Kentucky Retirement Systems

Perimeter Park West l1260 Louisville Rd. l Frankfort KY 40601-6124
Phone: (502) 696-8800 l Fax: (502) 696-8822 l kyret.ky.gov

Penalty Invoice
Employer Information
Employer Name: CITY OF WEST BUECHEL
Address: 3705 BASHFORD AVE

Employer Code: J356
City: WEST BUECHEL

State: KY

Zip Code: 402182509

Invoice Details
Invoice Number:

181492

Due Date:

10/16/2015

Report Month:

08/01/2015

Summary Received:

09/16/2015

Contributions Received:

09/16/2015

Detail Received:

09/16/2015

Amount Due:

$1,000.00

Payment Instructions
In accordance with Kentucky Revised Statuses 61.675 and 78.625, retirement contributions and accompanying reports(s) are
due at Kentucky Retirement System on, or before, the 10th day of the month following the period being reported. When the
retirement contributions and accompanying report(s) fail to reach us by the due date, a minimum penalty of $1,000 is assessed.
Your agency has been assessed this penalty.
Please select this invoice for payment to be included with your next monthly Contribution Report. This invoice can be selected as
part of the Summary submission process.
You may alternatively remit a check or money order payable to the Kentucky State Treasurer. Please include your Employer ID
and the Invoice Number listed above on your check or money order.
Mail your payment and this voucher to our office at 1260 Louisville Road, Frankfort, Kentucky 40601.
If you disagree with this notice, please respond directly to Todd Coleman, Controller in writing and include all applicable
information to support your explanation. Should you have any questions regarding this notice, please telephone him directly at
(502) 696-8453, or send an electronic mail message to todd.coleman@kyret.ky.gov.

Kentucky Retirement Systems
Perimeter Park West l1260 Louisville Rd. l Frankfort KY 40601-6124
Phone: (502) 696-8800 l Fax: (502) 696-8822 l kyret.ky.gov

Penalty Voucher
Employer Information
Employer Name: CITY OF WEST BUECHEL
Address: 3705 BASHFORD AVE

Employer Code: J356
City: WEST BUECHEL

State: KY

Zip Code: 402182509

Payment Details
Invoice Number: 181492
Due Date:

10/16/2015

Amount Due:

$1,000.00

For KRS Use Only
CERSHZ

PENALTYMTH

$1,000.00

Kentucky Retirement Systems

6230/J356

Perimeter Park West l1260 Louisville Rd. l Frankfort KY 40601-6124
Phone: (502) 696-8800 l Fax: (502) 696-8822 l kyret.ky.gov

Penalty Invoice
Employer Information
Employer Name: CITY OF WEST BUECHEL
Address: 3705 BASHFORD AVE

Employer Code: J356
City: WEST BUECHEL

State: KY

Zip Code: 402182509

Invoice Details
Invoice Number:

193936

Due Date:

3/25/2016

Report Month:

01/01/2016

Summary Received:

02/10/2016

Contributions Received:

02/10/2016

Detail Received:

02/22/2016

Amount Due:

$1,000.00

Payment Instructions
In accordance with Kentucky Revised Statuses 61.675 and 78.625, retirement contributions and accompanying reports(s) are
due at Kentucky Retirement System on, or before, the 10th day of the month following the period being reported. When the
retirement contributions and accompanying report(s) fail to reach us by the due date, a minimum penalty of $1,000 is assessed.
Your agency has been assessed this penalty.
Please select this invoice for payment to be included with your next monthly Contribution Report. This invoice can be selected as
part of the Summary submission process.
You may alternatively remit a check or money order payable to the Kentucky State Treasurer. Please include your Employer ID
and the Invoice Number listed above on your check or money order.
Mail your payment and this voucher to our office at 1260 Louisville Road, Frankfort, Kentucky 40601.
If you disagree with this notice, please respond directly to Todd Coleman, Controller in writing and include all applicable
information to support your explanation. Should you have any questions regarding this notice, please telephone him directly at
(502) 696-8453, or send an electronic mail message to todd.coleman@kyret.ky.gov.

Kentucky Retirement Systems

6230/J356

Perimeter Park West l1260 Louisville Rd. l Frankfort KY 40601-6124
Phone: (502) 696-8800 l Fax: (502) 696-8822 l kyret.ky.gov

Penalty Voucher
Employer Information
Employer Name: CITY OF WEST BUECHEL
Address: 3705 BASHFORD AVE

Employer Code: J356
City: WEST BUECHEL

State: KY

Zip Code: 402182509

Payment Details
Invoice Number: 193936
Due Date:

3/25/2016

Amount Due:

$1,000.00

For KRS Use Only
CERSHZ

PENALTYMTH

$1,000.00