251678 11/18/15 *• CITY OF CARMEL, INDIANA VENDOR: 365124
® ! ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: $""""1,661.30'
CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 251678
CINCINNATI OH 45212 CHECK DATE: 11/18/15
TpN L-0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5206862 615.33 OTHER PROFESSIONAL FE
1091 4341999 5206862 915.84 OTHER PROFESSIONAL FE
1125 4341999 5206862 130.13 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
Paycor 5206862 11/11/15
4811 Montgomery Road Current Charges Due Date
Cincinnati,OH 45212
1-800-381-0053 1661.30 11/24/15
Client Number Account Balance
48630-1 1897.61
Carmel Clay Board of Parks and Recreation
Lynn Russell I u L 1 S, 3 3
1411 E. 116th St. F
Carmel, IN 46032
I ❑ Ifthe above address/contact is incorrect,please check
the box and indicate the change on the reverse side ` 1
Please return top portion with your payment
Date of Check D scription Services Qty Current Paymerts Balance 1
Service Date Charges
10/28/15 Previous Balance 914.18
11/10/15 Payment -677.87
10/28/15 10/30/15 Delivery Fuel Surcharge 1 1.00
10/28/15 10/30/15 Delivery-UPS Red 1 17.00
HR Services 1004.00
11/01/15 HR Application 502
Payroll Service Fees 365 633.80
11/11/15 11/13/15 Payroll&Tax Base Fee
11/11/15 11/13/15 Payroll and Tax Service
11/11/15 11/13/15 Pay Options
11/11/15 11/13/15 Online Check Stub
11/11/15 11/13/15 Reporting Options
11/11/15 11/13/15 Online Reporting
11/11/15 11/13/15 Electronic Child Support 2 5.50
11/11/15 11/13/15 General Ledger Report 365 0.00
11/11/15 11/13/15 Labor Distribution 1 0.00
11/11/15 11/13/15 Year to Date Report 1 0.00
11/11/15 11/13/15 Deduction Report 1 0.00
Total Current Charges 1661.30
Total Amount Due 1897.61
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due: 11/24/2015 Invoice Number:5206862
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Printed: 11/11/2015 11:38 AM 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
11/11/15 5206862 Payroll processing fee $ 615.33
11/11/15 5206862 Payroll processing fee $ 915.84
11/11/15 5206862 Payroll processing fee $ 130.13
Total $ 1,661.30
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$
$ 1,661.30
ON ACCOUNT OF APPROPRIATION FOR
101 General / 108 ESE/ 109 MCC _
PO#or ACCT#/ Board Members
Dept t# INVOICE NO. TITLE AMOUNT
1081-99 5206862 43419991 $ 615.33 1 hereby certify that the attached invoice(s), or
1091 5206862 4341999 1 $ 915.84 bill(s)is(are)true and correct and that the
1125 5206862 43419991 $ 130.13 materials or services itemized thereon for
which charge is made were ordered and
received except
November 16, 2015
1P kmky��
Signature
$ 1,661.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund