301292 07/28/16 CITY OF CARMEL, INDIANA VENDOR: 365 24
® it ONE CIVIC SQUARE PAY OR, INC CHECK AMOUNT: $*******978.93*
z" CARMEL, INDIANA 46032 4811 ONTGOMERY ROAD CHECK NUMBER: 301292
q�'�TON.EO` CINCI NATI OH 45212 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5875800264.32 OTHER PROFESSIONAL FE
1091 4341999 5875800 636.30 OTHER PROFESSIONAL FE
1125 4341999 5875800 78.31 OTHER PROFESSIONAL FE
Voucher No. Warrant No.
365124 Paycor Allowed 20
4811 Montgomery Road
Cincinnati, OH 45212
In Sum of$
$ 978.93
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1081-99 5875800 4341999 $ 264.32 1 hereby certify that the attached invoice(s), or
1091 5875800 4341999 $ 636.30 bill(s) is (are)true and correct and that the
1125 5875800 43419991 $ 78.31 materials or services itemized thereon for
wh ieh-charge-is-made-were-ordere"n d
received except
July 21, 2016
Signature
$ 978.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Invoice s: In
Number Date
P c�►— - 5875800 07/20/16
4811 Montgomery�Road Current Charges Due baa#e
�+xCtnclnna�tl i0} -45212'"
1800-381-0053 978.93 08/02/16
EIVDEIVnL"
Client Number Account Balance
2Z 2Q,6 48630-1 1215.24.
Carmel Clay Board of Parks and Recreation
Lynn Russell
1411 E.116th St. CEJ
Carmel,IN 46032 pp
❑ If the above address/contact is incorrect,please check Iv f1 hl
the box and indicate the change on the reverse side 'C V t(0 V> 3
Please return top portion with your payment
Date of Check D cription of Service i [--Qty Current Payments Balance
Service Date - Charges
07/06/16 Previous Balance 3359.47
07/19/16 Payment -3123.16
07/06/16 07/08/16 Delivery Fuel Surcharge 1 1.00
07/06/16 07/08/16 Delivery-UPS Red 1 17.00
Payroll Service Fees 524 953.78
07/20/16 07/22/16 Payroll&Tax Base Fee
07/20/16 07/22/16 Payroll and Tax Service
07/20/16 07/22/16 Pay Options
07/20/16 07/22/16' Online Check Stub
07/20/16 07/22/16 Reporting'Options
07/20/16 07/22/16 Online Reporting
07/20/16 07/22/16 Electronic Child Support 2 5.89
07/20/16 07/22/16 General Ledger Report 524 . 0.00
07/20/16 07/22/16 Labor Distribution 1 0.00
07/20/16 07/22/16 Year to Date Report 1 0.00
07/20/16 07/22/16 Deduction Report 1 0.00
07/20/16 IN-Sales Tax 7.000% 1.26
Total-Current•Charges
Total Amount Due 1215.24
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Pay I ent is due:08/02/2016 Invoice Number:5875800
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