215543 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1
ONE CIVIC SQUARE PAYCOR
CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 CHECK AMOUNT: $771.44
CINCINNATI OH 45203 CHECK NUMBER: 215543
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 2970716 267 . 60 OTHER PROFESSIONAL FE
1091 4341999 2970716 402 . 84 OTHER PROFESSIONAL FE
1125 4341999 2970716 101 . 00 OTHER PROFESSIONAL FE
Invoice Invoice
Number Date
Pa 2970716 12/12/12
644 Linn Street,Suite 200 Current Charges Due Date AF
Cincinnati,OH 45203
1-800-381-0053 771.44 12/25/12
Purchase r9 Client Number Account Balance
Description fiof
P.O.# �P or F 48630-1 946.35
Carmel Clay Board of Parks and Recreation G.L.g#Lynn Russell Line DesCr �1� — ' DD
1411 E. 116th St. 4
Carmel,IN 46032 Purchaser. ate 13 1 Z-
Approval Date U g c �7/
If the above address/contact is incorrect,please check
the box and indicate the change on the reverse side
r7'7I, ��y .
Please return top portion with your payment
Date of Check Description of Services Qty Current Payments Balance
Service Date Charges
11/28/12 Previous Balance 857.19
12/10/12 Payment -682.28
11/28/12 11/30/12 Delivery Fuel Surcharge 1 1.00
11/28/12 11/30/12 Delivery-UPS Red 1 17.00
Payroll Service Fees 371 731.97
12/12/12 12/14/12 Payroll&Tax Base Fee
12/12/12 12/14/12 Payroll and Tax Service
12/12/12 12/14/12 Pay Options
12/12/12 12/14/12 Online Check Stub Fee
12/12/12 12/14/12 Reporting Options
12/12/12 12/14/12 Online Reporting Service
12/12/12 12/14/12 Electronic Child Support Payments 4 11.00
12112/12 . 12/14112 General Ledger Report 371 0.00
12/12/12 12/14/12 Labor Distribution PR Processing 1 0.00
12/12/12 12/14/12 Hosted Paycor Maintenance 0.00
12/12/12 12/14/12 Deduction Report 1 0.00
12/12112 12/14/12 Year to Date Report 1 0.00
11/30/12 Additional Delivery Charge 10.47
Total Current Charges 771.44
Total Amount Due 946.35
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due: 12/25/2012 Invoice Number:2970716
Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery.
Printed: 12/12/2012 02:02 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
12/12/12 2970716 Payroll services $ 101.00
12/12/12 2970716 Payroll services $ 267.60
12/12/12 2970716 Payroll services $ 402.84
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 ITotal $ 771.44
, 20_
Clerk-Treasurer
S,
Voucher No. Warrant No.
365124 Paycor Allowed 20
644 Linn Street, Suite 200
Cincinnati, OH 45203
In Sum of$
$ 771.44
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/ 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 2970716 4341999 $ 101.00 1 hereby certify that the attached invoice(s), or
1081-99 2970716 4341999 $ 267.60 bill(s) is (are)true and correct and that the
1091 2970716 4341999 $ 402.84 materials or services itemized thereon for
which charge is made were ordered and
received except
13-Dec 2012
Signature
$ 771.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund