249842 09/23/15 G�q..
°' ''f. CITY OF CARMEL, INDIANA VENDOR: 365124
b ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: $**.....785.28*
a CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 249842
'M,�r�N�, CINCINNATI OH 45212 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5104657 226.92 OTHER PROFESSIONAL FE
1091 4341999 5104657 497.76 OTHER PROFESSIONAL FE
1125 4341999 5104657 60.60 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
Paycor 5104657 09/16/15
4811 Montgomery Road Current Charges Due Date
Cincinnati,OH 45212
1-800-381-0053 785.28 09/29/15
Client Number Account Balance
rr]E)
SEE P 177 2.015 48630-1 1022.31
Carmel Clay Board of Parks and Recreation
Lynn Russell
1411 E. 116th St.
Carmel, IN 46032
❑
If'he above address/contact is incorrect,please check
the box and indicate the change on the reverse side
Please return top portion with your payment
Date of Check Description of Services QtyCurrent Payments Balance
Service Date Charges
09/02/15 Previous Balance 2082.47
09/15/15 Payment -1845.44
09/02/15 09/04/15 Delivery Fuel Surcharge 1 1.00
09102/15 09/04/15 Delivery-UPS Red 1 17.00
Payroll Service Fees 444 761.78
09/16/15 09/18/15 Payroll&Tax Base Fee
09/16/15 09/18/15 Payroll and Tax Service
09/16/15 09/18/15 Pay Options
09/16/15 09/18/15 Online Check Stub
09/16/15 09/18/15 Reporting Options
09/16/15 09/18/15 Online Reporting
09/16/15 09/18/15 Electronic Child Support 2 5.50
09/16/15 09/18/15 General Ledger Report 444 0.00
09/16/15 09/18/15 Labor Distribution 1 0.00
09/16/15 09/18/15 Year to Date Report 1 0.00
09/16/15 09/18/15 Deduction Report 1 0.00
Total Current Charges 785.28
Total Amount Due 1022.31
Payoptions includes Paycor Oficial Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due:09/29/2015 Invoice Number:5104657
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Printed: 09/16/2015 02:35 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
9/16/15 5104657 Payroll processing fee $ 60.60
9/16/15 5104657 Payroll processing fee $ 226.92
9/16/15 5104657 Payroll processing fee $ 497.76
Total $ 785.28
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
120
Clerk-Treasurer
Voucher No. Warrant No.
365124 Paycor Allowed 20
4811 Montgomery Road
Cincinnati, OH 45212
In Sum of$
$ 785.28
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1125 5104657 4341999 $ 60.60 1 hereby certify that the attached invoice(s), or
1081-99 5104657 4341999 $ 226.92 bill(s) is(are)true and correct and that the
1091 5104657 43419991 $ 497.76 materials or services itemized thereon for
which charge is made were ordered and
received except
September 17, 2015
Signature
$ 785.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund