303247 09/22/16 CITY OF CARMEL, INDIANA VENDOR: 365124
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i ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: $*****1,778.84*
CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 303247
vM; CINCINNATI OH 45212 CHECK DATE: 09/22/16
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 5983962 498.07 OTHER PROFESSIONAL FE
1091 4341999 5983962 1,209.61 OTHER PROFESSIONAL FE
1125 4341999 5983962 71.16 OTHER PROFESSIONAL FE
Voucher No. Warrant No.
365124 Paycor Allowed 20
4811 Montgomery Road
Cincinnati, OH 45212
In Sum of$
$ 1,778.84
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1081-99 5983962 4341999 $ 498.07 1 hereby certify that the attached invoice(s), or
1091 5983962 4341999 $ 1,209.61 bill(s) is(are)true and correct and that the
1125 5983962 43419991 $ 71.16 materials or services itemized thereon for
which charge is made were ordered and
received except
September 14, 2016
Signature
$ 1,778.84 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
9/14/16 5983962 Payroll processing fee $ 498.07
9/14/16 5983962 Payroll processing fee $ 1,209.61
9/14/16 5983962 Payroll processing fee $ 71.16
Total $ 1,778.84
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
Invoice Invoice
Number Date
Paycor 5983962 09/14/16
4811 Montgomery Road Current Charges Due Date
Cincinnati,OH 45212
1-800-381-0053 1778.84 09/27/16
Client Number Account Balance
48630-1 3014.28
Carmel Clay Board of Parks and Recreation
Lynn Russell
1411 E.116th St. p T�
Carmel,IN 46032 C)g, L4 c)0 • 1/
If the above address/contact is incorrect,please check r �v
the box and indicate the change on the reverse side
r
1
Please return top portion with your payment
Date of Check Vion of Services Qty Current Payments Balance
Service . Date Charges
08/31/16 Previous Balance 2067.37
09/13/16 Payment -831.93
01/17/11 Adjustment-New Hire Filing EVS -140.00
09/14/16 Adjustment-Sales Tax Adjustment -9.50
09/14/16 09/16/16 Adjustment-Payroll.and Tax Service -607.24
08/08/13 Adjustment-Late Fees-1 Month -15.00
10/24/12 Adjustment-Tax NSF -110.00
02/21/11 Adjustment-Bounced Funding -30.00
03/10/11 Adjustment-Late Fees-1 Month -15.00
03/11/11 Adjustment-Late Fees-1 Month -15.00
08/31/16 09/02/16 Delivery Fuel Surcharge 1 1.00
08/31/16 09/02/16 Delivery-UPS Red 1 17.00
HR Services 1247.62
09/01/16 HR Application 583
Payroll Service Fees 379 702.44
09/14/16 09/16/16 Payroll&Tax Base Fee
09/14/16 09/16/16 Payroll and Tax Service
09/14/16 09/16/16 Pay Options
09/14/16 09/16/16 Online Check Stub
09/14/16 09/16/16 Reporting Options
09/14/16 09/16/16 Online Reporting
09/14/16 09/16/16 Electronic Child Support 4 11.77
09/14/16 09/16/16 General Ledger Report 379 0.00
09/14/16 09/16/16 Labor Distribution 1 0.00
09/14/16 09/16/16 Year to Date Report 1 0.00
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to:a fee
Client Number 48630-1 Payment is due:09/27/2016 Invoice Number:5983962
Earn$100 for you and your company by referring a new client at http://www.paycor.com/referral-form
Printed: 09/14/2016 12`26 PM Page 1 of 2
r Invoice: Invoice
umber Date}.:
- 5983962 09/1'4/16
811-Montgomery�Road Current Charges Due Date
Clnclnnati,O1 45212
7 800=381- 0053 1778.84 09/27/16
Client Number Account Balance
48630-1 3014.28
Carmel Clay Board of Parks and Recreation
Lynn Russell
1411 E.116th St.
Carmel,IN 46032
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 Description of Services Qty Current . Payments Balance
Service Date Charges
09/14/16 09/16/16 Deduction Report 1 0.00
09/01/16 ACA Per EE Fee 583 728.75
09/07/16 ACH Return 1 7.00
09/09/16 Stop Payment 1 5.00
Total Current Charges 1778.84
Total Amount Due 3014.28
' Payoptions includes Paycor 6f ficial Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due:09/27/2016 Invoice Number:5983962
Earn$100 for you and your company by referring a new client at http://www.paycor.com/referral-form
Printed: 09/14/2016 12:26 PM Page 2 of 2