258308 05/06/16 9`%�4�p`'F• CITY OF CARMEL, INDIANA VENDOR: 365124
ONE CIVIC SQUARE PAYCOR, INC
CHECK AMOUNT: $*******689.70*
CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 258308
'tTON�, CINCINNATI OH 45212 CHECK DATE: 05/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5668785 244.35 OTHER PROFESSIONAL FE
1091 4341999 5668785 387.34 OTHER PROFESSIONAL FE
1125 4341999 5668785 58.01 OTHER PROFESSIONAL FE
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
4/27/16 5668785 Payroll processing fee $ 244.35
4/27/16 _5668785 _ Payroll.processing fee $ 387.34
4/27/16 5668785 Payroll processing fee $ 58.01
Total $ 689.70
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
i
Voucher No. Warrant No.
365124 Paycor Allowed 20
4811 Montgomery Road
Cincinnati, OH 45212
Irl Sum of$
i
$ 689.70
ON ACCOUNT OF APPROPRIATION FOR
i
101 General /108 ESE/ 109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1081-99 5668785 4341999 $ 244.35 I hereby certify that the attached invoice(s), or
1091 5668785 4341999 $ 387.34 bill(s) is (are)true and correct and that the
1125 5668785 4341999 $ 58.01 materials or services itemized thereon for
which charge is made were ordered and
received except
I
I
I
April 28, 2016
v
Signature
$ 689.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
I
RECEIVED
APP 2 8.2016
rnvolce � Invorce
�..,,
s•+`�K �:.
4811 Montgomery_Road Current'Clargesv Dlie Date
r Cnc�irtnatlQH452 2/
1 800 381 0053` 689.70 05/10/16
Client Number Account Balance
48630-1 926.01
Carmel Clay,Board of Parks and Recreation
Lynn Russell
1411 E.116th St.
Carmel,IN 46032
4 r
ElIf the 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
dA
on f ervices Qty Current Payments - Balance
Service Date Charges
04/13/16 Previous Balance 2511.70
04/26/16 Payment -2275.39
04/13/16 04/15/16 Delivery Fuel Surcharge 1 1.00
04/13/16 04/15/16 Delivery-UPS Red 1 17.00
Payroll Service Fees 385 666.20
04/27/16 04/29/16 Payroll&Tax Base Fee
04/27/16 04/29/16 Payroll and Tax Service
04/27/16 04/29/16 Pay Options
04/27/16 04/29/16 Online Check Stub
04/27/16 04/29/16 Reporting Options
04/27/16 04/29/16 Online Reporting
04/27/16 04/29/16 Electronic Child Support 2 5.50
04/27/16 04/29/16 General Ledger Report 385 0.00
04/27/16 04/29/16 Labor Distribution 1 0.00
04/27/16 04/29/16 -Year to Date Report 1 0.00
04/27/16 04/29116 Deduction Report 1 0.00
Total Current.Charges z�t68970 ' `K'`Ya' .
Total Amount Due 926.01
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due:05/10/2016 Invoice Number:5668785
Earn$100 for you and your company by referring a new client at http://www.paycor.com/referral-form
Printed: 04/27/2016 11:29 AM Page 1 of 1