252084 1 2/02/1 5 CITY OF CARMEL, INDIANA VENDOR: 365124
ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: $*****1,181.53*
CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 252084
9MTON� CINCINNATI OH 45212 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5264596 427.79 OTHER PROFESSIONAL FE
1091 4341999 5264596 651.88 OTHER PROFESSIONAL FE
1125 4341999 5264596 101.86 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
PaVc- or 5264596 11/24/15
4811 Montgomery Road Current Charges Due Date
Cincinnati,OH 45212g �''�p
1-800-381-0053 R-EC EA V E J 1181.53 12!08/15
N Z 5 Client Number Account Balance
`t.. 46630-1 3079.14
BY:
Carmel Clay Board of Parks and Recreation
Lynn Russell
1411 E.116th St.
Carmel, IN 46032
❑ If the above address/contact is incorrect,please checkthe box and indicate the change on the reverse side
4ijul-o
Please return top portion with your payment
Date of Check Description of rvices Qty Current Payments Balance
Service Date Charges
11/11/15 Previous Balance 1897.61
11/11/15 11/13/15 Delivery Fuel Surcharge 1 1.00
11/11/15 11/13/15 Delivery-UPS Red 1 17.00
Payroll Service Fees 417 718.04
11/24/15 11/27/15 Payroll&Tax Base Fee
11/24/15 11/27/15 Payroll and Tax Service
11/24/15 11/27/15 Pay Options
11/24/15 11/27/15 Online Check Stub
11/24/15 11/27/15 Reporting Options
11/24/15 11/27/15 Online Reporting
11/24/15 11/27/15 Electronic Child Support 2 5.50
11/24/15 11/27/15 General Ledger Report 417 0.00
11/24/15 11/27/15 Labor Distribution 1 0.00
11/24/15 11/27/15 Year to Date Report 1 0.00
11/24/15 11/27/15 Deduction Report 1 0.00
11/11/15 ACA Per EE Fee 517 432.99 -- - --
11/17/15 ACH Return 1 7.00
Total Current Charges 1181.53
Total Amount Due 3079.14
` Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due: 12/08/2015 Invoice Number:5264596
Earn$100 for you and your company by referring a new client at http://www.paycor.com/referral-form
Printed: 11/24/2015 12:13 PM Page 1 of 1
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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
11/24/15 5264596 Payroll processing fee $ 427.79
11/24/15 5264596 Payroll processing fee $ 651.88
11/24/15 5264596 Payroll processing fee $ -101:86-
Total $ 1,181.53
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.
365124 Paycor Allowed 20
4811 Montgomery Road
Cincinnati, OH 45212
In Sum of$
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$ 1,181.53
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1081-99 5264596 4341999 $ 427.79 1 hereby certify that the attached invoice(s), or
1091 5264596 4341999 $ 651.88 bill(s)is(are)true and correct and that the
1125 5264596 43419991 $ 101.86 materials or services itemized thereon for
which charge is made were ordered and
received except
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November 30, 2015
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�,�Lao)7
Signature
$ 1,181.53 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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