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180864 12/30/2009 F CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1 A ONE CIVIC SQUARE MICHELLE KRCMERY k CARMEL, INDIANA 46032 433 AUTUMN DRIVE CHECK AMOUNT: $4,996.66 CARMEL IN 46032 CHECK NUMBER: 180864 CHECK DATE: 12/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4128000 18448 4,996.66 TUITION REIM v Unofficial Transcripts Page 1 of 3 Report Results Return Student Unofficial Transcript with Enrollment Indiana University Purdue University Indianapolis Name Krcmery,Michelle Anne Student ID Address 433 Autumn Drive Carmel, IN 46032 United States Print Date 12 -28 -2009 Request Nbr 008440811 Beginning of Graduate Record Summer 2007 Indianapolis Program Business Graduate Program Business Grad Nondeg Course Title Hrs Grd BUS -K 501 QUANTITATV TOOLS FOR BUSINESS 1.50 S BUS -A 501 FINANCIAL ACCTG REPORTING 1.50 S Semester: IU GPA Hours: 0.00 GPA Points: 0.000 Hours Earned: 3.00 GPA: 0.000 Cumulative: IU GPA Hours: 0.00 GPA Points: 0.000 Hours Earned: 3.00 GPA: 0.000 Fall 2007 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -A 524 MANAGING ACCTG INFO DEC MAKING 3.00 B BUS -J 501 DEVELOP STRATEGIC CAPABILITIES 1.50 A- BUS-G 502 MANAGERIAL ECONOMICS 1.50 B+ BUS -X 511 SEMINAR IN MGMT ISSUES: 1.50 A Semester: IU GPA Hours: 7.50 GPA Points: 25.500 Hours Earned: 7.50 GPA: 3.400 Cumulative: IU GPA Hours: 7.50 GPA Points: 25.500 Hours Earned: 10.50 GPA: 3.400 Spring 2008 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -F 523 FINANCIAL MANAGEMENT 3.00 B+ BUS -X 522 ENTERPRISE LECTURES 1.50 S BUS -G 511 MICROECONOMICS FOR MANAGERS 1.50 B+ BUS -G 512 MACROECONOMICS FOR MANAGERS 1.50 B+ Semester: IU GPA Hours: 6.00 GPA Points: 19.800 Hours Earned: 7.50 GPA: 3.300 Cumulative: IU GPA Hours: 13.50 GPA Points: 45.300 https://iuselfiu.edu/psc/SSERV/SISSELFSERVICE/FIRMS/c/SA LEARNER SERVIC... 12/28/2009 Unofficial Transcripts Page 2 of 3 Hours Earned: 18.00 GPA: 3.356 Summer 2008 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -S 555 INFO TECHNOLOGY FOR MANAGERS 1.50 A BUS -W 519 KNOWLEDGE MANAGEMENT 1.50 A Semester: IU GPA Hours: 3.00 GPA Points: 12.000 Hours Earned: 3.00 GPA: 4.000 Cumulative: IU GPA Hours: 16.50 GPA Points: 57.300 Hours Earned: 21.00 GPA: 3.473 Fall 2008 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -M 501 STRATEGIC MARKETING MANAGEMENT 3.00 A- BUS-P 501 OPERATIONS MANAGEMENT 3.00 B+ Semester: IU GPA Hours: 6.00 GPA Points: 21.000 Hours Earned: 6.00 GPA: 3.500 Cumulative: IU GPA Hours: 22.50 GPA Points: 78.300 Hours Earned: 27.00 GPA: 3.480 Spring 2009 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -J 506 LDRSHIP ETHICS BUS ENVIRONMT 3.00 A- BUS-M 503 APPLIED MARKETING RESEARCH 3.00 A BUS -M 595 SPECIAL TPCS IN MARKETING: VT 1.50 A+ Course Topic(s): MARKETING ENGINEERING Semester: IU GPA Hours: 7.50 GPA Points: 29.100 Hours Earned: 7.50 GPA: 3.880 Cumulative: IU GPA Hours: 30.00 GPA Points: 107.400 Hours Earned: 34.50 GPA: 3.580 Summer 2009 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -D 594 INTL COMPETITIVE STRATEGY 3.00 B+ BUS -L 512 LAW AND ETHICS IN BUSINESS 3.00 A Semester: IU GPA Hours: 6.00 GPA Points: 21.900 Hours Earned: 6.00 GPA: 3.650 Cumulative: IU GPA Hours: 36.00 GPA Points: 129.300 Hours Earned: 40.50 GPA: 3.592 A -F'aI 20(719 Indianapolis Program Business Graduate Course Title Hrs Grd A 1 i i c,l.t E 5 Cvb6►f L:6 BUS -M 550 CONSUMER INSIGHTS 3.00 A '1 i _U BUS -M 594 GLOBAL MARKETING MANAGEMENT 3.00 A Lew BUS -M 526 INTERNET MARKETING 1.50 A C� -sm2w i S !t'+ Semester: IU GPA Hours: 7.50 GPA Points: 30.000 0,4"1( cdAki Hours Earned: 7.50 GPA: 4.000 Di ,A2,A.a1iNc.i. https iusel £iu.edu /psc /SSERV /SISSELFSERV. ICE /HRMS /c /SA_LEARNER_SERVIC... 