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313515 7/10/2017
CITY OF CARMEL, INDIANA VENDOR: 369757 CHECK AMOUNT: $"'""'559.00" ONE CIVIC SQUARE KYLE CONDRA rte; CARMEL, INDIANA 46032 18877 AUBURN LANE CHECK NUMBER: 313515 NOBLESVILLE IN 46060 CHECK DATE: 07/10/17 DESCRIPTION DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT TUITION REIMBURSEMENT 1120 4128000 559.00 2 < « OD 0 OD_00 E mm k O 2 r w o 2 ° # 2 / q % R / O / & j 2 C z k / CL o / 2 \ E U k # k m ] D § E k i -n o k CD O / / j 0 m 3 § k © ® � \ _ -n 2 > 0 0 | $ $ ] m \ 8 ¥ to « i 2 7 f § e < $ # / @ 2 A & ƒ 0 m CD 2 e ? ; - c $ R - ; } R f OCL § ; [ 3 k E § C CD - § I ! a k E o % ( Q £ % @ o CO, R ° = $ SUi CD w i { CL / / , ; / 2. z } E ( - k ƒ N c | « / q \ 7 > ( / \ kƒ \ j m \ ) K k > \ -® 0 \ C Err _ c � �-nCD� o \ 0 j} § k_ \ C o C 7 0> 2 / $ ƒ3 § Ka ii § k \ | cr 0< \ CD 2 0 D }$ CD ) 0- §0 _ o0 y / § / / 0 / } 0 E \ CD \ r- 0 3 2 ) A C = m / % ( ƒ § $ / } n CL Pt PL, \ U) § / ) } § k \ \ E _ k § \ / ° 0 \ m / ° \ Condra Tuition Reimbursement Class Credit Hours Cost per Credit Hour Total HSPS 204 Public Safety Bldg. Infrastructure 3 $ 135.15 $ 405.45 HSPS Capstone Course 2 $ 135.15 $ 270.30 Capstone Testing Fee $ 23.00 TOTAL CLASS COST $ 698.75 Allowed Reimbursement 80% TOTAL TO BE REIMBURSED $ 559.00 City Of Carmel Tuition Reimbursement Application Form Part I(to be completed by employee) (Pkam prli , Submit completed form to Department Head prior to commencement of course.) ORE Employee Name Fit E cw f)o Department fl. Date 3.1ty-07— Educational institution* JVY 76:31 Name of Course** S = pufvuc �RF+G"'t`f 13tt i LMT �4 Credit Hours3 'L Startin Date of Course monthlda GTylIZC. 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. a 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.r.m en is subject to federal law,which may change from time to time. Employee Signature Date 17-•7.1'1 to 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 p to the beginning -V* the course. The final claim will be paid from ray department's budget,subject to f Set�' 2- City Code. r Department Head Signature - - __. Date Part III(to be completed by Director of Human Resources) Final Approval Date Z1 -7 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 accredhor. "' An application will not be considered complete unless a course description from the school's literature is attached. City Of Carmel Tuition Reimbursement Application Form Part t(to be completed by employee) (Mam print. Submit completed form to Department Head prior to commencement of course.) Employee Name _Kyle Condra Department Fire -__.-..._..._..__.-_ SSN Hire Date 03-15-02 Educational Institution* Ivy Tech Name of Course** Homeland Security/Public Safety Capstone Course Credit Hours 2.0 Starting Date of Course(month/day/year) March 20, 2017 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(l) 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 reimb rsement payments is subject to federal law,which may change from time to time. Employee Signature f f t{''_ !U- Date Part H (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 pnor.4f the beginning of the cowe, The final claim will be paid from my department's budget,subject to the cmsfgf S ction -.8 of 1 City Code. r l . j Department Head SignatureDate�'�._� 'l� L _ Part III (to be completed by Director of Human Resources) Final Approval ./-�`-- c•L 1r ..,..... Date 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 accreditor. ** An application will not be considered complete unless a course description from the school's literature is attached- 19327 SEX 903417 D Make your check payable to Chase Card Services KYLE E CONDRA 18877 AUBURN LN NOBLESVILLE IN 46060.1590 CARDMEMBER SERVICE PO BOX 94014 PALATINE IL 60094-4014 CHASE ' r Manage your account online: Customer Service: ® Mobile: Visit chase.com www_chase.com � 1.800.524.3880 on your mobile browser ACCOUNT SUMMARY PAYMENT INFORMATION Account Number: New Balance Previous Balance Payment Due Date 02/2ty 17 Payment,Credits Minimum Payment Due 4 Purchases + Late Payment Warning: If we do not receive your minimum payment Cash Advances SO 00 by the date listed above,you may have to pay a late lee of up to$37.00. Balance Transfers $000 Minimum Payment Warning: If you make only the minimum