226135 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 365124 Page 1 of 1
ONE CIVIC SQUARE PAYCOR
CARMEL, INDIANA 46032 644 LINN STREET SUITE 200 CHECK AMOUNT: $698.32
CINCINNATI OH 45203
CHECK NUMBER: 226135
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341999 3621900 270 . 72 OTHER PROFESSIONAL FE
1091 4341999 3621900 366 . 72 OTHER PROFESSIONAL FE
1125 4341999 3621900 60 . 88 OTHER PROFESSIONAL FE
FNOV 8 213
Invoice Invoice
:_ Number Date
3621900 11/12113
644 Linn Street,Suite 200 Current Charges Due Date
Cincinnati,OH 45203
1-800-381-0053 698.32 11/26/13
Client Number Account Balance
48630-1 873.23
.,)n _.
Carmel Clay Board of Parks and Recreation , P or F 1 ue, _ 3�p (P , I Z,
Lynn Russell --- F `I h
1411 E. 116th St. L.P_ `O d - � a
Carmel, IN 46032 "2t
�snr Dateti) t3 13 ( � (00.
If the above address/contact is incorrect,please check
�, g 3z
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
10129/13 Previous Balance 862.50
11/11/13 Payment -687.59
10/29/13 11/01/13 Delivery Fuel Surcharge 1 1.00
10/29113 11/01/13 Delivery-UPS Red 1 17.00
Payroll Service Fees 375 650.00
11/12113 11/15/13 Payroll&Tax Base Fee
11/12/13 11/15/13 Payroll and Tax Service
11/12/13 11/15/13 Pay Options
11/12/13 11/15/13 Online Check Stub Fee
11/12/13 11/15/13 Reporting Options
11/12/13 11/15/13 Online Reporting Service
11/12/13 11/15/13 Electronic Child Support Payments 3 8.25
11/12/13 11/15/13 General Ledger Report 375 0.00
11/12/13 11/15/13 Labor Distribution PR Processing 1 0.00
11/12/13 11/15/13 Hosted Paycor Maintenance 0.00
11112/13 11/15/13 Deduction Report 1 0.00
11/12/13 11/15113 Year to Date Report 1 0.00
10/31/13 Additional Delivery Charge 15.07
11/05/13 ACH Return 1 7.00
Total Current Charges 698.32
Total Amount Due 873.23
Payoptions includes Paycor Official Checks&Centralized Direct Deposit Late payments are subject to a fee
FCI,ent Number 48630-1 Payment is due: 11/26/2013 Invoice Number:3621900
Due to the recent fuel price increase,a temporary fuel surcharge may be added for each delivery.
Printed: 11/12/2013 02:37 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
11/12/13 3621900 Payroll processing fee $ 270.72
11/12/13 3621900 Payroll processing fee $ 366.72
11/12/13 3621900 Payroll processing fee $ 60.88
Total $ 698.32
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$
i
$ 698.32
I
I
ON ACCOUNT OF APPROPRIATION FOR
101 General / 108 ESE/ 109 MCC
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1081-99 3621900 4341999 $ 270.72 1 hereby certify that the attached invoice(s), or
1091 3621900 4341999 $ 366.72 bill(s) is (are)true and correct and that the
1125 3621900 4341999 $ 60.88 materials or services itemized thereon for
which charge is made were ordered and
received except
14-Nov 2013
Signature
$ 698.32 ( Accounts Payable Coordinator
i
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund