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HomeMy WebLinkAbout307162 1/20/17 1�w.4��M` u; s. CITY OF CARMEL, INDIANA VENDOR: 369757 ONE CIVIC SQUARE KYLE CONDRA CHECK AMOUNT: $*******662.40* � `� CARMEL, INDIANA 46032 18877 NOBLES AUBURN LANE CHECK NUMBER: 307162 M�rti��O` CHECK DATE: 01/20/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4128000 662.40 TUITION REIMBURSEMENT 2 < « CD 0 \ \ § z / / m0 M. Cl)/ Z m O r S m % > 2 0 _ 2 > / o cn 0 2 \ -4 § 0) k 7 % m / ) - � -n > � q D / co k 0 CD _0 . f � 2 > O ® � z f > z $ 0 3 § k | 7 o w 6 _ J i 3 LT # z E $ g . / C/) k t i g ( 0 m E q 0) e \ o c � 7 § C - 3 \ 6, f a \ g C- ° - E « k j $ \ § & CD @ f \ k � g ® ƒ } E i ƒ & CL o/� C N 3 | / a ƒ J CLCD - ® m # ( k$ -4 § m \ \;3- = D \ ) \ 0 t § K - � @ $ co _ E g }} ° k m ƒ \ k � a ) / © D Z 0> 4 { --1 § CD �{ } CL / | CA0 0 } }_ƒ (D \ { 90 ) 0 2 « > ° � -COD r r (W CL2 0 k G r 0 ¥ � 4 \ cr C _ c % m / 0 CD § • = 0 \ CL / \ / 3 ] § ƒ C. r © y k § E _ K CD J « C 0) 0 ƒ § k o ¥ \ Condra Tuition Reimbursement Class Credit Hours Cost per Credit Hour Total Environmental Technology 3 $ 135.15 $ 405.45 Contigency Planning 3 $ 135.15 $ 405.45 Book $ 17.10 TOTAL CLASS COST $ 828.00 Allowed Reimbursement 80% TOTAL TO BE REIMBURSED $ 662.40 TUITION IS$135.15 PER HOUR City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) -- (Please print. Submit completed form to Department Head rior to commencement of course.) Employee Name Kyle Condra Department _Fire _ _ _ SSN Hire Date 03-016-2002 Educational Institution* Ivy Tech NameofCourse** Environmental Technology _ creditHourS 3.0 Starting Date of Course(month/day/year) 08-22-2016 By signing below, I signify that I understand the following: • The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2-58. • To receive reimbursement for tuition, I must submit evidence of payment for the course and a copy of my Final grade. To receive reimbursement for books, 1 must submit an original itemized receipt or other proof of purchase that links these books to this particular course. If I leave City of Carmel employment sooner than one (1) year after the end of this course, l will repay the City in full for its tuition and book reimbursements for this course. • The tax status of reimbursement p- nuts is subject to federal law, which may change from time to time. Employee Signature A-._ �' " l Part II(to be completed by Department Head) (Submit to Human Resources) By signing below, I certify that the applicant will have been employed full-time by the City for at least one(1) year prior to the commencement of the course, and has not been subject to a disciplinary probation,suspension or demotion within 90 days prior,tp the beginning of 111%,course. The final claim will be paid from illy department's budget, subject to the�erms ot'> coon 2-5 of .nrmcl ity Code. Department Head Si6mature � E_ _------- Date I Part III (to be completed by Director of Human Resources) Final Approval Date If denied,reason for denial * The tuition reimbursement program covers only frill-semester courses offered through a degree-granting institution accredited by the North Central Association of Colleges and Schools or in equivalent regional accreditor. ** An application will not be considered complete unless a course description from the school's literature is attached. City 4f Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed form to Department I lead Rd2r to commencement of course.) Employee Name Kyle Condra Fire lire Date Educational Institution* Ivy Tech Name of Course** Contingency Planning Credit Hours 3.0 Starting Date of Course(month/day/year) _10-17-2016 By signing below, I signify that I understand the following: • The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2-58. • To receive reimbursement for tuition, I must submit evidence of payment for the course and a copy of my final grade. To receive reimbursement for books, I must submit an original itemized receipt or other proof of purchase that links these books to this particular course, • If I leave City of Carmel employment sooner than one (1) year after the end of this course, I will repay the City in full for its tuition and book reimbursements for this course. • The tax status of reiu7.Gnn sentent��a�vments is subject to federal law,which may change from time to time. Employee Signature __ ,. _ _ Date Part II(to be completed by Department head) (Submit to Human Resources) Bysigning below, I certify that the applicant will have been employed Iilll-time by the City for at least one(1) year prior to the commencement of the course, and has not been subject to a disciplinary probation,suspension or demotion within 90 days prirf\to tli4. c:ginning of the curse. The final claim will be paid from my departments budget, subject to the ti rnts nl' ec. '(1 2-55 of Calm ll , Code. Department Head Signature } r `jet' Date ✓ Part III (to