252934 1 2/29/1 5 "��p" CITY OF CARMEL, INDIANA VENDOR: 365124
® •: ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: $*******687.12*
,, � CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 252934
'M;�TON�. CINCINNATI OH 45212 CHECK DATE: 12/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5327319 250.04 OTHER PROFESSIONAL FE
1091 4341999 5327319 369.40 OTHER PROFESSIONAL FE
1125 4341999 5327319 67.68 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
Paycor.
327319 2/21/15
4811 Montgomery Road Current Charges Due Date
Cincinnati,OH 45212
1-800-381-0053 687.12 01/05/16
Client Number Account Balance
FID
-
DEC 22 2015 48630-1 3267.83
Carmel Clay Board of Parks and Recreation C�
Lynn Russell Y, j 7-,
1411 E.116th St. ( tom
Carmel, IN 46032 pCJ o02S0, 1�
If the above address/contact is incorrect,please check
the box and indicate the change on the reverse side
AJ-V4 Please return top portion with your payment
Date of Check Descri i n of S s Qty Current Payments Balance
Service Date Charges
12/09/15 Previous Balance 2580.71
12/09/15 12/11/15 Delivery Fuel Surcharge 1 1.00
12/09/15 12/11/15 Delivery-UPS Red 1 17.00
Payroll Service Fees 376 651.62
12/21/15 12/24/15 Payroll&Tax Base Fee
12/21/15 12/24/15 Payroll and Tax Service
12/21/15 12/24/15 Pay Options
12/21/15 12/24/15 Online Check Stub
12/21/15 12/24/15 Reporting Options
12/21/15 12/24/15 Online Reporting
12/21/15 12/24/15 Electronic Child Support 2 5.50
12/21/15 12/24/15 General Ledger Report 376 0.00
12/21/15 12/24/15 Labor Distribution 1 0.00
12/21/15 12/24/15 Year to Date Report 1 0.00
12/21/15 12/24/15 Deduction Report 1 0.00
12/09/15 Stop Payment 1 5.00
12115115 ACH Return 1 7.00
Total Current Charges 687.12
Total Amount Due 3267.83
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due:01/05/2016 Invoice Number:5327319
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Printed: 12/21/2015 12:57 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
12/21/15 5327319 Payroll processing fee $ 250.04
12/21/15 5327319 Payroll processing fee $ 369.40
12/21/15 5327319 Payroll processing fee $ 67.68
I
Total $ 687.12
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$
$ 687.12
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE 1109 MCC
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I
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1081-99 5327319 4341999 $ 250.04 I hereby certify that the attached invoice(s), or
1091 5327319 4341999 $ 369.40 bills)is(are)true and correct and that the
1125 5327319 4341999 $ 67.68 materials or services itemized thereon for
which charge is made were ordered and
received except
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December 22, 2015
I�
Signature
$ 687.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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