC 31-16-15,the 2017 Annual Support and Maintenance Docket Fee(ASFE) for the listed child support case(s)shown below is due by 04/30/2017. 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. If the total amount shown is not received by 04/30/2017 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 1-800-840-8757. NOTE:You may also receive an ASFE notice from vour 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 ----------------------------------------------PLEASI D-T.AC"A\'TlRT7T"7'R\I!Y)f`Pllti\C'TTUPAV'V]-.\fT-----------_--_________-_ Eric J. Holcomb,Governo Mary Beth Bonaventura, Directo INDIANA CAS45 02/13/2017 NOTE.DUE DATE IS EARLIER THANPREVIOUS YEARS ANNUAL SUPPORT FEE NOTICE Employers Please Note:In instances where the Child Support Bureau does not have the address of the non-custoclial parent,this notice is sent in the care of the last known employer. I�inployers are asked to f<mvard this notice to your emplovee,or inform the Child Support Bureau if the non-custodial parent is no longer employed with your company. Dear JEREMY M. KASHMAN This notice is to inform you that pursuant to IC 33-37-5-6 and IC 31-16-15,the 2017 Annual Support and Maintenance Docket Fee(ASFE) for the listed child support case(s) shown below is due by 04/30/2017. 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 yow-.ASFE payment with a child support payment. If the total amount shown is not received by 04/30/2017 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 1-800-840-8757. NOTE:You may also receive an ASFE notice from your County Clerk's office regarding any past due ASFF1 balances from previous years. Please contact the County Clerk about those notices. Thank you Indiana State Child Support Bureau Department of Child Services ----------------------------------------------P11-ASGD1 TACHANI-)RI" ('RNCOt'13ON\STTHPAY'�11'NT--------------------------------------------------