be completed by Director/ r>of Human Resources) Final Approval /f _ -�-�-�-�- Date d / If denied,reason for denial * The tuition reimbursement program covers only full-semester courses offered through a degree-granting institution accredited by the North Central Association of Colleges and Schools or an equivalent regional aeereditor. ** An application will not be considered complete unless a course description from the school's literature is attached. -------------- NOBLEKYLE E v V�V CARDMEMBER SERVICE PO BOX 94014 PALATINE IL 60094-4014 HASE '_ Manage your account online: ' www ehase,co�l1 Customer Service: 1.800.524.3880 ® Mobile: Visit chase.com _ on your mobile browser ACCOUNT SUMMARY PAYMENT INFORMATION_ Account Number: - _. Previous Balance New Balance Payment,Credits Payment Due Date` Purchases 06/28/16 Minimum Payment Due 5.00 Cash Advances Late Payment Warning: if we do not receive your minimum Payment Balance Transfers $0.00 by the date listed above,you may have to pay a late fee of up to$37.00. Fees Charged $0.00 Minimum Payment Warning: If you make only the minimum payment each period,you will pay more in interest and it will lake you longer to Interest Charged $0.00 pay off your balance. For example: New Balance $0.00 $1,305.66 Opening/Closing Dale If you make no You will pay off the And you will end up 05104116.06/03/16 additional charges using balance shown on Credit Access Line paying an estimated softthis card and each Available Credit month you pay.,. this statement in total of... about,,, Cash Access Line Only the minimum Available for Cash Nonar payment Past Due Amount Balance over the Credit Access Line $0.00 $44 _ $0.00 If you would like information about credit counseling services,call 1-866-797-2885. CHASE FREEDOM: ULTIMATE REWARDS®SUMMARY_ 'rovious points balance 1%(1 PIY$1 earned on all purchases Redeeming Your points for Cash Back rewards is easy! Total points available for redemption For example.2.000 points=520 Cash Back rewards. JrTo review your reward options visit chase,com/freedorn. ash back,for a ou always earn unlimited 1%cash back on all your purchases.Activate new bonus categories eve hase.com/1 eedom,lOf 5%cash back on visit a Chase branch or calto l the0n0umber onl the back of you cardurchases each quarter.Activate for tree al in every quarter.You'll earn re additional 4% ACCOUNT ACTIVITY Date of ansaction Merchant Name or Transaction Description 4YMENTS AND OTHER CREDITS 5 Amount /10 Payment Thank You-Mobile 1RCHASES '18 22 23 000 '_3 on�� 2016 Totals Year-to-Date Academic Transcript Page 1 of 1 Additional Standing: Dean's List Subject Course Level Title Grade Credit Quality R Hours Points HSPS 104 UG A 3.000 12.00 HSPS 270 UG A 3.000 12.00 Term Totals (Undergraduate) Attempt Passed Earned GPA Quality GPA Hours Hours Hours Hours Points Current Term: 6.000 6.000 6.000 6.000 24.00 4.000 Cumulative: 52.000 52.000 52.000 12.000 48.00 4.000 Unofficial Transcript TRANSCRIPT TOTALS (UNDERGRADUATE) -Top- Attempt Passed Earned GPA Quality GPA Hours Hours Hours Hours Points Total Institution: 52.000 52.000 52.000 12.000 48.00 4.000 Total Transfer: 14.000 14.000 14.000 0.000 0.00 0.000 Overall: 66.000 66.000 66.000 12.000 48.00 4.000 Unofficial Transcript COURSES IN PROGRESS -Top- Term:Spring 2017 Subject Course Level Title Credit Hours HSPS 204 UG HSPS Building&Infrastructure 3.000 httne•//hnnnrd-cch ixnrtanh Prin/RANNFR/htxf&ntrn P ViawTran 12A1/7016 My Orders I Chegg.com Page 1 of 1 OMW BOOKS STUDY TUTORS TEST PREP INTERNSHIPS COLLEGES Search Q Q • Go to Account Overview Order. VEJ3AKAB 10/14/2016 Facility Integrated Contingency Planning Item Type: Book Purchase $9.99 Status: Yours to keep ISBN: 0595247814 I Ship Date: 10/17/2016 Est.Arrival Date:10/19/2016 Shipping From: INGRAM_TN Payment:MasterCard-4814 Subtotal:$9.99 Ship to: 18877 Aubum Ln Tax:$1.12 NoM sville,IN 46060 Shipping:Irl g:S5.99 Total price: $17.10 htfnc //�xnxr�xr Af-cra nnm/mv/nrdPr/VP.T;AKAR 12/31/2016 Printable Bill Page 1 of 1 I01 Ivy Tech Community College logo Statement Term Due Date Amount Due Date 08/16/2016 Fall 2016 08/19/2016 $990.90 50 West Fall Creek Pkwy N. Dr (201620) Indianapolis, IN 46208 317.921.4800 htto://www.ivytech.edu Kyle E. Condra 18877 Auburn Ln Noblesville, IN 46060-1590 Student ID: C03550389 Fall 2016(201620) Schedule CRN SUBJ CRSE SEC COURSE TITLE CREDS DAYS START/STOP BUILD ROOM 31032 HSPS 104 OOH Intro.to Envir 3.00 TBA TBA WWW TBA 31038 HSPS 1 270 OOH Contingency Pla 3.00 TBA TBA WWW TBA Total Credit Hours:6.00 Account Summary Charges Credits/Anticipated Credits 1-11-In State Tuition 810.90 1-11-Internet Fee 120.00 H1-Technology Fee 60.00 Total Charges: $990.90 Total Credits/Anticipated Credits: $0.00 Previous Balance Current Term Balance Amount Due Future Balance $0.00 $990.90 $990.90 $0.00 file:///C:/Users/dsnyder/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Con... 1/10/2017