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219858 05/07/2013 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: $688.64 CINCINNATI OH 45203 CHECK NUMBER: 219858 CHECK DATE: 517/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 3273520 230 . 80 OTHER PROFESSIONAL FE 1091 4341999 3273520 354 . 34 OTHER PROFESSIONAL FE 1125 4341999 3273520 103 . 50 OTHER PROFESSIONAL FE Invoice =Date Number Paycoar 3273520 644 Linn Street,Suite 200 Current Charges Due Date Cincinnati,OH 45203 688.64 05114113 1-800-381-0053 Purchase Client Number Account Balance Description P.O.# P or F 48630-1 1863.55 G.L.# Carmel Clay Board of Parks and Recreation Budgetj-�p ' Lynn Russell Line Descr t, I V O 1411 E.116th St. PUrchas Date 1 �� ql �� 3 H Carmel, IN 46032 Approval El If the above address/contact is incorrect,please check v �( the box and indicate the change on the reverse side Please return top portion with your payment ------------------------------------------------------------------------------------- - Date of Check Description of Services Qty Current Payments Balance Service � Date F Charges 04/17/13 Previous Balance 892.58 04/30/13 Payment -717.67 04/17/13 04/19/13 Delivery Fuel Surcharge 1 1.00 04/17/13 04/19/13 Delivery-UPS Red 1 17.00 Payroll Service Fees 371 643.52 05/01/13 05/03/13 Payroll&Tax Base Fee 05/01/13 05/03/13 Payroll and Tax Service 05/01/13 05/03/13 Pay Options 05/01/13 05/03/13 Online Check Stub Fee 05/01/13 05/03/13 Reporting Options 05/01/13 05/03/13 Online Reporting Service 05/01/13 05/03/13 Electronic Child Support Payments 4 11.00 05/01/13 05/03/13 General Ledger Report 371 0.00 05/01/13 05/03/13 Labor Distribution PR Processing 1 0.00 05/01113 05103/13 Hosted Paycor Maintenance 0.00 05/01/13 05/03/13 Deduction Report 1 0.00 05/01/13 05/03/13 Year to Date Report 1 0.00 04/23/13 ACH Return 1 7.00 04/30/13 Additional Delivery Charge 9.12 Total Current Charges 688.64 Total Amount Due 863.55 Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due:05/14/2013 Invoice Number:3273520 Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery. Printed: 05/01/2013 02:08 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 5/1/13 3273520 Payroll processing fee $ 103.50 5/1/13 3273520 Payroll processing fee $ 230.80 5/41/13- 3273520 Payroll processing fee $ 354.34 Total $ 688.64 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$ $ 688.64 ON ACCOUNT OF APPROPRIATION FOR 101 General / 108 ESE/ 109 MCC PO#or INVOICE NO. ACCT#/ AMOUNT Board Members Dept# TITLE 1125 3273520 4341999 $ 103.50 hereby certify that the attached invoice(s), or 1081-99 3273520 4341999 $ 230.80 bill(s) is (are)true and correct and that the 1091 3273520 4341999 $ 354.34 materials or services itemized thereon for which charge is made were ordered and received except 2-May 2013 _ Lp" &&XNZA.. Signature $ 688.64 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund