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217771 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1 ONE CIVIC SQUARE PAYCOR CHECK AMOUNT: $742.19 o CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 oM�o CINCINNATI OH 45203 CHECK NUMBER: 217771 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 3143101 269 . 61 OTHER PROFESSIONAL FE 1091 4341999 3143101 383 . 29 OTHER PROFESSIONAL FE 1125 4341999 3143101 89. 29 OTHER PROFESSIONAL FE Invoice Invoice Number Date Paycor 3143101 02/20/13 644 Linn Street,Suite 200 Current Charges Due Date Cincinnati,OH 45203 742.19 03/05113 1-800-381-0053 Client Number Account Balance Purchase 48630-1 917.10 Description # PorF Carmel Clay Board of Parks and RecreaRoP y�) Lynn Russell G.L.# n Qig — 1411 E.116th St. Budget Carmel, IN 46032 Lineieser Purchaser ate•— Approval Date _ C) ❑ If the above address/contact is incorrect,please check � S the box and indicate the change on the reverse side Please return top portion with your payment ------------------------------------------------------------------------ -- Dat=olhetcl Description of Services Qty CurrSer Charges 02/06113 Previous Balance 4338.39 02/18/13 Payment -4163.48 02/06/13 02/08/13 Delivery Fuel Surcharge 1 1.00 02/06/13 02/08/13 Delivery-UPS Red 1 17.00 ��` L Payroll Service Fees 356 703.19 j`°�f CE1 VED 02/20/13 02/22/13 Payroll&Tax Base Fee FEB 2 0 2013 02/20/13 02/22/13 Payroll and Tax Service 02/20/13 02/22/13 Pay Options 02/20/13 02/22113 Online Check Stub Fee 02/20/13 02/22/13 Reporting Options 02/20/13 02/22/13 Online Reporting Service 02/20/13 02/22/13 Electronic Child Support Payments 4 11.00 02/20/13 02122/13 General Ledger Report 356 0.00 02/20/13 02/22/13 Labor Distribution PR Processing 1 0.00 02/20/13 02/22/13 Hosted Paycor Maintenance 0.00 02/20/13 02/22/13 Deduction Report 1 0.00 02/20/13 02/22/13 Year to Date Report 1 0.00 02/13/13 Stop Payment 1 5.00 02/13/13 Stop Payment 1 5.00 Total Current Charges 742.19 Total Amount Due 917.10 ' Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due:03/05/2013 Invoice Number:3143101 Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery. Printed: 02/20/2013 11:21 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 Date Due Cincinnati, OH 45203 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/20/13 3143101 Payroll processing fee $ 89.29 2/20/13 3143101 Payroll processing fee $ 269.61 2120113--- - -3143101 Payroll processing fee - $ 383.29 - Total $ 742.19 1 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 20_ Clerk-Treasurer Voucher No. Warrant No. 365124 Paycor Allowed 20 644 Linn Street, Suite 200 Cincinnati, OH 45203 In Sum of$ $ 742.19 ON ACCOUNT OF APPROPRIATION FOR 101 General/ 108 ESE 1109 MCC PO#or INVOICE NO. ACCT#/ AMOUNT Board Members Dept# TITLE 1125 3143101 4341999 $ 89.29 1 hereby certify that the attached invoice(s), or 1081-99 3143101 4341999 $ 269.61 bill(s) is (are)true and correct and that the 1091 3143101 4341999 $ 383.29 materials or services itemized thereon for which charge is made were ordered and received except 21-Feb 2013 1P.0�17 J/rf) V Alf Signature $ 742.19 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund