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Home My WebLink About217525 02/25/2013 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 t?� INDIANAPOLIS IN 46206-6271 <„ �a CHECK NUMBER: 217525 CHECK DATE: 2/2512013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 0004324952 55 . 00 OTHER EXPENSES 101 5023990 0005291191 55 . 00 OTHER EXPENSES #BWNNXZL #0002 8378 36T# WILLIE H. COLLINS 11931 BLACK HILLS DR FISHERS IN 46038-5487 PLEASE RETAIN THIS PAGE FOR YOUR RECORDS COURT CAUSE NUMBER ISETS CASE NUMBER ASFE AMOUNT 291302-0509-DR-0833 $55.00 Total ASFE Due for the above listed cases $110.00 Proleclif7,o our cbildren,1Uwilies and iaaure Michael R.Pence,Governor John P Ryan,Director Indiana Department of Child Service Child Support Bureau ' MSII 0 402 W.Washington Street Indianapolis,Indiana 46204-2739 317-233-5437 ° FAX.317-233-4925 www.in.gov/dcs Child Support Hotline:800-840-8757 01/19/2013 Child Abuse and Neglect Hotline:800-800-5556 ANNUAL. SUPPORT FEE NO'T'ICE 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 WILLIE H. COLLINS, This notice is to inform you that pursuant to IC 33-37-5-6 and IC 31-16-15,the 2013Annual Support and Maintenance Docket Fee (ASFE) for the listed child support case(s) shown below is due by 06/30/2013. 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 bottom 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 06/30/2013, an Income Withholding Order .ill 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 Kidsline 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 SCE=q '�q Purchase Order No. +U/,-,2 // Terms /X Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) t "F 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 $ /til �, �� 27/ it ON ACCOUNT OF APPROPRIATION FOR !! n iD Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# 1 hereby certify that the attached invoice(s), or ),;23lyo ,;cro bill(s) is (are) true and correct and that the oL)e v3�yis�. - �,yrl S—� materials or services itemized thereon for which charge is made were ordered and received except 203 i a ure Title Cost distribution ledger classification if claim paid motor vehicle highway fund