250805 10/21/15 �%��"�� CITY OF CARMEL, INDIANA VENDOR: 365124
J �.
j:® �)
ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: S"""""1,709.80"
_�; CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 250805
,y«oN. CINCINNATI OH 45212 CHECK DATE: 10/21115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5139279 616.06 OTHER PROFESSIONAL FE
1091 4341999 5139279 942.40 OTHER PROFESSIONAL FE
1125 4341999 5139279 151.34 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
PaVc- or 5139279 10/14/15
JW
4811 Montgomery Road Current Charges Due Date
Cincinnati,OH 45212
1-800-381-0053 1709.08 10/27/15
RECEIvEr
Client Number Account Balance
OCT 13 2015
48630-1 2605.55
Carmel Clay Board of Parks and Recreation BY:
Lynn Russell ( 0 I -- �0)le
1411 E.116th St. (�
Carmel, IN 46032 I Z — "t I42. 40
❑ If the above address/contact is incorrect,please check
the box and indicate the change on the reverse side I—1 D 9 - 91c)
Please return top portion with your payment
Date of Check De riptionervic s Qty Current Payments Balance
Service Date CU Charges
09/30/15 Previous Balance 896.47
09/30/15 10/02/15 Delivery Fuel Surcharge 1 1.00
09/30/15 10/02/15 Delivery-UPS Red 1 17.00
HR Services 974.00
10/01/15 HR Application 487
Payroll Service Fees 402 693.74
10/14/15 10/16/15 Payroll&Tax Base Fee
10/14/15 10/16/15 Payroll and Tax Service
10/14/15 10/16/15 Pay Options
10/14/15 10/16/15 Online Check Stub
10/14/15 10/16/15 Reporting Options
10/14/15 10/16/15 Online Reporting
10/14/15 10/16/15 Electronic Child Support 3 8.25
10/14/15 10/16/15 General Ledger Report 402 0.00
10/14/15 10/16/15 Labor Distribution 1 0.00
10/14/15 10/16/15 Year to Date Report 1 0.00
10/14/15 10/16/15 Deduction Report -1 0:00
09/30/15 Additional Delivery Charge 10.09
10/08/15 VOID 1 5.00
Total Current Charges 1709.08
Total Amount Due 2605.55
Payoptions Includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due: 10/27/2015 Invoice Number:5139279
Earn$100 for you and your company by referring a new client at http://www.paycor.com/referral-form
Printed: 10/14/2015 12:38 PM Page 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
j 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
10/14/15 5139279 Payroll processing fee $ 151.34
10/1.4/15 .513927.9 Payroll.processing fee $ 616.06
10/14/15 5139279 ' Payroll processing fee $ 942.40
Total $ 1,709.80
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
Voucher No. Warrant No. j
365124 Paycor (Allowed 20
4811 Montgomery Road
Cincinnati, OH 45212
In Sum of$
$ 1,709.80
I
ON ACCOUNT OF APPROPRIATION FOR
101 General 1108 ESE/109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1125 5139279 4341999 $ 151.34 1 hereby certify that the attached invoice(s), or
1081-99 5139279 4341999 $ 616.06 bill(s)is(are)true and correct and that the
1091 5139279 4341999 $ 942.40 materials or services itemized thereon for
which charge is made were ordered and
received except
I
i
October 14, 2015
i
Signature
$ 1,709.80 Accounts Payable Coordinator
Cost distribution ledger classification if I Title
i
claim paid motor vehicle highway fund