payment Fees Charged each period,you will pay more in interest and it will take you longer to 00 pay off your balance For example. Interest Charged S000 New Balance If you make no You will pay off the And you will end up Opening/Closing Dale 01/04/17-02/03/17 additional charges using balance shown on paying an estimated Credit Access Line this card and each this statement in total of... pay... Available Credit month youabout... r Cash Access Line t , Only the minimum 4 years Available for Cash payment Past Due Amount $0.00 S30 3 years Balance over the Credit Access Line $0,00 If you would like information about credit counseling services,call 1-866-797.2885 CHASE FREEDOM: ULTIMATE REWARDS®SUMMARY Previous points balance Redeeming your points for Cash Back rewards is easy! + 1%(1 PtY$1 earned on all purchases For example,2.000 points=S20 Cash Back rewards. Total points available for redemption To review your reward options visit chase.com/freedom You always earn unlimited 1%cash back on all your purchases Activate new bonus categories every quarter You'll earn an additional 4% cash back,for a total of 5%cash back on up to$1,500 in combined bonus category purchases each quarter.Activate for free at chase.corn/freedom,visit a Chase branch or call the number on the back of your card. ACCOUNT ACTIVITY Date of fransaetion Merchant Name or Trdnsaclion Description S Amount 2AYMENTS AND OTMER CREDITS )1/27 Payment Thank You-Mobile 3URCHASES )1/03 PAYPATH S FEE IVY TECH 913-599-6699 KS 14.45 11/03 ►1/13 PAYPATH S FEE IVY TECH 913-599.6699 KS 9 17 11/13 11/22 f 6-27-17 Attached you will find my courses I took last semester. 1. HSPS Building and Infrastructure 2. Homeland Security/Public Safety Capstone I believe I am done, but I am awaiting my final approval of my degree. Thank you, Kyle Condra Statements Page 1 of 1 HIQVM Logged in as:Kyle E.Condra Statements Please make sure your browser's pop-up blocker is disabled before you view a statement. Select the statement to view: 01/02/2017 Most Recent Billing Statement Current balance includes activity since your last statement,including recent payments and new charges. Account Description Statement Date Statement Amount Current Balance Action Student Accounts Statement—Payment Due On 1/13/17 1217 §525.45 . §0.00 View l Pay Account Activity Since Last Statement Click a column header to son the entries. Description Code Date ! Amount(§) Ht-Capstone Fee HECP 1/13/17 §23.00 Ht-In State Tuition HNI 1/13/17 §270.30 Ht-Intemet Fee HFIF 1/13/17 §40.00 ZO-Web Payment WEEP 1/13/17 -§333.30 20-Web Payment WEBP 1/3/17 -§525.45 Total: 4525.45 �cNlsC - "�1' arc �S NST AN`lT►t(Nc> ��SE CPrJ A6100 OL rN"Z(,,)—� V6\Qfay. f'eou7 �y(.t Ail-q 3q<t 01997-2017 TouchNet Information Systems,Inc.All rights reserved.l TouchNet Privacy Policy TOLIChNef H_d.W V https://secure.touchnet.net/C20006—tsa/web/account—summaryjsp 6/29/2017 Printable Bill Page 1 of 1 Statement Term Due Date Amount Due Date OR911"11116MIM 12/21/2016 Spring 2017 01/13/2017 $525.45 (201630) 50 West Fall Creek Pkwy N. Dr Indianapolis, IN 46208 317.921.4800 Kyle E. Condra http://www.ivytech.edu 18877 Auburn Ln Noblesville, IN 46060-1590 Student ID: C03550389 Spring 2017(201630) Schedule CRN SUBJ CRSU SEC COURSE TITLE CREDS DAYS START/STOP BUILD ROOM 47179 HSPS 204 1 OOH HSPS Building& 3.00 TBA TBA WWW TBA Total Credit Hours: 3.00 Account Summary Charges Credits/Anticipated Credits H1-In State Tuition 405.45 1-11-Internet Fee 60.00 H1-Technology Fee 60.00 Total Charges: $525.45 l Total Credits/Anticipated Credits: $0.00 Previous Balance Current Term Balance Amount Due Future Balance $0.00 $525.45 $525.45 $0.00 https://secure.touchnet.net/C20006—tsa/web/Print—Statementjsp 6/29/2017 Academic Transcript Page 1 of 1 Term:Spring 2017 Subject Course Level Title Grade Credit Hours Quality Points R HSPS 204 UG HSPS Bullding&Infrastructure A 3.000 12.00 HSPS 279 UG Homeland Sec/Pub.Safe.Capstone A 2.000 8.00 https://banprd-ssb.ivytech.edu/BANNER/bwskotm.P ViewTran 6/27/2417 Payment History Page 1 of 1 Payment History Payment History for Kyle E. Condra (Student Accounts) Ckk a rWim.,h"dw m 8011 tl18 mines. Dwwobn Dent Cods Amount{ ZDMOPayment 1M3M7 WEEP ? 333.30 ZD-V*bPwm rd 1/5717 Map526.45 ... https:Hsecure.touchnet.net/C20006 tsa/web/display_history..jsp 6/27/2017