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218189 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1 ONE CIVIC SQUARE PAYCOR CHECK AMOUNT: $754.16 CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 'r 6 CINCINNATI CH 45203 CHECK NUMBER: 218189 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 3162269 269 . 68 OTHER PROFESSIONAL FE 1091 4341999 3162269 393 . 16 OTHER PROFESSIONAL FE 1125 4341999 3162269 91 . 32 OTHER PROFESSIONAL FE Invoice Invoice Paycov Number Date 3162269 03/06/13 644 Linn Street,Suite 200 Current Charges Due Date Cincinnati,OH 45203 1-800-381-0053 754.16 03/19113 Client Number Account Balance 'nrchase i)rrscription 48630-1 1929.07 ?.O.# PorF Carmel Clay Board of Parks and Recreation Lynn Russell G.L.# 1411 E. 116th St. i3udget Carmel, IN 46032 i-.ine Descr, �(o�j iQg Purchas r e Approval Date ❑ If the above address/contact is incorrect,please check 109 3 3 the box and indicate the change on the reverse side Please return top portion with your payment Date of Check Description of Services 1 Qty Current Payments Balance Service Date Charges 02/20/13 Previous Balance 917.10 03/04/13 Payment -742.19 02/20/13 02/22/13 Delivery Fuel Surcharge 1 1.00 02/20/13 02/22/13 Delivery-UPS Red 1 17.00 Payroll Service Fees 363 716.62 PZECEIVED 03/06/13 03/08/13 Payroll&Tax Base Fee MAR 1 1 2013 03/06/13 03/08/13 Payroll and Tax Service 03/06/13 03/08/13 Pay Options 03106113 03/08/13 Online Check Stub Fee BY: 03/06/13 03/08/13 Reporting Options 03/06/13 03/08/13 Online Reporting Service 03/06/13 03/08/13 Electronic Child Support Payments 4 11.00 03/06/13 03/08/13 General Ledger Report 363 0.00 03/06/13 03/08/13 Labor Distribution PR Processing 1 0.00 03/06/13 03/08/13 Hosted Paycor Maintenance 0.00 03/06/13 03/08/13 Deduction Report 1 0.00 03/06/13 03/08/13 Year to Date Report 1 0.00 02/28/13 Additional Delivery Charge 8.54 Total Current Charges 754.16 Total Amount Due 929.07 Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due:03/1912013 Invoice Number:3162269 Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery. Printed: 03/06/2013 01:01 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 Date Due Cincinnati, OH 45203 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/6/13 3162269 Payroll processing fee $ 91.32 _3/.6/­.1,3__,___ - 3.162269 Payroll processing fee $ 269.68 3/6/13 3162269 Payroll processing fee _ $ 393.16 Total $ 754.16 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 , 20_ Clerk-Treasurer Voucher No. Warrant No. 365124 Paycor Allowed 20 644 Linn Street, Suite 200 Cincinnati, OH 45203 In Sum of$ $ 754.16 ON ACCOUNT OF APPROPRIATION FOR 101 General / 108 ESE/ 109 MCC PO#or INVOICE NO. ACCT#/ AMOUNT Board Members Dept# TITLE 1125 3162269 4341999 $ 91.32 1 hereby certify that the attached invoice(s), or 1081-99 3162269 4341999 $ 269.68 bill(s) is (are)true and correct and that the 1091 3162269 4341999 $ 393.16 materials or services itemized thereon for which charge is made were ordered and received except 11-Mar 2013 119 jwott� Signature $ 754.16 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund