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212725 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1 ONE CIVIC SQUARE PAYCOR CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 CHECK AMOUNT: $812.61 CINCINNATI OH 45203 CHECK NUMBER: 212725 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 2795318 24 . 76 OTHER PROFESSIONAL FE 1091 4341999 2795318 24 . 76 OTHER PROFESSIONAL FE 1081 4341999 2807815 248 .48 OTHER PROFESSIONAL FE 1091 4341999 2807815 420 . 96 OTHER PROFESSIONAL FE 1125 4341999 2807815 93 . 65 OTHER PROFESSIONAL FE Invoice Invoice Number Date V ca 2795318 08/28/12 644 Linn Street,Suite 200 Current Charges Due Date Cincinnati,OH 45203 1-800-381-0053 49.52 09/04/12 Client Number Account Balance Purchase YC 48630-1 1124.66 Carmel Clay Board of Parks and Recreation Description P Or F !"' Lynn Russell P'0'# G.1411 E.116th St. L.# ( { Carmel,IN 46032 Budget �eS I,— "C Line Des ! Date �J°��� Purchaser �`pate____ If the above address/contact is incorrect,please check AWOVal_,...� the box and indicate the change on the reverse side q9 5,— /1 L' Please return top portion with your payment !/� Date of Check Description of Services Qty Current I Payments Balance Service Date Charges 08/22/12 Previous Balance 1075.14 08/22/12 08/24/12 Delivery Fuel Surcharge 1 1.00 08/22/12 08/24/12 Delivery-UPS Red 1 17.00 Payroll Service Fees 6 31.52 _ 08/28/12 08/29/12 Payroll&Tax Base Fee r P to : . '. ... 08/28/12 08/29/12 Payroll and Tax Service i 08/28/12 08129/12 Pay Options I S E P 0 6 2012 08/28/12 08/29/12 Online Check Stub Fee 08/28/12 08129/12 Reporting Options �T I 08/28/12 08/29/12 Online Reporting Service - - 08/28/12 08/29/12 Electronic Child Support Payments 0 0.00 08/28/12 08/29/12 General Ledger Report 6 0.00 08/28/12 08/29/12 Labor Distribution PR Processing 1 0.00 08/28/12 08/29/12 Hosted Paycor Maintenance 0.00 08/28/12 08/29/12 Deduction Report 1 0.00 08/28/12 08/29/12 Year to Date Report 1 0.00 Total Current Charges 49.52 Total Amount Due 1124.66 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:2795318 Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery. Printed: 08/28/2012 07:36 AM Page 1 of 1 Invoice Invoice Number Date PaVco r. 2807815 09/05/12 644 Linn Street,Suite 200 Current Charges Due Date Cincinnati,OH 45203 1-800-381-0053 763.09 09/18/12 Client Number Account Balance Purchase 48630-1 987.52 Description Carmel Clay Board of Parks and RecreaaQD.# P or F Lynn Russell �' C7 G.L. 1411 E. 116th St. Line Carmel,IN 46032 Line Descr Purchaser ❑ If the above address/contact is incorrect,please check the box and indicate the change on the reverse side �J Please return top portion with your payment -------------------------------------------------------------------------------------------- Date of Check Description of Services Qty Current P Service Date Charges 08/28/12 Previous Balance 1124.66 08/31/12 Payment -900.23 Payroll Service Fees 380 749.24 09/05/12 09107112 Payroll&Tax Base Fee 09/05/12 09/07/12 Payroll and Tax Service --- 09/05/12 09/07/12 Pay Options r 09105112 09/07/12 Online Check Stub Fee 7SZEPO 09/05/12 09/07/12 Reporting Options 2012 09105112 09/07/12 Online Reporting Service 1 09/05/12 09/07/12 Electronic Child Support Payments 3 8.25 09/05/12 09/07/12 General Ledger Report 380 0.00 09/05/12 09/07/12 Labor Distribution PR Processing 1 0.00 09/05/12 09/07/12 Hosted Paycor Maintenance 0.00 09/05/12 09/07/12 Year to Date Report 1 0.00 09/05/12 09/07/12 Deduction Report 1 0.00 08/31/12 Additional Delivery Charge 5.60 Total Current Charges 763.09 Total Amount Due 987.52 Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due:09/18/2012 Invoice Number:2807815 Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery. Printed: 09105/2012 12:26 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 Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/28/12 2795318 Payroll services $ 24.76 8/28/12 2795318 Payroll services $ 24.76 ~9/5/12 " 28078`15" i✓ayroii services $ 93.65 9/5/12 2807815 Payroll services $ 248.48 9/5/12 2807815 Payroll services $ 420.96 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 Total I $ 812.61 20_ Clerk-Treasurer Voucher No. Warrant No. 365124 Paycor Allowed 20 644 Linn Street, Suite 200 Cincinnati, OH 45203 In Sum of$ $ 812.61 ON ACCOUNT OF APPROPRIATION FOR 101 General/ 108 ESE/ 109 Monon Center PO#or INVOICE NO. A.CCT#/TITLE AMOUNT Board Members Dept# 1081-66 2795318 4341999 $ 24.76 1 hereby certify that the attached invoice(s), or 1091 2795318 4341999 $ 24.76 bill(s) is (are)true and correct and that the 1125 2807815 4341999 $ 93.65 materials or services itemized thereon for 1081-99 2807815 4341999 $ 248.48 which charge is made were ordered and 1091 2807815 4341999 $ 420.96 received except 6-Sep 2012 Signature $ 812.61 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund