212331 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1
ONE CIVIC SQUARE PAYCOR
CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 CHECK AMOUNT: $900.23
CINCINNATI OH 45203 CHECK NUMBER: 212331
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 2789467 243 . 89 OTHER PROFESSIONAL FE
1091 4341999 2789467 557 .49 OTHER PROFESSIONAL FE
1125 4341999 2789467 98 . 85 OTHER PROFESSIONAL FE
Invoice Invoice
P Number Date
2789467 08/22/12
644 Linn Street,Suite 200 Current Charges Due Date
Cincinnati,OH 45203
1-800-381-0053 900.23 09/04/12
Client Number Account Balance
Purchase 1
Descriptiort ` 48630-1 1075.14
Carmel Clay Board of Parks and Recrga PorF I '
Lynn Russell G L 4 Ci 7 9
1411 E.116th St. Budget
Carmel,IN 46032 Une Des S I r7' �( /
Purch
Approv
If the above addressicontact is incorrect,please check 1 .�i�O,
the box and indicate the change on the reverse side f v
______________________ _ Please return top portion with your payment
Date of Check Description of Services Qty Current Payments Balance
Service Date I Charges
08/08/12 Previous Balance 2196.64
08/17/12 Payment -2021.73
08/08/12 08/10/12 Delivery Fuel Surcharge 1 1.00
08/08/12 08/10/12 Delivery-UPS Red 1 17.00
Payroll Service Fees 445 873.98
08/22/12 08/24/12 Payroll&Tax Base Fee
08/22/12 08/24/12 Payroll and Tax Service
08/22112 08/24/12 Pay Options
08/22/12 08/24/12 Online Check Stub Fee T `� ?� r7p,�
08/22/12 08/24/12 Reporting Options
08/22/12 08/24/12 Online Reporting Service AUG 22 2012
08/22/12 08/24/12 Electronic Child Support Payments 3 8,25
08/22/12 08/24/12 General Ledger Report 445 0.00
08/22/12 08/24/12 Labor Distribution PR Processing 1 0.00
08/22/12 08/24/12 Hosted Paycor Maintenance 0.00
08/22/12 08/24/12 Deduction Report 1 0.00
08122/12 08/24/12 Year to Date Report 1 0.00
Total Current Charges 900.23
Total Amount Due 1075.14
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due:09/04/2012 Invoice Number:2789467
Due to the recent fuel price Increase,a temporary fuel surcharge may be added for each delivery.
Printed: 08/22/2012 02:31 PM Page 1 of 1
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
644 Linn Street, Suite 200
Cincinnati, OH 45203
Invoice F;N voice Description
Date umber (or note attached invoice(s)or bill(s)) PO# Amount
8/22/12 89467 Payroll services $ 98.85
..8/22/12 2789467 Payroll services $ 243.89
8/22/12 2789467 Payroll services $ 557.49
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
900.23
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
365124 Paycor Allowed 20
644 Linn Street, Suite 200
Cincinnati, OH 45203
In Sum of$
$ 900.23
ON ACCOUNT OF APPROPRIATION FOR
101 General/ 108 ESE/ 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 2789467 4341999 $ 98.85 1 hereby certify that the attached invoice(s), or
1081-99 2789467 4341999 $ 243.89 bill(s) is (are)true and correct and that the
1091 2789467 4341999 $ 557.49 materials or services itemized thereon for
which charge is made were ordered and
received except
23-Aug 2012
Signature
$ 900.23 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund