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302388 08/25/16 CITY OF CARMEL, INDIANA VENDOR: 365124 ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: $*******989.63* CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 302388 CINCINNATI OH 45212 CHECK DATE: 08/25/16 t ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 5946640 279.76 OTHER PROFESSIONAL FE 1091 4341999 5946640 669.91 OTHER PROFESSIONAL FE 1125 4341999 5946640 39.96 OTHER PROFESSIONAL FE Voucher No. Warrant No. 365124 Paycor Allowed 20 4811 Montgomery Road Cincinnati, OH 45212 In Sum of$ $ 989.63 ON ACCOUNT OF APPROPRIATION FOR 1.01 General/108 ESE/ 109 MCC PO#or INVOICE NO. ACCT#/ AMOUNT Board Members Dept# TITLE 1081-99 5946640 4341999 $ 279.76 1 hereby certify that the attached invoice(s), or 1091 5946640 4341999 $ 669.91 bill(s) is (are)true and correct and that the 1125 5946640 43419991 $ 39.96 materials or services itemized thereon for which charge is made were ordered and received except August 17, 2016 Signature $ 989.63 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 8/17/16 5946640 Payroll processing fee $ 279.76 8/17/16 5946640 Payroll processing fee $ 669.91 8/17/16 5946640 Payroll processing fee $ 39.96 Total $ 989.63 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 , 20 Clerk-Treasurer Ray".1 P- 5 Client Number Account Bal 48630-1 11235.44 Carmel Clay Board ofParks and Recreation _�� [\ / Ly � �/ � / -- k� L�~� « ~� � 1*11E11omSt. �]--7 [� —1 LIP oonne�|w400uu ' �° 0 ) - ` �� If the above addressicontact is incorrect,please check the box and indicate the change on the reverse side Please return top portion mrith your payment Ascriprio ASery C Service I Charges 08/02/16 Previous Balance 4305.00 0802/16 Payment -978a3 08/18n6 Payment -3089.70 08m2/16 08m5n6 Delivery Fuel Surcharge 1 1.00 08m2/16 08/05/16 Delivery'UPS Red 1 17o0 Payroll Service Fees 497 906.98 08/17/16 08/19x16 Payroll uTax Base Fee 08/17Y16 08/18/16 Payroll and Tax Service 08/17/16 08/19/16 Pay Options 08/17Y16 08/19116 Online Check Stub 0017Y16 0019/16 Reporting Options 08/17/16 08/19v16 Online Reporting 08/17/16 08/19V1e Electronic Child Support 2 5.89 08/17Y16 08/1eV16 General Ledger Report 497 0.00 08/17Y10 0019/16 Labor Distribution 1 0.00 0017Y1e 08/19/16 Year mDate Report 1 0.00 08/17/16 0019/16 Deduction Report 1 0.00 07/201e Check Copy 1 10.00 07/28/16 Check Copy 1 10.00 07/28/16 Check Copy 1 10.00 07/28/10 Check Copy 1 10.00 07/28/16 Check Copy 1 10.00 07128/16 Check Copy 1 10.00 08/09Y16 xC*momm 1 7.00 ` Payoptions includes Paycor Official Checks uCentralized Direct Deposit Late payments are subject mofee Invoice Invoice Paycor Number Date 5946640 08/17/16 4811 Montgomery Road Current Charges Due Date Cincinnati,OH 45212 1-800-381-0053 999.13 08/30/16 Client Number Account Balance 48630-1 1235.44 Carmel Clay Board of Parks and Recreation Lynn Russell 1411 E.116th St. Carmel,IN 46032 If 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 Description of Services Qty Current Payments Balance Service Date Charges 08/17/16 IN-Sales Tax 7.000% 1.26 Total Current Charges 999,13 Total Amount Due 1235.44 ZJ Payoptions includes Paycor Oficial Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due:08/30/2016 Invoice Number:5946640 Earn$100 for you and your company by referring a new client at http://www.paycor.com/referral-form Printed: 08/17/2016 01:19 PM Page 2 of 2