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Home My WebLink About328865 08/14/18 CITY OF CARMEL, INDIANA VENDOR: 146500 • ONE CIVIC SQUARE INDIANA DEPT OF WORKFORCE CHECK AMOUNT: $********66.64* r. CARMEL, INDIANA 46032 DEVELOPMENT ATTN:ACCT RECV CHECK NUMBER: 328865 10 N SENATE AVE CHECK DATE: 08/14/18 "oN INDIANAPOLIS IN 46204-2277 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 R4110000 50649 676277 66.64 UNEMPLOYMENT CLAIMS ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 146500 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Indiana Dept of Workforce Developn Payee 10 North Senate Ave., SE 106 Indianapolis, IN 46204-2277 In Sum of$ 146500 Purchase Order# Indiana Dept of Workforce Development Terms $ 66.64 10 North Senate Ave., SE 106 Date Due Indianapolis, IN 46204-2277 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund pO#ornvolce nvolce Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount 50649 P 676277 4110000 $ (7.42) Board Members 8/1/18 676277 Credit on Account 50649 $ .42) 50649 P 676277 4110000 $ 74.06 8/1/18 676277 Unemployment Claims Jul'18 9/1 $ 74.06 1 hereby 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 $ 66.64 Total $ 66.64 August 6,2018 1 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 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature 20 Accounts Payable Coordinator Clerk-Treasurer Title NDIA ANDEPARTMENT OF V}IORKFORCE DEVELOPMENT �1�� tate,�Fo7rr►43791(R217�08),DWD 1067" 4zt � eNDIANAPOLIS ISN ®�o� CONFIDENTIAL RECORD PURSUANT TO IC 4-1-6,IC 22-4-19-6 001067011 �oolink ~A8/01/2018 1 une,1oYmentPrograms 000300 CARMEL CLAY BOARD OF PARKS AND RECREATION REIMBURSABLE-BILL 1411 E 116TH ST [AccounNumber--�17,6�%7 CARMEL IN 46032-3455 PAYMENT DUE DA1EAMOUNT DUEID$7 Please tear at line below and return top portion with your check or make payment at our website 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: ------------------------------------------es- -In-te-re-s-t--------Activity Summary Benefit Charges Interest Penalty Total Liability for Period 8/2017 Previous Balance ($7.42) $0.00 $0.00 $0.00 8/2017 Ending Balance ($7.42) $0.00 $0.00 ($7.42) Enh ing Balancer 7.42) _ 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 all collections fees in full, the Department may assess additional interest and penalties. g This is your total liability. Payment mailed after the 20th of the month may not be reflected on this bill..Please pay this g amount no later than 08/31/2018. 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. s s If you have any questions, please call (800) 437-9136 and ask for a Collection representative AUG 0 6 2018 8y: 89635982 (1) 676277 90 - 0629237 %SS 4NDIANA-DEPARTMENT'OFWORKFORC DEVELOPMENT State Form 43283(R/7-08) �I y � INDIANAPOLIS,IN 46204 277 CONFIDENTIAL RECORD PURSUANT TO IC 4-1-6,IC 22-4-19-6 043283011 ounemlink ploymentwograms 006674 CARMEL CLAY BOARD OF PARKS AND RECREATION Account/Location 676277 1411 E 116TH ST Number CARMEL IN 46032-3455 Reporting Month 7/2018 Net Charges $74.06 Posting date 08/01/2018 STATEMENT OF BENEFIT CHARGES CONFIDENTIAL RECORDS PURSUANT TO IC 22-4-19-6, IC 4-1-66 The receipt of this statement does not reopen the question of the claimant's eligibility for unemploymentinsurance since before the payments were made,the employer had the opportunity and the responsibility to report any information which could disqualify the claimant. Social Benefit Year Claim Transaction Paid for Security Employee's Name End Date Level Date Week Ending Acq Amount Charged Number THIS IS NOT A BILL OR A REQUEST FOR MONEY DUE TO THE DEPARTMENT. It is a statement of benefit charges made to your account during the reporting month. If you are a Qualifying employer currently electing to be reimbursable, this statement will be followed next month by your invoice (Form 1067). **' New charges for the reporting month 7/2018 '`* XXX-XX-2325 CIERA R ROWE 03/30/2019 UI 07/13/2018 04/08/2018 $74.06 Total New Charges for Reporting Month 7/2018 $74.06 Total Amount of Net Charges $74.06 s s An (") in the Acq column denotes a charge resulting from an acquired business. Marion County Toll Free (800) 437-9136. - - -**-END OF BENEFIT-CHARGE-STATEMENT-"*---- --- - — -- - - — DECEIVED AUG 0 6 2018 89639622 (1) 676277 90 - 0629237 %as