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304307 10/20/16
I_C�q CITY OF CARMEL, INDIANA VENDOR: 365124 ® ``�l• ONE CIVIC SQUARE PAYCOR, INC CHECK AMOUNT: $*****2,345.99* CARMEL, INDIANA 46032 4811 MONTGOMERY ROAD CHECK NUMBER: 304307 'Mr CINCINNATI OH 45212 CHECK DATE: 10/20/16 IiON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 6057864 1,059.09 OTHER PROFESSIONAL FE 1091 4341999 6057864 1,177.97 OTHER PROFESSIONAL FE 1125 4341999 6057864 108.93 OTHER PROFESSIONAL FE Voucher No. Warrant No. 365124 Paycor Allowed 20 4811 Montgomery Road Cincinnati, OH 45212 In Sum of$ $ 2,345.99 ON ACCOUNT OF APPROPRIATION FOR 101 General/108 ESE/109 MCC PO#or INVOICE NO. ACCT#/ AMOUNT Board Members Dept# TITLE 1081-99 6057864 4341999 $ 1,059.09 1 hereby certify that the attached invoice(s), or 1091 6057864 4341999 $ 1,177.97 bill(s) is(are)true and correct and that the 1125 6057864 4341999 $ 108.93 materials or services itemized thereon for which charge is made were ordered and received except October 14, 2016 Signature $ 2,345.99 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund �.0 EIVE J e r, OCT L�1 Ofby�m OlCeber Date BY' ( Pay—tor 6057864 'y 1 0/1 2/16 4811 Mont meryVRoad Current Charges Due Date (3-ct nn att,OH 45212^ `, 8084 0Q53 2345,99 10/25/16 Client Number Account Balance 48630-1 4306.94 Carmel Clay Board of Parks and Recreation Lynn Russell 1411 E.116th St. ^ \ _ I Carmel, IN 46032 , ' q� ` - ©Sq - ©� ❑ If the above address/contact is incorrect,please check I the box and indicate the change on the reverse side a3Ll S. cJg Please return top portion with your payment Date of Check Description f ervices Qty Current Payments Balance Service Date Charges 09/28/16 Previous Balance 1960.95 09/28/16 09/30/16 Delivery Fuel Surcharge 1 1.00 09/28/16 09/30/16 Delivery-UPS Red 1 17.00 HR Services 1012.22 10/01/16 HR Application 473 10/12/16 10/14/16 Electronic Child Support 3 8.83 10/12/16 10/14/16 General Ledger Report 378 0.00 10/12/16 10/14/16 Labor Distribution 1 0.00 10/12/16 10/14/16 Year to Date Report 1 0.00 10/12/16 10/14/16 Deduction Report 1 0.00 Payroll Service Fees 378 700.71 10/12/16 10/14/16 Payroll&Tax Base Fee 10/12/16 10/14/16 Payroll and Tax Service 10/12/16 10/14/16 Pay Options 10/12/16 10/14/16 Online Check Stub 10/12/16 10/14/16 Reporting Options 10/12/16 10/14/16 Online Reporting 09/30/16 Additional Delivery Charge 14.98 10/01/16 ACA Per EE Fee 473 591.25 Total Current Charges 2345.99 Total Amount Due 4306.94 Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due: 10/25/2016 Invoice Number:6057864 Earn$100 for you and your company by referring a new client at http://www.paycor.com/referral-form Printed: 10/12/2016 12:56 PM Page 1 of 1