HomeMy WebLinkAbout194227 02/03/2011 q, CITY OF CARMEL, INDIANA VENDOR: L2370 Page 1 of 1
ONE CIVIC SQUARE I N S C C U -ASFE CHECK AMOUNT: $220.00
CARMEL, INDIANA 46032 PO BOX 6271
INDIANAPOLIS IN 46206-&271 CHECK NUMBER: 194227
CHECK DATE: 2!312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 0002479753 55.00 OTHER EXPENSES
101 5023990 0003454074 55.00 OTHER EXPENSES
101 5023990 0003566540 55.00 OTHER EXPENSES
101 5023990 0004353249 55.00 OTHER EXPENSES
Mitchell E. Daniels, Jr., Governor
Jarnes W. Payne, Director
Indiana Department of Child Services
Child Support Bureau
402 W. Washinqton St„ MS11
Indianapolis, Indiana 46204 -2739
317- 233 -5437
FAX: 317 -233 -4925
www.in.gov /dcs
Child Support Hotline: 800 840 -8757
01/15/201.1 Child Abuse and Neglect Hotline: 800 800 -5556
ANNUAL SUPPORT FEE NOTICE
The Indiana General Assembly set the amount of the Annual Support fee at $55.00, 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 the care of the NCP's 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 THOMAS PAYNE,
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31- 1.6 -15, the 2011 Annual Support and Maintenance
Docket Fee (ASFE) for the listed child support case(s) shown below is due by 03/31/2011. The $55.00 fee is due for each
and every individual case. In order to assure proper credit, you must include the coupon on the second page of this notice
with your payment. In addition please remember to 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 or you may not receive proper credit for the
payment of this fee. This is the only notice you will receive for this year's fee, this calendar year. If the total amount shown
is not received by 03/31/2011, an Income Withholding Order vQll 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 those notices.
Thank you
Indiana State Child Support Bureau
Department of Child Services
a
#B WNNXZL
#0001 4486 59T#
THOMAS PAYNE
C/O CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
ARMEL IN 46032
PLEASE RETAIN THIS PAGE FOR YOUR RECORDS
COURT CAUSE NUBMER ISETS CASE NUMBER ASFE AMOUNT
29C01- 9410 -DR- 0742 0002479753 $55.00
Total ASFE Due for the above listed cases $55.00
k p c
sY
PWeWia g our children, families and fiieture
tv itr -hell E. Daniels, Jr., Governor
Jarnes W. Payne, Director
Indiana Department of Child Services
Child Support Bureau
E ^02 W. Vdashinclton St., MS I
Indianapolis, Indiana 46204 -;739
317-233-5d37
FAK 317 -233 -4925
www,in.gov /dcs
Child Support Hotline: 800 -840 -8757
01/15/2011 Child Abuse and Neglect Hotline: 800-800-5556
ANNUAL SUPPORT FEE NOTICE
The Indiana General Assembly set the amount of the Annual Support fee at $55.00, 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 the care of the NCP's 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 RANDY S. SCHALBURG,
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31- 16 -15, the 2011 Annual Support and Maintenance
Docket Fee (ASFE) for the listed child support case(s) shown below is due by 03/31/2011. The $55.00 fee is due for each
and every individual case. In order to assure proper credit, you must include the coupon on the second page of this notice
with your payment. In addition please remember to 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 or you may not receive proper credit for the
payment of this fee. This is the only notice you will receive for this year's fee, this calendar year. If the total amount shown
is not received by 03/31/2011, an Income Withholding Order vvll 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 those notices.
Thank you
Indiana State Child Support Bureau
Department of Child Services
#BWNNXZL
#0003 5665 35M#
RANDY S. SCHALBURG
C/O CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
ARMEL IN 46032
PLEASE RETAIN THIS PAGE FOR YOUR RECORDS
COURT CAUSE NUBMER ISETS CASE NUMBER ASFE AMOUNT
29D04- 0007 -DR -0994 0003566540 $55.00
Total ASFE Due for the above listed cases $55.00
Fq
Protectirt; mr children, f milies and future
Mitchell E. Danieis,Jr„ Governor
James W. Payne, Director
Indiana Department of Child Services
Child Support Bureau
402 W. Washington St., MS1 1
Indianapolis, Indiana IQ04 -2739
317- 233 -5437
FAX: 317 -2.33 -4925
v%1ww.in.gov/dcs
Child Support Hotline: 800 840 -8757
01/15/2011 Child Abuse and Neglect Hotline: 800- 800 -5556
ANNUAL SUPPORT FEE NOTICE
The Indiana General Assembly set the amount of the Annual Support fee at $55.00, 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 the care of the NCP's 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 AARON HOOVER,
This notice is to inform you that pursuant to IC 33- 37 -5 -6 and IC 31- 16 -15, the 2011 Annual Support and Maintenance
Docket Fee (ASFE) for the listed child support case(s) shown below is due by 03/31/2011. The $55.00 fee is due for each
and every individual case. In order to assure proper credit, you must include the coupon on the second page of this notice
with your payment. In addition please remember to 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 or you may not receive proper credit for the
payment of this fee. This is the only notice you will receive for this year's fee, this calendar year.. If the total amount shown
is not received by 03/31/2011, an Income Withholding Order %till 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 those notices.
Thank you
Indiana State Child Support Bureau
Department of Child Services
#BWNNXZL
#0003 4540 66C#
AARON HOOVER
C/O CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
ARMEL IN 46032
PLEASE RETAIN THIS PAGE FOR YOUR RECORDS
COURT CAUSE NUBMER ISETS CASE NUMBER ASFE AMOUNT
29D01- 9810 -DR -0614 0003454074 $55.00
Total ASFE Due for the above listed cases $55.00
R
hrote ill our children, families and future
�,AkzheUE Daniels, 1�.Ciovemn/
]amesVkPayxe,Dkecuo/
Indiana Department Child Services
Ch Support 0v,cxu
102W. VVa/hin(|onSi,/WSll
Indianapolis, |odeua4bZO4-7739
3!7 2 j3 5437
FAX�B7-23)4g2S
Child Support Hotline: 8OO-84O'87S7
01/15/2011 {hi|d Abuse and Neglect Hotline: 8OV-8VV55SO
ANNUAL SUPPORT FEE NOTICE
The Indiana General Assembly set the amount of the Annual Support fee u,$S5.00,effective |uouxryl,2V08.
Employers please note; ln instances where the Child Support Bureau does not have the address of the non-custodial
parent (NCP), this on6cc is xcot in the care of the N[9`o|uoc known crop|oyc,. Employers are uxkc6 to 6nnvur6 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. MC&LLlSTER,
This notice joco inform you that pursuant tolC33'37-56 and l[31-16-15, the 2011 Annual Support and Mxiuccouocc
Docket Fee 0\SFEU for the listed child ooppo'tcuse(6 shown below is due 6y03/32/2011. The $55.00 fee is due 6nr each
and every individual case. lu order toassure proper credit, you must include the coupon ou the second page of this notice
with your payment. In m6d/tinu please recueou6cr to write on your check mrmoney order the 1SETS cuoc number(s) listed on
the coupon and clearly note that the payment is for the /\SF]B.
DO NOT COMBINE your /\SyIl payment with x child support payment n, you may not receive proper credit for the
payment of this fee. This is d-ie only notice you will receive for this year's fee, this calendar year. If the total amount shown
is not ,cccivcJ by 03/31/2011 an Income Withholding Order `41|he sent to your employer to withhold the balance owed for
the current year's fee for each and every individual case eli for income withholdi lF you have any questions about this
notice, please contact the Kids Line nt(317)23}-5437o,(Q0()Q4U'8757.
Please note: you may also ,cccirc an A8FBon6cx from your County Clerk's office regarding any past due /\SFBbu1ooccx
from previous years. Please contact the County Clerk about those notices.
T6xnkyou
Indiana State Child Support Bureau
Department o[ Child Services
#BWNNXZL
#0004 3532 46E#
JOHN W. MCALLISTER
C/O CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
ARMEL IN 46032
PLEASE RETAIN THIS PAGE FOR YOUR RECORDS
COURT CAUSE NUBMER ISETS CASE NUMBER ASFE AMOUNT
29COI 020 -,1 P -0684 0004353249 $55.00
Total ASFE Due for the above listed cases $55.00
P rtectcn; our childreii, f milies andfilm-C,
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
Purchase Order No.
D x 'z Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
N s- 1 a o0 3s S3S Vic• L S37 c)
/s (2 0 9 V 2 9 75.E 1 C S S�
A 00 v .3 cl 7V crz)
i t s -r� a o o 3� ✓o� )ic_
r
'0
Total a 2 C) cT-
I 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. r
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
iii X06 7/
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po #or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT,# I hereby certify that the attached invoice(s), or
/1 UOd 3s 6� D SUZ�j S, v bill(s) is (are) true and correct and that the
d ooav' 2 9 S. oD materials or services itemized thereon for
O/ G�3ySya7 .55, Da which charge is made were ordered and
a received except
20
X"4A
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund