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218983 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1 ` ONE CIVIC SQUARE PAYCOR CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 CHECK AMOUNT: $743.03 CINCINNATI OH 45203 CHECK NUMBER: 218983 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 3215047 269. 23 OTHER PROFESSIONAL FE 1091 4341999 3215047 386 . 84 OTHER PROFESSIONAL FE 1125 4341999 3215047 86 . 96 OTHER PROFESSIONAL FE Invoice Invoice Paycor Number Date 3215047 04/03/13 644 Linn Street,Suite 200 Current Charges Due Date Cincinnati,OH 45203 1-800-381-0053 743.03 04/16/13 Client Number Account Balance rchase ^rip on 48630-1 917.94 Carmel Clay Board of Parks and Recreation ?.O.# P or F Lynn Russell 1411 E. 116th St. ;; Jet Carmel, IN 46032 -!e Descr ,rchaser Date 3 $ pc - .;��,al Date ' �� — 3 0 � ❑ If the above address/contact is incorrect,please check the box and indicate the change on the reverse side --7 .O Please return top portion with your payment Date of Check Description of Services Qty Current Payments Balance Service Date Charges 03/20/13 Previous Balance 928.20 03/27/13 Payment -753.29 03/20/13 03/22/13 Delivery Fuel Surcharge 1 1.00 03/20/13 03122/13 Delivery-UPS Red 1 17.00 Payroll Service Fees 357 705.11 04/03/13 04/05/13 Payroll&Tax Base Fee 04/03/13 04/05/13 Payroll and Tax Service 04/03/13 04/05/13 Pay Options 04/03/13 04/05/13 Online Check Stub Fee 04/03/13 04/05/13 Reporting Options 04/03/13 04/05/13 Online Reporting Service 04/03/13 04/05/13 Electronic Child Support Payments 4 11.00 04/03113 04105/13 General Ledger Report 357 0.00 04/03/13 04/05/13 Labor Distribution PR Processing 1 0.00 04/03/13 04/05/13 Hosted Paycor Maintenance 0.00 04/03/13 04/05/13 Deduction Report 1 0.00 04/03/13 04/05/13 Year to Date Report 1 0.00 03/31/13 Additional Delivery Charge 8.92 Total Current Charges 743.03 Total Amount Due 917.94 Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due:04/16/2013 Invoice Number:3215047 Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery. Printed: 04/03/2013 02:49 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 4/3/13 3215047 Payroll processing fee $ 86.96 4/3/13 3215047 Payroll processing fee $ 269.23 4/3/13- 3215047- Payroll processing fee $ 386.84 Total $ 743.03 1 hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and I have audited same in accordance with 1C 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$ $ 743.03 ON ACCOUNT OF APPROPRIATION FOR 101 General 1108 ESE/109 MCC PO#or INVOICE NO. ACCT#/ AMOUNT Board Members Dept# TITLE 1125 3215047 4341999 $ 86.96 1 hereby certify that the attached invoice(s), or 1081-99 3215047 4341999 $ 269.23 bill(s) is (are)true and correct and that the 1091 3215047 4341999 $ 386.84 materials or services itemized thereon for which charge is made were ordered and received except 4-Apr 2013 V&MVWUAJ Signature $ 743.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund