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Home My WebLink About174939 07/22/2009 "yf CITY OF CARMEL, INDIANA VENDOR: L2370 Page 1 of 1 ONE CIVIC SQUARE INDIANA STATE CENTRAL COLLECTIO CARMEL, INDIANA 46032 UNITASFE C, HECKAMOUNT: $220.00 PO Box 6271 CHECK NUMBER: 174939 INDIANAPOLIS IN 46206 -6271 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBE AMO DESCRIPTION 101 5023990 220.00 OTHER EXPENSES r 117U1AnA a l A 1 C l.Cn 11{AL 6ULLC6 11Vn Vr111 Aar C l lna"U Aar C J P.O. SOX 6271 INDIANAPOLIS, IN 46206 -6271 Date:06 /13/2009 Order to Withhold Income for Indiana Annual Support Fee CITY OF CARMEL This is an 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: This is a once yearly deduction that should be made AFTER all other child support payments are deducted. Complete and enclose the list provided below; this list MUST accompany the payment. G A separate check is required for this fee; do not combine the withheld amounts with other child support payments. The Annual Support Fees withheld from all employees listed below should be combined in a single fee payment check, if possible. The remittance for the Annual Support Fee must be mailed separately to the address referenced below on the coupon. 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. For your convenience, you may pay the Annual Support fee online at the Indiana Child Support Payment website: www.empehildsupport.in.gov I 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- 800 292 -0403 or EMUaDCS.IN.GOV CYNTHIA LONNGMT� DEPUTY DIRECTOR DEPARTMENT OF CHILD SERVICES CHILD SUPPORT BUREAU ASFE Income Withh Order, State Form 53260 (R/11 -07) /CAS 00046 Approved by State Board of Accounts, 2007 PRESORTED FIRST CLASS MAIL US POSTAGE PAID CAS 00046 PERMIT 4583 INDIANA STATE CENTRAL COLLECTION UNIT ASFE 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 E ?RPI 46030 141t[III1„III„IJ111,1f [It 11111111111 IfdilIll """I III flid INDIANA STATE CENTRAL COLLECTION UNIT ASFE (INSCCU ASFE) P.O. BOX 6271 INDIANAPOLIS, IN 46206 -6271 Date:06 /13/2009 Order to Withhold Income for Indiana Annual Support Fee CITY OF CARMEL This is an 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. o 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). o You may retain a two dollar ($2.00) fee from the non custodial parent's income for this income withholding. For your convenience, you may pay the Annual 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- 800 292 -0403 or EMUaDCS.IN.GOV CYNTHIA LONGEtT DEPUTY DIRECTOR DEPARTMENT OF CHILD SERVICES CHILD SUPPORT BUREAU ASFE Income Withholding Order, State Form 53260 00046 Approved by State Board of Accounts, 2007 DETACH COUPON AND RETURN WITH FEE PAYMENT Date of Withholding: Make check payable to: Employer Nama:CITY OF CARMEL INDIANA STATE CENTRAL COLLECTION UNIT ASFE (INSCCU ASFE) Employer FEIN:356000972 P.O. BOX 6271 INDIANAPOLIS, 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 a applicable N f CARTER, MARCUS L. 312 -74 -3975 0003671874 $55.00 COLLINS, WILLIE H. 304 -84 -7381 0005291191 $55.00 J COLLINS, WILLIE H. 304 -84 -7381 0002837838 $55.00 COLLINS, WILLIE H. 304 -84 -7381 0004324952 $55.00 i E M D ASFE Income Withholding Order, State Farm 53260 (R /11-07) /CAS 00046 Approved by State Board of Accounts, 2007 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 z Gyz I u chase Order No. r Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) C9 00 3 �r 7 Iry vas' 6 /3 -0" 007 Zg2 wS 5 v; Total ap hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in acco dance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice {s or J O0o3 &7IS 7V S�Z .5 5 &-o bill(s) is (are) true and correct and that the aoo.sa 9 0 23 ?,F-1 SS tAD materials or services itemized thereon for 000a83�83d vv which charge is made were ordered and U o v 5�3a 9sz Sa�3 ppa 5 5 crO received except 1 2, 4o ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund