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225930 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1 ONE CIVIC SQUARE PAYCOR CHECK AMOUNT: $687.59 CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 CINCINNATI OH 45203 CHECK NUMBER: 225930 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4341999 3613278 265 . 08 OTHER PROFESSIONAL FE 1091 4341999 3613278 357 . 20 OTHER PROFESSIONAL FE 1125 4341999 3613278 65 . 31 OTHER PROFESSIONAL FE OCT 3 0 2013 Invoice Invoice 07 Number Date IF- CIVC F. 3613278 10/29/13 AW 644 Linn Street,Suite 200 Current Charges Due Date Cincinnati,OH 45203 1-800-381-0053 687.59 11/12/13 Client Number Account Balance F P or 48630-1 862.50 Carmel Clay Board of Parks and Recre-tirb�- Lynn Russell i LD c r 1411 E.116th St. 10 Carmel,IN 46032 i ocl I ElDa"e- f the above address/contact is incorrect,please check he 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 I Charges 10/15/13 Previous Balance 862.01 10128/13 Payment -687.10 10/15/13 10/18/13 Delivery Fuel Surcharge 1 1.00 10/15/13 10/18/13 Delivery-UPS Red 1 17.00 Payroll Service Fees 382 661.34 10/29/13 11/01/13 Payroll&Tax Base Fee 10/29/13 11/01/13 Payroll and Tax Service 10/29/13 11/01/13 Pay Options 10/29/13 11/01/13 Online Check Stub Fee 10/29/13 11/01/13 Reporting Options 10/29/13 11/01/13 Online Reporting Service 10/29/13 11/01/13 Electronic Child Support Payments 3 8.25 10/29/13 11/01/13 General Ledger Report 382 0.00 10/29/13 11/01/13 Labor Distribution PR Processing 1 0.00 10/29/13 11/01/13 Hosted Paycor Maintenance 0.00 10/29/13 11/01/13 Deduction Report 1 0.00 10/29/13 11/01/13 Year to Date Report 1 0.00 Total Current Charges 687.59 Total Amount Due 862.50 Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee Client Number 48630-1 Payment is due: 11/12/2013 Invoice Number:3613278 Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery. Printed: 10/29/2013 01:19 PIVI 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 10/29/13 3613278 Payroll processing fee $ 265.08 10/29/13 3613278 Payroll processing fee $ 357.20 10/29/13 3613278 Payroll processing fee $ 65.31 Total $ 687.59 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$ $ 687.59 ON ACCOUNT OF APPROPRIATION FOR 101 General / 108 ESE/ 109 MCC PO#or INVOICE NO. ACCT#/ AMOUNT Board Members Dept# TITLE 1081-99 3613278 4341999 $ 265.08 1 hereby certify that the attached invoice(s), or 1091 3613278 4341999 $ 357.20 bills) is(are)true and correct and that the 1125 3613278 4341999 $ 65.31 materials or services itemized thereon for which charge is made were ordered and received except 4-Nov 2013 Signature $ 687.59 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund a a: