215133 12/04/2012 *F CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1
ONE CIVIC SQUARE PAYCOR
CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 CHECK AMOUNT: $682.28
+ ;o� CINCINNATI OH 45203 CHECK NUMBER: 215133
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 2965943 250 .29 OTHER PROFESSIONAL FE
1091 4341999 2965943 338 . 49 OTHER PROFESSIONAL FE
1125 4341999 2965943 93 . 50 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
F-Clycor 2965943 11/28/12
644 Linn Street,Suite 200 Current Charges Due Date
Cincinnati,OH 45203
1-800-381-0053 682.28 12111/12
Purchase Client Number Account Balance
Description
P.O.# P or F 48630-1 857.19
Carmel Clay Board of Parks and(R&cribation �e
Lynn Russell Line"et /� .
1411 E.116th St. Line�bescr +
Carmel,IN 46032 Purchaser I 7� ��` 0"
Approval Date r ` lJ
Elhe the above address/contact is incorrect,please check I O l .' �► "
the box and indicate the change on the reverse side
Please return top portion with your pay ,
Date of Check Description of Services Qty Current Payments Balance
Service Date Charges
11/14/12 Previous Balance 881.76
11/27/12 Payment -706.85
11/14/12 11/16/12 Delivery Fuel Surcharge 1 1.00
11/14/12 11/16/12 Delivery-UPS Red 1 17.00
Payroll Service Fees 330 653.28
11/28/12 11/30/12 Payroll&Tax Base Fee
11/28/12 11/30/12 Payroll and Tax Service
11/28/12 11/30/12 Pay Options
11/28/12 11/30/12 Online Check Stub Fee
11/28/12 11/30/12 Reporting Options
11/28/12 11/30/12 Online Reporting Service
11/28/12 11/30/12 Electronic Child Support Payments 4 11.00
11/28/12 11/30/12 General Ledger Report 330 0.00
11/28/12 11/30/12 Labor Distribution PR Processing 1 0.00
11/28/12 11/30/12 Hosted Paycor Maintenance 0.00
11/28/12 11/30/12 Deduction Report 1 0.00
11/28/12 11/30/12 Year to Date Report 1 0.00
Total Current Charges 682.28
Total Amount Due 857.19
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due: 12/11/2012 Invoice Number:2965943
Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery.
Printed: 11/28/2012 03:31 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 Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/28/12 2965943 Payroll services $ 93.50
11/28/12 2965943 Payroll services $ 250.29
11/28/12 2965943 Payroll services $ 338.49
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 $ 682.28
. 20_
Clerk-Treasurer
Voucher No. Warrant No.
365124 Paycor Allowed 20
644 Linn Street, Suite 200
Cincinnati, OH 45203
In Sum of$
$ 682.28
ON ACCOUNT OF APPROPRIATION FOR
101 General/ 108 ESE 1109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 2965943 4341999 $ 93.50 1 hereby certify that the attached invoice(s), or
1081-99 2965943 4341999 $ 250.29 bill(s) is (are)true and correct and that the
1091 2965943 4341999 $ 338.49 materials or services itemized thereon for
which charge is made were ordered and
received except
29-Nov 2012
P &fV0'V Av-L�
Signature
$ 682.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund