181956 02/03/2010 a CITY OF CARMEL, INDIANA VENDOR: L2370 Page 1 of 1
q Q J ONE CIVIC SQUARE INDIANA STATE CENTRAL COLLECTION_ HECK AMOUNT: $275.00
Z CARMEL, INDIANA 46032 UNIT ASFE
PO BOX 6271 CHECK NUMBER: 181956
INDIANAPOLIS IN 46206 -6271
CHECK DATE: 2/3 /2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 0001446753 55.00 OTHER EXPENSES
101 5023990 0002479753 55.00 OTHER EXPENSES
-101 5023990 0003454074 55.00 OTHER EXPENSES
101 5023990 0003566540 55.00 OTHER EXPENSES
3101 5023990 0004353249 55.00 OTHER EXPENSES
PLEASE RETAIN THIS PORTION FOR YOUR RECORDS
CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT
29C01- 0205 -JP -0684 0004353249 $55.00
Total ASFE Due for above listed cases $55.00
ASFE Notice: State Form 53234(11- 07)CAS00045 Approved by State Board of Accounts, 2007
Please note that the Indiana General Assembly set the amount of the fee at $55
effective January 1, 2008. Employers please note: In instances where the Child
Support Bureau does not have the address of the non custodial parent (NCP),
this notice is sent in care of the NCP's employment record. Employers are asked
to forward this notice to your employee, or inform the Child Support Bureau that
the NCP is no longer employed with you.
Dear JOHN W. MCALLISTER
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31- 16 -15, the
2010Annual Support and Maintenance Docket Fee (ASFE) for the listed child support
case(s) shown on the coupon attached below is due by 03/31/2010 555.00 is due
for each and every individual case. In order to assure proper credit, you must
include the coupon below when paving the fee. In addition, please remember to
write on your check or money order your Social Security Number (SSN) and clearly
note that it is for the ASFE.
DO NOT combine your ASFE payment with a child support payment or you may not
receive proper credit for payment of this fee. This is the only notice you will
receive for the current fee for this calendar year. If the total amount shown is
not received by 03/31/2010, an Income Withholding Order will be sent to your
employer to withhold the balance owed for the current year's fee for each and
every individual case eligible for income withholding. If you have any questions
about this notice, please contact the Kids Line at (317)233 -5437 or (800)840 -8757.
Please 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 these notices.
Thank you.
Indiana Child Support Bureau
CHILD SUPPORT BUREAU PRESORTED
402 W. Washington Street MS 11 FIRST CLASS MAIL
7 1 Indianapolis IN 46204 -2739 US POSTAGE PAID
1 CAS00045 PERMIT d583
I ADDRESS SERVICE REQUESTED INDIANAPOLIS, IN KILDI
SERVICE
#BWNNXZL
#0004 3532 46E#
JOHN W. MCALLISTER
C/O CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
CARMEL IN 46032
7-- i, ..'^_03::: 1[ 1uirII[[ IIt[[[[ il[ irI[ li[ rtl [I[I[[I#[FI[1[[11[[[[Al[[[ll
�j /j .fir rj. /,16'.:(% I r /I r t .i /r -r e: /,r w a r
a\ a\ T \a t a t a 4 :...S": ::.X C a 1 a a a• r a
\1a'; C \a a \:C aaa 4 \♦C 14'1 V:...`.41.:::::•',:•::=.;,:-.';`,•`,...•• I r ywa♦ W e4 a\ C: \a C -.;•-•%•::::/::,:,•r4. :a\. a :?...t••:.••:••;.%•.•,. r q .1 i
:t ii :ilr i.. i/ 4 ,,t:: i i'� 4 :i/ /i •ii z ii i i/ 1% J .it /i :1%
/i1 %..:.ej
•C C r C 4 T ...:.•;•%•:.1:‘,;:::••• s r C a 1 r a\ s a r; a s a C 'a s
r s •rl/ /,-i /l, .L /1i 0- /r[ i
r7.•.:.4%.11•:•:,,,a....:0,;::?::' :L \•r ra\ '.\ai'a\ .a;. L a a\.0 1C a\ r a
":1 %.'..:r. :::::;;;.:::,%-...4',1-:::::,;.::::,:;;-[41;,:!.... i i ,r :i i \w/ `i\),r r `:,.y/ ;V ,,r `•,;r
s i r :r�. r�. ,x.. C :1
i ii i it/ /w r i/i i 0 i i•, i/i 1 'i /i i i/i r '•t i ,t::::%; w i ir. i/ a i 1 s i/.
'1.\ a /`a\ 4 a a\ \a a\ r .f.: k. /tea\.: /1 4 1 r C
r w '/w 4 //I r/. r I r/ Ir/ •r I,/
r, r t r I r r r r
�i S. E .a te •,l' a i .`i aa i•�• •i• i• a\:
4 ..I.`.. lw i I .ii 1 i' i/. 1,1 1 7 p,- i r/ i ir ;rr i 'li. 'i O r 1� i /r: %i:�.
'i' i i 0' i l i i i i .r i i r•.,, l• %i f iri 0 i
te a 4\ .11 a �s t, ;1
C i 1, t C :/r r w C r 0 C C r
'i•y/ 'i.w/'iar a\•/ a`- •:1 wr •\1• a\ it:: a ,Y
:1%..:: 4i/% r /:,./i `n i r i /r r ;�r M 4 �i. a`� .:40.,•,..7,1,.•,....,,; a� ,z
l r r w ri r r i r r r o. w.
f.".';',:. ;.4.;.•:, \s: \a: 'a\ i:; C L ,`,i
•;•.:.•-•117.•/.'.1:/.•F; t 'PAP:: i 'i/ 'i/ i' 5 i ...7, k i i Vi i: r i: i�/
PLEASE RETAIN THIS PORTION FOR YOUR RECORDS
CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT
29D01- 9810 -DR -0614 0003454074 $55.00
Total ASFE Due for above listed cases $55.00
ASFE Notice: State Form 53234(11- 07)CAS00045 Approved by State Board of Accounts, 2007
Please note that the Indiana General Assembly set the amount of the fee at $55
effective January 1, 2008. Employers please note: In instances where the Child
Support Bureau does not have the address of the non custodial parent (NCP),
this notice is sent in care of the NCP's employment record. Employers are asked
to forward this notice to your employee, or inform the Child Support Bureau that
the NCP is no longer employed with you.
Dear AARON HOOVER
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31-16 -15, the
2010Annual Support and Maintenance Docket Fee (ASFE) for the listed child support
case(s) shown on the coupon attached below is due by 03/31/2010 $55.00 is due
for each and every individual case. In order to assure proper credit, you must
include the coupon below when paying the fee. In addition, please remember to
write e on_y_our check or money order your Social Security Number (SSN) and clearly
note that it is for the ASFE.
DO NOT combine your ASFE payment with a child support payment or you may not
receive proper credit for payment of this fee. This is the only notice you will
receive for the current fee for this calendar year. If the total amount shown is
not received by 03/31/2010, an Income Withholding Order will be sent to your
employer to withhold the balance owed for the current year's fee for each and
every individual case eligible for income withholding. If you have any questions
about this notice, please contact the Kids Line at (317)233 -5437 or (800)840 -8757.
Please 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 these notices.
Thank you.
Indiana Child Support Bureau
CHILD SUPPORT BUREAU
PRESORTED
)71 F1, 4 402 W. Washington Street MS 11 FIRST CLASS MAIL
i Indianapolis IN 46204 -2739 US POSTAGE PAID
END(ANA CAS00045 PERMIT 4583
I DEP.ETYI IITOF ADDRESS SERVICE REQUESTED INDIANAPOLIS, IN
��CHILD�� J
c i SERVICES'
latommand
#BWNNXZL
#0003 4540 66C#
AARON HOOVER
C/0 CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
CARMEL IN 46032
3 IIIIIIIIIIIll (IIIIIIIIIIIIIIillllllllllllll IIIIIfII
y /t L 1 i, 1 /y /y /y
%•i:: /�i /�i /�-i i /fi /y i /t- i /yi i i /y /i y/ /y r fir .i /y iy ii /y
•c \C vL/ ♦T cL •v ♦C \T;_ ♦C !•♦C I/
♦C/ \L/ \L/ \C \T �r \C C \I! \I/ \L \.tr \I/
x y iy i✓ r i/ i/
y r i r. fi r
\.0 c. l t ate I I,
�r r t �i y j l r u� r y r r r y r l r: �r r yi
.i /r r r i r i /r \r. /r r r/ r r
C C C l' I t s C: L
i' .i�i.;:. j�/ "j_ •j /i %r:\ i j_r,�
\`I�•� \`L�. I t.‘ t. t
PLEASE RETAIN THIS PORTION FOR YOUR RECORDS
CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT
29D04- 0007 -DR -0994 0003566540 $55.00
Total ASFE Due for above listed cases $55.00
ASFE Notice: State Form 53234(11- 07)CAS00045 Approved by State Board of Accounts, 2007
Please note that the Indiana General Assembly set the amount of the fee at $55
effective January 1, 2008. Employers please note: In instances where the Child
Support Bureau does not have the address of the non custodial parent (NCP),
this notice is sent in care of the NCP's employment record. Employers are asked
to forward this notice to your employee, or inform the Child Support Bureau that
the NCP is no longer employed with you.
Dear RANDY S. SCHALBURG
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31- 16 -15, the
2010Annual Support and Maintenance Docket Fee (ASFE) for the listed child support
case(s) shown on the coupon attached below is due by 03/31/2010 $55.00 is due
for each and every individual case. In order to assure proper credit, you must
include the coupon below when paying the fee. In addition, please remember to
write on v9ur check or money order your Social Securitv Number (SSN) and clearly
note that it is for the ASFE.
DO NOT combine your ASFE payment with a child support payment or you may not
receive proper credit for payment of this fee. This is the only notice you will
receive for the current fee for this calendar year. If the total amount shown is
not received by 03/31/2010, an Income Withholding Order will be sent to your
employer to withhold the balance owed for the current year's fee for each and
every individual case eligible for income withholding. If you have any questions
about this notice, please contact the Kids Line at (317)233 -5437 or (800)840 -8757.
Please 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 these notices.
Thank you.
Indiana Child Support Bureau
it CHILD SUPPORT BUREAU et
402 W. Washington Stre MS 11 PRESORTED
Indianapolis IN 46204 -2739 FIRST CLASS MAIL
INDIANA CAS00045 US POSTAE PAID ,3N
DEF CT ;ti{FtF INDIANAPOLIS G
ADDRESS SERVICE REQUESTED
CHILD
SERVICES
#BWNNXZL
110003 5665 35M*
RANDY S. SCHALBURG
C/0 CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
CARMEL IN 46032
;jam I( IllIlI IIJII��IIIIIIlIIIIIIIIIIIIIlIIIIIII II�Itltt(
I r 1 t 1 1 ._::;).1'),%.;..:::.)4, L j /I /'r 1 t/ /1 /I 1/ Ii i/
C ♦I r,♦ �C /.v r r,�Lr \L/ L
L i/ I C I S C C \q t*"...:' C r L i p., V
•i il/ ::::P.:::'-'0A i/
_r
C c C •L I N. I L L C� I
I \C r L L s s C L I s (f:••••:••:.‘.4 l S:
s
/r /r i it ,i i/ i �r i /r` /i
L L s I s L C I L C: t
y /r i/ ',f,.... i /r it i •/r ::::)),;11.7,'":1147/.; 4
I I rk e /I i ..1 1 V
.....,;.t.....•...\`!'.:.*: C s C 0 C N
C I 4 0 •I r C r •:„•••,1,,......,0,0%::••; •f r r '...../........./,:•10 ...r. v •\.I \s L s I I .\•L•
'�i. /i. i /i -JL// i .i i i i i i i i i A i i Y i i i i r i i i r i i i ,:,1,,::.-..,',,....
i// it i i i :i i i ir ir ii- i i iri. ii- i/ i
::.'r' r i •A i'r/ i j' i i j ,;;;.•,1 :r f it i i�r ir.. i :r te i r/
\I/ /`L/ :•\C' \r;Ir L I`
1/ j •:f n. �.1 :no,/ /jam-. /ri, ii.` /r.`.. /f. :i3::::%:::.:%;!0,:::::/;:11.'":1:::%%***. i.
_,r i•∎•:/ r/ /'r, r r r/ r/: .ft :r/ �i i i .5� �r• i i �,i
PLEASE RETAIN THIS PORTION FOR YOUR RECORDS
CAUSE NUMBER ISETS CASE NUMBER I ASFE AMOUNT
29C01- 9410 -DR -0742 0002479753 $55.00
Total ASFE Due for above listed cases $55.00
ASFE Notice: State Form 53234(11- 07)CAS00045 Approved by State Board of Accounts, 2007
Please note that the Indiana General Assembly set the amount of the fee at $55
effective January 1, 2008. Employers please note: In instances where the Child
Support Bureau does not have the address of the non custodial parent (NCP),
this notice is sent in care of the NCP's employment record. Employers are asked
to forward this notice to your employee, or inform the Child Support Bureau that
the NCP is no longer employed with you.
Dear THOMAS PAYNE
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31- 16 -15, the
2010Annual Support and Maintenance Docket Fee (ASFE) for the listed child support
case(s) shown on the coupon attached below is due by 03/31/2010 $55.00 is due
for each and every individual case. In order to assure proper credit, you must
include the coupon below when paying the fee. In addition, please remember to
write on your check or money order your Social Security Number (SSN) and clearly
note that it is for the ASFE.
DO NOT combine your ASFE payment with a child support payment or you may not
receive proper credit for payment of this fee. This is the only notice you will
receive for the current fee for this calendar year. If the total amount shown is
not received by 03/31/2010, an Income Withholding Order will be sent to your
employer to withhold the balance owed for the current year's fee for each and
every individual case eligible for income withholding. If you have any questions
about this notice, please contact the Kids Line at (317)233 -5437 or (800)840 -8757.
Please 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 these notices.
Thank you.
Indiana Child Support Bureau
r CHILD SUPPORT BUREAU PRESORTED
402 W. Washington Street MS 11 FIRST CLASS MAIL
Indianapolis IN 46204 -2739
US POSTAGE PAID
INDIANA CAS00045 PERMIT 4583
DEPR YuiTOFI ADDRESS SERVICE REQUESTED INDIANAPOLIS, IN
CHILD
SERVICES
#BWNNXZL
#0001 4486 59T#
THOMAS PAYNE
C/0 CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
CARMEL IN 46032
4 0:.�'
i /i: i j /ti: i/ .i� fit/ i i l r
r /r 1 V 1 i� r /r i i i+ i i
!i /r i i/. !r i
i� /�i i, i� iii i i i i /r !i /r !i /i
r 1 f I C C� C r C I
r t t t y t t t
fir•• /r /ji
'/i :s fi :i/ i .ili i i i it i: i/ i i i i ..i/ iyr. i i/ i�: i� :i'
y ['i 1�: I v L I I c I C c. \.I /r C c
r r i� ,if: i� i Ir. /r
;r i i i r
PLEASE RETAIN THIS PORTION FOR YOUR RECORDS
CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT
29002- 9704 -DR -0233 0001446753 $55.00
Total ASFE Due for above listed cases $55.00
ASFE Notice: State Form 53234(11- 07)CAS00045 Approved by State Board of Accounts, 2007
Please note that the Indiana General Assembly set the amount of the fee at $55
effective January 1, 2008. Employers please note: In instances where the Child
Support Bureau does not have the address of the non custodial parent (NCP),
this notice is sent in care of the NCP's employment record. Employers are asked
to forward this notice to your employee, or inform the Child Support Bureau that
the NCP is no longer employed with you.
Dear DAVID MARTIN
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31- 16-15, the
2010Annual Support and Maintenance Docket Fee (ASFE) for the listed child support
case(s) shown on the coupon attached below is due by 03/31/2010 $55.00 is due
for each and every individual case. In order to assure proper credit, you must
include the coupon below when paving the fee. In addition, please remember to
mritQ on your check or money order your Socj al Security Number (SSN) and clearly
note that it is for the ASFE.
DO NOT combine your ASFE payment with a child support payment or you may not
receive proper credit for payment of this fee. This is the only notice you will
receive for the current fee for this calendar year. If the total amount shown is
not received by 03/31/2010, an Income Withholding Order will be sent to your
employer to withhold the balance owed for the current year's fee for each and
every individual case eligible for income withholding. If you have any questions
about this notice, please contact the Kids Line at (317)233 -5437 or (800)840 -8757.
Please 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 these notices.
Thank you.
Indiana Child Support Bureau
lilt CHILD SUPPORT BUREAU
402 W. Washington Street MS 11 PRESORTED
Indianapolis IN 46204 -2739 FIRST -CLASS MAIL
US POSTAGE PA
I CAS00045 PERMIT 4583
DEP- PT "TOF ADDRESS SERVICE REQUESTED INDIANAPO47
LIS, IN ID
CHILD:
SERVICES
1
#BWNNXZL
I
#0001 4467 52S#
DAVID MARTIN
C/0 CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
CARMEL IN 46032
111111[ 1 111 111 1 1[ IiIIII[ IIiIl[IIl��I[I[IIiii[iiiIIIii[II
::":1:,:•;:? r i- !t/ /pr r i fir /'i r t j
r '!i !r r /r is i i /r 5 r/ z r
L I: I I L .wit I I C /4 1 r" t 11 I r
'!i' i i' it! i i ir 'r ir/ i i ii- i ;r i /r t
t• t L
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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 hours, rate per hour, number of units, price per unit, etc.
Payee
l c`s. Q c2/ Purchase Order No.
-10e 6,37/ Terms
a3//10 /A/ /4,vfia9- 6,02-7/ Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4
q
P..y
`a.
Total Z7t-A
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same iri accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
0 0
IN SUM OF
po %ay 6,271
06 ,ed 7/
7s o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s),
DEPT. I hereb certi that the attached invoices or
`0/ UOOy35 a bill(s) is (are) true and correct and that the
,0003 4 W 53 cm materials or services itemized thereon for
000 3 67Y, 6 5 cla which charge is made were ordered and
00001 ¥79753 ,575 received except
,aa /sY? 55 al)
07-- 20,40
r 1 s
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund