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Home My WebLink About163112 09/02/2008 CITY OF CARMEL, INDIANA. VENDOR: 146500 Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF WORKFORCE DEVELOPMENT CHECK AMOUNT: $4,615.17 CARMEL, INDIANA 46032 PO BOX 847 CHECK NUMBER: 163112 INDIANAPOLIS IN 46206 -0847 CHECK DATE: 9/2/2008 DEPARTMEN A CCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESC 1125 4110000 4,615.17 UNEMPLOYMENT C. I Pd A pr- The following items apply to your benefit ACCOUNT NUMBER: 133438 charges posted t' JUNE of 2008 d -�c(h{ receive ACTIVITY SUMMARY BENEFIT CHARGES INTEREST PENALTY TOTAL LIABILITY Ala y FOR THE PERIOD PREVIOUS BALANCE 1,.930.. -84'1 00 .00 c� -P Jun Y J -PAYMENTS 1 560.000R .00 .00 -ASSESSMENT OF INTEREST PENALTY 3.71 37.08 i l,r ENDING BALANCE f 370.84 1 3.71 1 37.08 411.63 The following items apply to your benefit ACCOUNT NUMBER: 133438 F P --F CE1V E" charges posted in JULY` of 2008 TOTAL LIABILI AUG 2 4 2008 ACTIVITY SUMMARY BENEFIT CHARGES INTEREST PENALTY FOR THE PERIO PREVIOUS BALANCE 00- .00 .00 Y -ASSESSMENT OF BENEFIT CHARGES 1 0 J ENDING BALANCE 1,560.00 .00 .00 1,560.00 �d THIS IS YOUR TOTAL LIABILITY. PAYMENTS MAILED AFTER THE 20TH OF THE MONTH MAY NOT BE REFLECTED ON THIS BILL. PLEASE $1,971.63 PAY THIS AMOUNT NO LATER THAN.......... AUGUST 31, 2008 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. If the liability is not paid in full, the Director may file with the clerk of the circuit court in your county, a warrant directing the sheriff to levy upon assets, in sufficient quantity to satisfy the amount of the warrant plus damages in the amount of 10 plus penalties and interest. If you have any questions, please call (800) 891 -6499 or (317) 232 -7395 and ask for Collections. 133438 -1 INDIANA DEPARTMENT OF KFORCE DEVELOPMENT BENEFIT ADMINISTRATION, 10 NORTH SENATE AVENUE, INDIANAPOLIS, IN 46204 -2277 Toll free 1- 800 891 -6499 Marion County 232 -7436 l STATEMENT OF BENEFIT CHARGES (FORM 535) CONFIDENTIAL RECORD PURSUANT TO IC 22- 4 -19 -6, IC 4 -1 -66 Page 1 CITY OF CARMEL ACCOUNT/ ATTN CLERK TREASURER LOCATION NUMBER 133438 -000 ONE CIVIC SQ REPORTING MONTH JUL, 2008 CARMEL IN 46032 -2584 NETCHARGES $2,643.54 POSTING DATE AUG-03, 2008 The receipt of this statement (Form 535) does not reopen the question of the claimant's eligibility for unemployment insurance since, before any payments were made the employer. had -the opportunity and the responsibility to report any information which could disqualify the claimant. SOCIAL BENEFIT I PAID FOR SECURITY YEAR END CLAIM RANSACTION WEEK AMOUNT NUMBER EMPLOYEE'S NAME DATE LEVEL I T DATE ENDING A CHARGED THIS IS NOT A BILL OR A REQUEST FOR MONEY DUE TO THIS DEPARTMENT. It is a statement of benefit charges made to your account during the "reporting" month. At the end of the "posting" month, you will receive a Reimbursable Bill (Form 1067) for these charges and any previous liability still outstanding. NEW CHARGES FOR THE REPORTING MONTH 07/08 C M BRODERICK 04/04/09 REG 07/30/08 07/26/08 390.00 TOTAL NEW CHARGES FOR THE REPORTING MONTH 07/08 2,643.54 TOTAL AMOUNT OF NET CHARGES 2,643.54 AUG 2 2008 END OF BENEFIT CHARGE STATEMENT BY: Ov -15 -0 P03 :41 IN An in the ACQ column denotes a charge resulting from an acquisition of another business. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Indiana Dept. of Workforce Development Terms 10 North Senate Ave., SE106 Date Due Indianapolis, IN 46204 -2277 Invoice Invoice i escription Date Number or note atted invoice(s) or bill(s)) Amount 1,971.63 8/1/08 133438 Benefit charges for '08 2,643.54 8/3/08 133438 Benefit charges for J8 W Total. 17 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 20_ Clerk- Treasurer Voucher No. Warrant No. Indiana Dept. of Workforce Development Allowed 20 10 North Senate Ave., SE106 Indianapolis, IN 46204 -2277 In Sum of 4,615.17 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT AMOUNT- Board Members Dept TITLE 1125 133438 4110000 1,971.63 hereby certify that the attached invoice(s), or 1125 133438 4110000 2,643.54 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 25 -Aug 2008 Signature 4,615.17 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund