213607 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1
ONE CIVIC SQUARE PAYCOR CHECK AMOUNT: $751.76
CARMEL, INDIANA 46032 644 LINN STREET SUITE 200
CINCINNATI CH 45203 CHECK NUMBER: 213607
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 2858169 266 . 75 OTHER PROFESSIONAL FE
1091 4341999 2858169 383 . 21 OTHER PROFESSIONAL FE
1125 4341999 2858169 101 . 80 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
Paycor 2858169 10103/12
644 Linn Street,Suite 200 Current Charges Due Date
Cincinnati,OH 45203 751.76 10/16/12
1-800-381-0053
Client Number Account Balance
Ourchase ,
48630-1 926.67
Cripbon
PorF 15
Carmel Clay Board of Parks and Recreation•O•# � b� �'
Lynn Russell G.L.#
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1411 E.116th St. Audoet iS �`C. - - �C �- ( G
Carmel,IN 46032 Line-besCr
Purchaser A ' Dater ro
Approval r Date
❑ If the above address/contact is incorrect,please check ///���'''��� --�/
the box and indicate the change on the reverse side 1`5 i �/` /
Please return top portion with your payment
--------------------------------------------------------------------------------------------
Date of Check Description of Services Qty Current Payments Balance
Service Date Charges
`09/19/12 Previous Balance 937.01
09/28/12 Payment -39.91
09/28/12 Payment -722.19
09/19/12 09121/12 Delivery Fuel Surcharge 1 1.00
09/19/12 09/21/12 Delivery-UPS Red 1 17.00
Payroll Service Fees 363 716.62
10/03/12 10/05/12 Payroll&Tax Base Fee
10/03/12 10/05/12 Payroll and Tax Service
10/03/12 10/05/12 Pay Options
10/03/12 10/05/12 Online Check Stub Fee
10/03/12 10/05/12 Reporting Options
10/03/12 10/05/12 Online Reporting Service
10/03/12 10/05/12 Electronic Child Support Payments 4 11.00
10/03/12 10/05/12 General Ledger Report 363 0.00
10/03/12 10/05/12 Labor Distribution PR Processing 1 0.00
10/03/12 10/05/12 Hosted Paycor Maintenance 0.00
10/03/12 10/05112 Deduction Report 1 0.00
10/03/12 10/05112 Year to Date Report 1 0.00
09/30/12 Additional Delivery Charge 6.14
Total Current Charges 751.76
Total Amount Due 926.67
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due:10/16/2012 invoice Number:2858169
Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery.
Printed: 10/03/2012 11:13 AM 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
10/3/12 2858169 Payroll services $ 266.75
10/3/12 2858169 Payroll services $ 383.21
10/3/12 2858169 Payroll services - $ -__-_101.80
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 $ 751.76
20_
Clerk-Treasurer
Voucher No. Warrant No.
365124 Paycor Allowed 20
644 Linn Street, Suite 200
Cincinnati, OH 45203
In Sum of$
$ 751.76
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/ 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 2858169 4341999 $ 266.75 1 hereby certify that the attached invoice(s), or
1091 2858169 4341999 $ 383.21 bill(s) is (are)true and correct and that the
1125 2858169 4341999 $ 101.80 materials or services itemized thereon for
which charge is made were ordered and
received except
4-Oct 2012
Signature
$ 751.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund