HomeMy WebLinkAbout207097 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: L2370 Page 1 of 1
ONE CIVIC SQUARE I N S C C U -ASFE
CARMEL, INDIANA 46032 PO BOX 6271 CHECK AMOUNT: $110.00
INDIANAPOLIS IN 46206 -6271 CHECK NUMBER: 207097
«OM
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 0002479753 55.00 OTHER EXPENSES
101 5023990 0004353249 55.00 OTHER EXPENSES
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40004 3532 46E#
JOHN W. MCALLISTER
CIO CITY OF CARMEL
ONE CIVIC SQUARE
ATTN KAREN HUFFMAN
ARMEL IN 46032
PLEASE RETAIN THIS PAGE FOR YOUR RECORDS
COURT CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT
29CO �I 0205 J P 0684 0004353249 $55.00
Total ASFE Due For the above listed cases $55.00
Prolectirh our children, amiilies and future
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Indiana Department u{Child S*,rcro
Child Support Bur
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�l7'Z3 437
FAX:3l7-2B-4g2�
Child Support Hotline: 8UV-84O-8757
02/18/2012 Child Abuse and Neglect Hotline: 800-800-5556
ANNUAL SUPPORT FEE NOTICE
The Indiana General Assembly set the amount o[ the Annual Support fee nt $55.DU, effective January ].2OO8.
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 tEs notice
to yourenup|oyzz, or inform the Child Support 8urcxo if the oun'cux^/Jinl parent is no lno&cr enop|vycJ with your company.
Dear JOHN Y/. MCALL[STEQ,
This notice ixto inform you that pursuant toIC33'97'5'6 and /C31 1615 and Maintenance
Docket Fee (ASy[) for the listed chUJ support case(s) skuvrn below is due by 06/30O012. The $55.00 5cr is due for each
and even individual case. Tu order to assure proper credit, you must include the coupon ou the second page of this notice
with your payment. In addition please remember tu write oo your check nrmoney order the 13BTS case number(s) listed on
the coupon and clearly note that the payment is for the ASFII.
DO NO3 COMBINE your /\SFE payment with x 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, th=is calendar year. If the total amount shown
is not received by 06/30/2012 an Income Withholding (}zJcr \iU be sent to your coup|oyc, to withhold the balance owed for
the current year's fee for each and every individual case eli for income withholding. If you have any questions about this
notice, please contact the Kids Line x/(317)2335437oz00N848'D757.
Please note: you may also receive an 6SFE notice from your County ClcH.`^ "8]cc regarding any past due ASFE 6u]uo/ox
from previous years. Please contact the County Clerk about those notices,
Thank you
Indiana State Child Support Bureau
Department Child Services
S
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#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 NUMBER ISETS CASE NUMBER ASFE AMOUNT
29C01. 9410 -DR -0742 0002479753 $55.00
Total ASFE Due for the above listed cases $55.00
Prolecldikg our children,, families and failure
Mitchell E, C)aniels, Jr., Covernor
James W. Payne, Director
Indiana Department of Child Services
Child. Support Bureau
402 W. Washington 5t., MS1 1
Indianapolis, Indiana 462(4- 2-7.39
i i 7-235 -54'7
FAX:.317 133 -49
www.ir.gov /dcs
Child Support Hotline: 800-840-8757
02/18/2012 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 1C 31- 16 -15, the 2012 Annual Support and Maintenance
Docket Fee (ASFE) for the listed child support case(s) shown below is due by 06/30/2012. 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 06/30/2012 an Income Withholding Order -vll 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
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No 201 (Rev. 1995)
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
/AIS Ll /4�/ Purchase Order No.
y (off 7/ Terms
�P Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
DIP
S i
fi r=
2.
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. i WARRANT NO.
ALLOWED 20
IN SUM OF
o-D
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Pp# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 5 SS bill(s) is (are) true and correct and that the
3 3a� SS materials or services itemized thereon for
which charge is made were ordered and
received except
20 j
Ar.
—4 18AY Agog
ure
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund