311956 5/30/2017 1�W t,p*f
;� CITY OF CARMEL, INDIANA VENDOR: L2370
ONE CIVIC SQUARE I N S C C U-ASFE CHECK AMOUNT: $**......55.00*
_� ;r', CARMEL, INDIANA 46032 PO Box 6221 CHECK NUMBER: 311956
�*„i uB�. INDIANAPOLIS IN 46206-6271 CHECK DATE: 05/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 55.00 OTHER EXPENSES
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Eric J.Holcomb,Governor
Mary Beth Bonaventura, Director
Indiana Department of Child Services
Child Support Bureau
402 W.Washington Street MS11
Indianapolis,Indiana 46204
www.in.gov/dcs/support.htm
Child Support Kidsline: 800-840-8757
CAS45
02/13/2017 NO TE. D UE DA TE IS EARLIER TFIANPRE VIOUS 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 DONALD D. SCHOEFF
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 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 PAYMP:NT-------------------------------------------------
PAYMENT COUPON
Mail this coupon with your check or money Date: 02/13/2017
order and make payment payable to: Name: DONALD D. SCHOEFF
INSCCU-ASFE MPI#: 0006295508
P.O. BOX 6271
Indianapolis, IN 46206-6271
Write on your check or money order the ISETS case number(s) and note that payment is for ASFE. (DO NOT send cash)
COURT CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT
29D01-0811-DR-1476 0006295516 555.00
Total ASFE Due for the above listed cases S55.00
RETURN THIS PORTION WITH YOUR PAYMENT
Eric J.Holcomb,Governor
Mary Beth Bonaventura, Director
Indiana Department of Child Services
Child Support Bureau
402 W.Washington Street MS11
Indianapolis,Indiana 46204
CH ' www.in.gov/dcs/support.htm
SERVICES Child Support Kidsline: 800-840-8757
CAS45
02/13/2017 NOTE. DUEDATE IS EARLIER TIYANPREVIOUS 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 DONALD D. SCHOEFF
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.
0 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 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
----------------------------------------------PLEASEDETACH ANDRRTT 1RN C.011P(-)XTIYJP1-u73 n 1. ,MNT-
CHILD SUPPORT BUREAU MS11
Department of Child Services
402 W. WASHINGTON STREET
INDIANAPOLIS, IN 46204-2243
172822
NCPASFE
DONALD D. SCHOEFF
10138 N PARK AVE
INDIANAPOLIS IN 46280-1618
MP
PLEASE RETAIN THIS PAGE FOR YOUR RECORDS
COURT CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT
29D01-0811-DR-1476 0006295516 $55.00
Total ASFE Due for the above listed cases $55.00
Protecting our children,families and future