12 /28/2009 Unofficial Transcripts Page 3 of 3 Cumulative: IU GPA Hours: 43.50 GPA Points: 159.300 Hours Earned: 48.00 GPA: 3.662 Spring 2010 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -J 522 STRAT MGMT TECH INNOVATION 3.00 NR BUS -F 517 VENTURE CAPITAL ENTREPRN FIN 1.50 NR BUS -M 511 MKTG PERFORMANCE PROD ANALYS 1.50 NR Semester: IU GPA Hours: 0.00 GPA Points: 0.000 Hours Earned: 0.00 GPA: 0.000 Cumulative: IU GPA Hours: 43.50 GPA Points: 159.300 Hours Earned: 48.00 GPA: 3.662 Student Graduate Program Summary GPA Hours: 43.50 Transfer /Test Hours Passed: 0.00 Hours Earned: 48.00 Points: 159.300 GPA: 3.662 Indiana University Graduate Summary IU GPA Hours: 43.50 Transfer /Test Hours Passed: 0.00 Hours Earned: 48.00 Points: 159.300 GPA: 3.662 Academic Objective as of Last Enrollment Business Graduate Marketing MBA Return Go to Top https://iuself.iu.edu/pse/SSERV/SISSELFSERVICE/HRMS/e/SA LEARNER_SERVIC... 12/28/2009 QuikPAY(R) Print Payment Receipt Page 1 of 1 Payment Receipt This is your receipt. Your payment has been submitted. Thank you. Confirmation Number: 4531592 Payment Date: Aug 15, 2009 at 7:23 AM, EDT Effective Date: Aug 17, 2009 Primary User Id: 0002328371 Primary User Name: Michelle Krcmery Account: Indianapolis Payment Amount: $5,063.00 Cardholder's Name: Michelle A Krcmery Payment Method: Address Info 433 Autumn Drive Carmel, IN 46032 Contact Info: (317)697 -9669 (daytime phone) Your payment has been received by Indiana University. https: /quikpayasp. corn /iu /qp/ epay /preparePrintPaymentReceipt.do 8/15/2009 INDIANA N IV E RS ITY PO Box 602pt Acct Svcs Bursar Account Statement ';Bloomington IUPUI' Indiana polis IUPUI .Columbus f=ast: Kokomo Northwest South Bend ;,Southeast Statement Date: 08 /04/09 I Page 1 of 1 Due Date 08/18/09 Billing Reference: IN BILL# XXX1588616 Previous Balance 0.00 University ID: 0002328371 Minimum Due 1,261.88 Student Name: Krcmery,Michelle Anne Total Due 4,987.50 Statement notification sent to mkrcmery@iupui.edu Charges and Adjustments 4,5 h rS 07/23/09 Resident Grad Fees (Business) 4,687.50 Lx: kb�r 07/23/09 General Fee 300.00 hr Total Charges and Adjustments: 4,987.50 Messages Paying at least the minimum payment amount due as indicated will enroll you in the installment plan program. There will be a non refundable Visit our website at http:/ /osas.iupui.edu for important information about refunds, how and where to pay, and special announcements concerning If you have questions about your account statement, please contact Student Account Services Bursar; telephone: 317.274.2451 e-mail: Make payment online at http://onestart.iu.edu If mailing payment, include the bottom portion of this statement and make check payable to: INDIANA UNIVERSITY detach IUPUI Student Acct Svcs Bursar University ID 0002328371 PO Box 6020 Due Date 08/18/09 Indianapolis, IN 46206 -6020 Minimum Due 1,261.88 Total Due 4,987.50 Amount Enclosed Krcmery, MichelleAnne 433 Autumn Drive Carmel, IN 46032 IUPUI Lockbox USA Payment Processing Center PO Box 7245 Indianapolis, IN 46206 -7245 AIUINA000232837100000000498750000000001261886 City Of Carmel Tuition Reimbursement Application Form Part 1 (to be completed by employee) (Please print. Submit completed form to Department Head prior to commencement of course.) Employee Name 1A11 Ghp A ke, Krc_r Department ai: fn tn► d.t, I ..c.Ack. IQ j2S SSN .Hire Date b /2:V 2ao Educational Institution* Irc,L► tuna Un ►vLfS1+y Twrjue_ar,'►Nfew s I+ y S r \c...lcLoAciTotIS Name of Course at /\55C) Co l..cne -r ins Iclh�s Credit Hours. 3 Starting Date of Course (month/day /year) %/31 001 J 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 reimbursement payments is subject to federal law, which may change from time to time. Employee Signature Lirq i,c v JL� ')1'1, Date r /7_ 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 to the beginning of the course. The final claim will be paid from my department's budget, subject to the terms of Sec on 2 -58 of Carmel City Code. Department Head Signature ��'�{f t Date 7 Z —O 0 Part III (to be completed by Director of Human Resources) Final Approval A Date 0/ 5 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. Indiana University Kelley School of Business M550, Consumer Insights Fall 2009 Instructor: Anthony D. Cox Cox, Ph.D. Office: 4055 Business /SPEA building Email: ACOX@IU.EDU Hours: By appointment 11 h Text Consumer Behavior b Michael Solomon, 2000$ Ei hth edition (Additional materials will be handed out during the course of the semester) Course Overview: Companies are increasingly recognizing the importance of being customer driven and the role that customer satisfaction plays in maintaining a competitive advantage in the marketplace. This course will provide a basic understanding of how consumers make marketplace choices and how this knowledge can help managers make better business decisions. This will be accomplished using an integrated approach of discussions, readings, problems and a research project. Course Objectives: To acquaint the student with theories, concepts, techniques and research findings which will be useful to the study of customer behavior. To help the student understand the importance of thorough customer analysis to marketing strategy. To provide students with the ability to research important customer behavior issues that underlie many marketing problems, and develop appropriate marketing actions. Course Grade: Assignment Percentage weight Points Exam 1 25% 100 Exam 2 25% 100 Customer Analysis Project 30% 120 Class participation exercises 20% 80 Total 100% 400 Grades in this course will be determined by the following total point system 93% A 372 points and above 90 -93% A- 360 -371 points 87 -90% B+ 348 -359 points 83 -87% B 332 -347 points 80 -83% 13- 320 -331 points 77 -80% C+ 308 -319 points 73 -77% C 292 -307 points 70 -73% C- 280- 291points Below 70% Less than a C- City Of Carmel Tuition Reimbursement Application Form Part 1 (to be completed by employee) (Please print. Submit completed form to Department Head prior to commencement of course.) Employee Name M, chei I e_ K rc. m e. r Department C, r u nril R -i10 SSN ;lire Date .6/22-19- ..005 Educational Institution* I ,..naLA.nivefsAy?iArr ue LA i li \MrSk�y 1 1U. r\c` 1 .)6 1 Name of Course Pus \5° 4 Gi 1" `p, f +i MO_ ncje.r .IT} Credit Hours 3 Starting Date of Course (month/day /year) V2621)01 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 (I) 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 reimbursement payments is subject to federal law, which may change from time to time. Employee Signature ,,r,xirn.r2AL Date 3 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 (I) year prior to the commencement of the course, and has not been subject to a disciplinary probation, suspension or demotion within 90 days prior to the beginning of the course. The final claim will be paid from my department's budget, subject to the terms of Sec n 2 -58 of Carmel City Code. Department Head Signature 7?aliVi-x Date Part III (to be completed by Director of Human Resources) Final Approval AI` Date t737° 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. BUS M -594 Global Marketing Fall 2009 6 8:40 p.m. W Professor: Alexander (Sasha) Fedorikhin Office: BS4040 Phone: (317) 278 -8418 E -mail: sfedorik @iupui.edu Office Hours: W Th 5 pm 6 pm and by appointment Course Objectives: This course emphasizes principles and practices of marketing in the contemporary global environment. The material covers both U.S. and foreign companies doing business in various countries around the world. Specifically, the objectives of the course are to provide you with some understanding of similarities and differences in the external marketing environment, different types of risks and challenges in doing business internationally and the implications of all these factors for developing marketing strategies. The class is also designed to enhance your communications skills, both written and oral, and to build up your understanding of the dynamics of working with others. LRequired- Readings: �G lohal_ Marketing_ anugremen lelsen, Wiley 2008,- Four -th_Ed tion; ISBN`978= 0- 47 =1 05 4 1, 9 0 1 b Course Reader with and Articles, b Course Requirements 0,kh;0 Global Marketing is a relatively young field of study. So, in addition to discussing theories and models, we will examine internationally active companies and use the case method for learning to handle the challenges facing these companies. We will use lectures, readings, case discussions, and guest speakers to achieve the objectives of the course. To benefit from this format, it is essential that you are well familiar with the facts of each case as well as the relevant conceptual material from the textbook. To prepare for each class, use these facts and concepts to understand and analyze the case, and make a decision about what you would do in the situation described in the case. Be prepared to explain and discuss the reasoning underlying your decision in class. Thus, everyone in this class shares the responsibility for creating a high- quality learning experience for themselves and each other by contributing to the discussions and presentations based on thorough preparation! City Of Carmel Tuition Reimbursement Application Form Part 1 (to be completed by employee) (Please print. Submit completed form to Department Head prior to commencement of course.) Employee Name M 1C-Hed le— Krcrne.1y Department ezt nr ,l.n t ke a4i 1- s SSN Hire Date 6/22-/ 2_005 Educational Institution* 7-r Al litni Vexs t +y "Fu_ r(4.. Uni Inot -nc fC( Name of Course BUS M 7 6 -}-cr nut- M r �L� E I nq 1 Credit Hours �J Starting Date of Course (month/day /year) 1 0`'2_ l /9 00`) 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 reimbursement payments p is subject to federal law, which may change from time to time. Employee Signature Date 12 -V QI 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 to the beginning of the course. The final claim will be paid from my department's budget, subject to the terms of Se tion -58 of Carmel City Code. Department Head Signature 7 LC Date 7- Z 0 5 Part III (to be completed b Director of Human Resources) Final Approval Date g /3/ O 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. M526 Internet Marketing Page 1 of 5 II I KELLEY SCHOOL OF BUSINESS INDIANA UNIVERSITY M526 Course Syllabus Fall 2009 Class Description: Course Information This course will provide today's managers with the tools Course: BUS M526 Internet to compete more effectively in the new digital Marketing (18339) economy. The focus will be on learning how to think about I Location/Time: Online on and implement effective Internet marketing programs. Oncourse Course content will include assessing new market opportunities vis -a -vis the Internet, developing an Text: ck integrated online /offline marketing strategy, designing c\ Internet -based marketing programs and understanding the 4 7 i keys to success in building and nurturing customer 7 ti9 n f >6 te f relationships via Internet -based marketing programs. r ft`' -.ti p .a Throughout, development of Internet marketing strategies G e- and programs will be compared and contrasted to L e= traditional marketing with an emphasis on the marketing G internet_Marketing :_Building challenges the cybermarketplace provides. Advantage_ina Ilet 2-0,63___/ wgrl l 1=eio my_, Mohammed, Fisher, Jaworski, Course Objectives: and Paddison ISBN 13: 9780072538427 1. Understand the similarities and differences between the Internet and other marketing channels from the point of view of both marketers and consumers. Instructor Information 2. Consider how to leverage the Internet as a means of building stronger customer relationships rather than an Instructor: Nolan J. Taylor end onto itself. Office: BS 4030 3. Look for best practices in Internet Marketing today, as well as understand the pitfalls and mistakes that Internet Phone: (317) 274 -0185 marketers encounter. email: notaylor@iupui.edu 4. Develop a recommendation for how a particular company can better leverage the Internet to enhance its Office Hours: W 4:30- 5:30pm business. http://home.kelley.iupui.edu/notaylor/M526/default.asp 12/2/2009 Print Page 1 of 3 From: auto confirm @amazon.com (auto confirm @amazon.com) To: mkrcmery@yahoo.com Date: Tuesday, July 28, 2009 7:39:50 PM Subject: Your Order with Amazon.com a on.co r VIEW CART I WISH LIST I kyOUR ACCOUNT) I KELP Thanks for your order, Michelle Krcmery! Want to manage your order online? 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Order Summary: Your purchase has been divided into 3 orders. ti rder#3-:_rama_books Order 002- 9630506- 0547421 Shipping Method: \it j Shipping Preference:Group my items into as few shipments as possible -0 Subtotal of Items: $43.00 '76\ Shipping Handling: $6.99 r.r, [Tota] Order_:_$4.9.99 J Delivery estimate: July 31, 2009 August 7, 2009 Shipping estimate for these items: July 29, 2009 July 30, 2009 IN 1 ",Gl.obal_hlarketing Man a:gementJ Masaaki Kotabe; Paperback; $43.00 Sold by: rama books rder #1 Nick Robertson Order 002 5515574- 3993037 Shipping Method: Shipping Preference:Group my items into as few shipments as possible http: /us.mg1.mail.yahoo.com /dc /launch ?.gx =1 &.rand =fgr51 gnlj7lrh 7/29/2009 Pritl, Page 2 of 3 o Subtotal of Items: $99.50 v V Shipping Handling: $3.99 SQ( (Total for this Order: $103 l Delivery estimate: August 4, 2009 August 19, 2009 Shipping estimate for these items: July 29, 2009 July 30, 2009 CD 1 ("Consumer Behavior_(Sth_Edition)" Michael R. Solomon; Hardcover; $99.50 Sold by: Nick Robertson (Order f3:,Texts -ffor -Dress (Order#: 002- 3543057 0859402 \`N Shipping Method: Shipping Preference: Group my items into as few shipments as possible t 'VII w Subtotal of Items: $79.00 N 1v Shipping Handling: $6.99 CT_otal-forrthis_O r-der $85..99 1 Delivery estimate: July 31, 2009 August 7, 2009 Shipping estimate for these items: July 29, 2009 July 30, 2009 1 j nternet Marketing:_Building Advantage in a Networked_Econ Rafi Mohammed; Hardcover; $79.00 Sold by: Texts for -Less ri t'" knkled i" el 1 A mazon com Gift Cards get a big smile t+ Buy now Where can l get help with reviewing or changing my orders? To learn more about managing your orders on Amazon.com, please visit our Help pages at amazon.com/help /orders Please note: This e -mail message was sent from a notification -only address that cannot accept incoming e -mail. Please do not reply to this message. Thanks again for shopping with us. Amazon.com Earth's Biggest Selection http: /us.mgl .mail.yahoo.com /dc /launch ?.gx =1 &.rand =fgr5 l gnlj7lrh 7/29/2009 University Readers: Invoice Page 1 of 2 Home I About I Contact I Help I Site Map t University Readers Reading Materials Evolved. 9eao`� 9 Log In Student Purchasing Instructions YOU HAVE SUCCESSFULLY PLACED YOUR ORDER! *You've been automatically emailed a summary of your order for your records. *Your tracking info will be emailed to you once your order has been shipped. Please click the red download button below to access your FREE 20% PDF download. If you don't see a red download button below, then a 20% PDF download doesn't exist for your course. Invoice University Readers Inc 3970 Sorrento Valley Blvd Ste G San Diego, CA 92121 Please click the red download button below to download your FREE 20% PDF download: (You've also been emailed a backup copy of your FREE 20% PDF download Ilnk for future access.) DOWNLOAD BUS -M 594 ALEXANDER (SASHA) FEDORIKHIN You will need Adobe Reader to view your FREE 20% PDF download. Click here to download install if needed. Order #242689 Date: 08/25/2009 12:53:32 PDT Ship To: Bill To: Name: Michelle Krcmery Name: Michelle Krcmery Email Address: mkrcmery@yahoo.com Email Address: mkrcmery@yahoo.com Phone Number: (317) 571 -2495 Phone Number: (317) 848 -2537 Address: One Civic Square Address: 433 Autumn Drive Carmel, IN46032 Carmel, IN46032 US US Code Product Quantity Price /Ea. Total U 35930- BUS- M_594— ALEXANDER._. 1 $64.70 $64.70 SASHA) FEDORIKHIN L \Q Shipping: THE NO- BRAINER! Fast Priority Mail (1 -4 days): $4.99 g 9.t'C\ Sales Tax: $0.00 n- n�� To $69:69_ t •Cc6 BEST OF LUCK IN YOUR STUDIES!! Please visit our Student Help section, email us, or call 800.200.3908 for purchasing assistance. https:// www. universityreaders.com /Merchant2 /merchant. mvc ?Session_ID= 747a83 aa6a504... 8/25/2009 0 INDIANA RETAIL TAX EXEMPT PAGE C 1 I f C sane l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER S FEDERAL EXCISE TAX EXEMPT 1 `y, L\ L\ 35- 60000972 1 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM'APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 2I2 /2 -0CCl 1 M ,c_, .s- c.r y C;.,- -j C�` Gkv free,l VENDOR a f r0.x) I{� •d) e.. 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I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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 \j `C ()Prl -Qir \I Purchase Order No. L �J NA I ,rn 1Th Terms L L c k. N I R D€ L Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) S) 15 101 Tu g 1 r1 re rrn bar SU -1 exv\- r ,S hn i.k, f s IA 681 A &L s/ Grey '1550 X15 11526 261/01- R r,bursurncin -V- o' e -s 301 b ca:tin 51 -05 Total LA 9 6 66 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 VOUCH R NO. WARRANT NO. i21'23I ALLOWED 20 ISJ \CAM -e- I�.ccmt,t- IN SUM OF y33 NA_-\--tA m vm v z_ C 0 rvve,\ Div L l 603 0 66 ON ACCOUNT OF APPROPRIATION FOR MO-W \1b0 9--g000 Thu \-1-i R .e :1m bUrs 14 Board Members ei 411 .ti r I NVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or iN i 122000 b.cbbill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Sig at e Title Cost distribution ledger classification if claim paid motor vehicle highway fund