225037 10/08/2013 „wf CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1
ONE CIVIC SQUARE PAYCOR CHECK AMOUNT: $721.07
CARMEL, INDIANA 46032 644 LINN STREET SUITE 200
CINCINNATI OH 45203 CHECK NUMBER: 225037
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 3559272 370 . 12 OTHER PROFESSIONAL FE
1091 4341999 3559272 261 .32 OTHER PROFESSIONAL FE
1125 4341999 3559272 89 . 63 OTHER PROFESSIONAL FE
=BY:- Invoice Invoice
Paycor Number Date
3559272 10/01/13
644 Linn Street,Suite 200 Current Charges Due Date
Cincinnati,OH 45203
1-800-381-0053 721.07 10/15/13
Purchase Client Number Account Balance
Description
P.O.3} P or F
48630-1 895.98
Carmel Clay Board of Parks and Recre6ir#
Lynn Russell Budget V O I bC
1411 E.116th St. Line Descr
Carmel,IN 46032 l J
Purchaser ate
Approval Date ' -�S' P. � 3
1 v
❑ If the above address/contact is incorrect,please check
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 Charges
09/17/13 Previous Balance 848.56
09127/13 Payment -673.65
09/17/13 09/20/13 Delivery Fuel Surcharge 1 1.00
09/17/13 09/20/13 Delivery-UPS Red 1 17.00
Payroll Service Fees 394 680.78
10/01/13 10/04/13 Payroll&Tax Base Fee
10/01/13 10/04/13 Payroll and Tax Service
10/01/13 10/04/13 Pay Options
10/01/13 10/04/13 Online Check Stub Fee
10/01/13 10/04/13 Reporting Options
10/01/13 10/04/13 Online Reporting Service
10/01/13 10/04/13 Electronic Child Support Payments 5 13.75
10/01/13 10/04/13 General Ledger Report 394 0.00
10/01/13 10/04/13 Labor Distribution PR Processing 1 0.00
10/01/13 10/04/13 Hosted Paycor Maintenance 0.00
10101/13 10104/13 Deduction Report 1 0.00
10/01/13 10/04/13 Year to Date Report 1 0.00
09/30/13 Additional Delivery Charge 8.54
Total Current Charges 721.07
Total Amount Due 895.98
Payophons includes Paycor Official Checks 8 Centralized Direct Deposit Late payments are subject to a fee
Client Number 48630-1 Payment is due: 10/15/2013 Invoice Number:3559272
Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery.
Printed: 10/01/2013 04:47 PM Page 1 of 1
I
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
10/1/13 3559272 Payroll processing fee $ 370.12
10/1/13 3559272 Payroll processing fee _ $ 2.61.32
10/1/13 3559272 Payroll processing fee $ 89.63
Total $ 721.07
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
120
Clerk-Treasurer
I
Voucher No. Warrant No.
365124 Paycor Allowed 20
644 Linn Street, Suite 200
Cincinnati, OH 45203
In Sum of$
$ 721.07
ON ACCOUNT OF APPROPRIATION FOR
101 General / 108 ESE / 109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1081-99 3559272 4341999 $ 370.12 1 hereby certify that the attached invoice(s), or
1091 3559272 4341999 $ 261.32 bill(s) is(are)true and correct and that the
1125 3559272 4341999 $ 89.63 materials or services itemized thereon for
which charge is made were ordered and
received except
4-Oct 2013
�)&h&wzj
I
Signature
$ 721.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund