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Home My WebLink About161413 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: L2370 Page 1 of 1 ONE CIVIC SQUARE INDIANA STATE CENTRAL COLLECTIOP�HECK AMOUNT: $170.00 UNIT ASFE CARMEL, INDIANA 46032 PO BOX 6271 CHECK NUMBER: 161413 INDIANAPOLIS IN 46206 -6271 CHECK DATE: 7/11/2008 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 170.00 OTHER EXPENSES INDIANA STATE CENTRAL COLLECTION UNIT ASFE (INSCCU ASFE) P.O. BOX 6271 INDIANAPOLIS, IN 46206 -6271 Date:06 /28/2008 Order to Withhold Income for Indiana Annual Support Fee CITY OF CARMEL' This is an I Order to Withhold Income for the annual fee charged to non custodial parents pursuant to Indiana statute. You are required by law, IC 33- 37 -5 -6 and IC 31 -16-15 to deduct these amounts from the employee's income. The deduction should be made from the.next payroll, or as soon there- after as practical, and forwarded to the Indiana State Central Collection Unit. This deduction is in addition to any other child support or support related payments you are deducting. Special payment instructions: o This is a once- yearly deduction that should be made AFTER all other child support payments are deducted. o Complete and enclose the list provided below; this list MUST accompany the payment. D A „separate check is required for this fee; do not combine the withheld amounts with other child support payments. o The Annual Support Fees withheld from all employees listed below should be combined in a single fee payment check, if possible. o The remittance for the Annual Support Fee must be mailed separately to the address referenced below on the coupon. o This special remittance cannot be made by Electronic Funds Transfer (EFT)or by Electronic Data Interchange (EDI). You may retain a two dollar ($2.00) fee from the non custodial parent's income for this income` withholding. o'For your convenience, you may pay the Support fee online at the Indiana Child Support Payment website www.empchildsupport.in.gov Consumer Credit Protection Act (CCPA): Federal law requires states to limit the amount which can be collected by income withholding to'60 %.of disposable earnings per pay period, or 50% of disposable earnings'if your employee is supporting another spouse or dependent child (current family). If earnings are not sufficient to.make the full payment (which may include the.$2.00 fee), partial deductions should be made up to the CCPA limit. If you have any questions, please contact the Child Support Bureau. EMPLOYER MAINTENANCE UNIT (EMU) at 317 232 -0327 OR�1-800- 29227 04 or EMUaDCS.IN.GOV CYNTHIA LONGEST DEPUTY DIRECTOR DEPARTMENT OF CHILD SERVICES CHILD SUPPORT BUREAU A.SFE income =4ithholdan3_Order, Stat4_Form 53250 (R/11 -07) /CAS_ -00n46 Approved by State Board of Accounts, 2007 DETACH COUPON AND RETURN WITH FEE PAYMENT Date of Withholding: Make check payable to: Employer Name:CITY OF CARMEL INDIANA STATE CENTRAL COLLECTION UNIT ASFE (INSCCU ASFE) P.O. BOX Employer FEIN:356000972 INDIANAP 6271 NDIANAPOLIS, IN 46206 -6271 Employee's Name Employee's Employee's Employee Amount Amount Paid on SSN ISETS Case No Longer Due on Case Number Employed Case if applicable MARK A. CROMLICH 305 -82 -6788 0003411360 $55.00 RANDY S. SCHALBURG 311 -76 -3199 0003566540 $55.00 MARCUS L. CARTER 312 -74 -3975 0003671874 $55.00 PAUL V. PACE 303 -80 -9563 0005157675 $5.00 ACFF T..... u; +hh. ia;..., nrA c +e r— s:2An fD /17 -n71 /PAC nnn&A A.,.,rn..o.i by c +e R- -i nc A,- :Pnn7 PRESORTED FIRST -CLASS MAIL US POSTAGE PAID CAS 00046 PERMIT 4583 INDIANA STATE CENTRAL COLLECTION .UNIT ASH INDIANAPOLIS, IN P.O. BOX 6271 INDIANAPOLIS, IN 46206 -6271 Address Service Requested #BWNNXZL #9781 9996 43R# CITY OF CARMEL ONE CIVIC SQUARE ATTN KAREN HUFFMAN CARMEL, IN 46032 I,I „1,11 „II,,,,,I1,,,LI,I,t,i f„ 11,, ,1,1i,,,l,l „ii„1,1 „I,1 „L1 „I1, a x�,� a re g �"a g s g A” .,„s %a a s a e x y ff t f. F 9 a t- e `�a s t t i w "fti� .�r s .g e 5 �S 9 lltn W a x a a�a e 4a a a ww s s�`�'.�' a b'* w E 1 51 V- i ,a a Ao ry i F 4f� ,w. �w- Prescribed Ay 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF AD 6rl 6a 71 ID ON ACCOUNT OF APPROPRIATION FOR z Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 20, Oc) 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 1/7 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund I