238902 11/05/14 Q
CITY OF CARMEL, INDIANA VENDOR: 365124
ONE CIVIC SQUARE PAYCOR, INC CHECKAMOUNT: $*******676.25*
CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 238902
CINCINNATI OH 45212 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 4374957 224.68 OTHER PROFESSIONAL FE
1091 4341999 4374957 387.04 OTHER PROFESSIONAL FE
1125 4341999 4374957 64.53 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
Paycor 4374957 10/29/14
4811 Montgomery Road Current Charges Due Date
Cincinnati,OH 45212
1-800-381-0053 676.25 11/11/14
Client Number Account Balance
48630-1 913.28
Carmel Clay Board of Parks and Recreation OCT 3;1 2014 S ,
Lynn Russell I f &(4
1411 E.116th St. By: 1
Carmel,IN 46032 �, L Cc
41
If the above address/contact is incorrect,please check
JDA1 �7.1 - b�
Elthe box and indicate the change on the reverse side !
1�� � - --
Please return top portion with your payment
Date of Check Description o Services Qty J Current [—Payments Balance
Service 11 Date Charges
10/15/14 Previous Balance 907.29
10/27/14 Payment -670.26
10/15/14 10/17/14 Delivery Fuel Surcharge 1 1.00
10/15/14 10/17/14 Delivery-UPS Red 1 17.00
Payroll Service Fees 375 650.00
10/29/14 10/31/14 Payroll&Tax Base Fee
10/29/14 10/31/14 Payroll and Tax Service
10/29/14 10/31/14 Pay Options
10/29/14 10/31/14 Online Check Stub
10/29/14 10/31/14 Reporting Options
10/29/14 10/31/14 Online Reporting
10/29/14 10/31/14 Electronic Child Support 3 8.25
10/29/14 10/31/14 General Ledger Report 375 0.00
10/29/14 10/31/14 Labor Distribution 1 0.00
10/29/14 10/31/14 Year to Date Report 1 0.00
10/29/14 10/31/14 Deduction Report 1 0.00
Total Current Charges 676.25
Total Amount Due 913.28
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due:11/11/2014 Invoice Number:4374957
Balance due may not reflect year end fees.
Printed: 10/29/2014 01:03 PM Page 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
365124 Paycor Terms
4811 Montgomery Road Date Due
Cincinnati, OH 45212
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/14 4374957 Payroll processing fee $ 64.53
10/29/14 4374957 Payroll processing fee $ 224.68
10/29114-- --43745,57 Payroll;processing-fee_ $ 387.04
Total $ 676.26
1 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
I{fI
7
Voucher No. Warrant No.
i.
365124 Paycor Allowed 20
4811 Montgomery Road
Cincinnati, OH 45212
In um o f$
$ 676.25
_f
ON ACCOUNT OF APPROPRIATION FOR 1
j
101 General Fund
PO#or ACCT#/ Board Members
De t# INVOICE NO. TITLE AMOUNT
P
1125 4374957 43419991 $ 64.53 1 hereby certify that the attached invoice(s), or
1081-99 4374957 4341999 $ 224.68 bil'�(s)is(are)true and correct and that the
1091 4374957 4341999 $ 387.04 materials or services itemized thereon for
which charge is made were ordered and
re,oeived except
1 30-Oct 2014
—i
I' Signature
$ 676.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund