HomeMy WebLinkAbout181142 01/13/2010 a CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
`f ONE CIVIC SQUARE DARCY CASE
l CARMEL, INDIANA 46032
CHECK NUMBER: 181142
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4128000 1,266.00 TUITION REIMBURSEMENT
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Leadership Education
for Adult. Professionals
:Irbdr in i;W slesan:Univers e}•, Student ID:
INDIANA WESLEYAN UNIVERSITY
Date: 30 -OCT -2009
DIV. OF ADULT PROF. STUDIES
MARION, IN 46953
Student�Name
CASE, DARCY L
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
05- NOV -09 ADM/447:5879833 Business Law 1,080.00 0.00 1,080.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
02- OCT -09 EFTU:100209 USL <6,125.00> <1,080.00>
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Total Invoice. Balance: 50.00
Thank you for choosing Indiana Wesleyan University,
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Receipt Statement
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Leadership Education
for Adult Professionals
iIntlianaWesleyari:Uiveisity. Student ID:
INDIANA WESLEYAN UNIVERSITY
Date: 30 OCT 2009
DIV. OF ADULT PROF. STUDIES
MARION, IN 46953
Student Name.
CASE, DARCY L
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total I
05 NO -09 BOOKS:5879835 Books 186.00 0.00 156.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
02- OCT -09 EFTU:100209 USL <6,125.00> <186.00>
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Total Invoice Balance: $0.00
Thank you for choosing Indiana Wesleyan University.
Academic Record Page 1 of 2
Academic Record
1956834 Darcy Case
Course /Section and Title Grade Credits CEUs Repeat Term
I ACC -491 A Accounting Seminar BSA040
ACC -372 A Federal Income Tax II 1 BSA040
ACC -371 A Federal Income Tax I BSA040
ACC -451 A Advanced Accounting I BSA040
I ADM -448 A Strategic Planning I BSA040
ACC -423 A Auditing I BSA040 I
MGT -425 A Issues in Ethics 1 BSA040
ACC -341 A Managerial Cost Accounting I 4E° MI BSA040 DM 447 A Business Law A 3.00 BSA040
It wa
ECO -331 A Appl Macroeconomics Business A- 3.00 BSA040
ECO -330 A Appl Microeconomics Business A I 3.00 BSA040
ACC -312 A Interm Financial Accounting II A I 3.00 BSA040
ACC -311 A lnterm Financial Accounting I A I 3.00 BSA040
ADM -201 A Principles of Self- Management A 2.00 BSA040
ACC -202 A Accounting Principles II A 3.00 BSA040
ACC 117 Acc Fund Mg 3.00
ACCT 0033 Princ of Accounting 1 3.00
BSAD 0029 Business Mathematics 3.00
BSAD 0045 Business Organ Mgmt I 3.00
BSAD 0048 Statistics 3.00 F
I BSAD 1599 Special Topics in Business 3.00 I I
I BUS 113 Fund of Marketing F-1 3.00
I BUS 117 Bus Law I 3.00
BUS 129 Bus Communication 3.00
l BUS 135 Fund of Advertising I 3.00
BUS 138 Mgmt Seminar 3.00
DAP 100 Computer Lit 3.00
ECO 601 Macroeconomics 3.00
ECO 602 Microeconomics 3.00
ENGL 0106 Language and Composition 3.00
ENGL 0107 Literature and Composition 3.00
GNED 1214 Comm Skills for Leadership Dev I 1.00
I MATH 1601 Algebra 3.00 I
MATH 1602 Elementary Functions I I 3.00
PED 332 Begin Bowling 1.00
I PSY 605 Intro Psych 1 3.00
SOC 651 Intro Sociology 3.00
1 it 11 11 11 11 I
https: /wa- secure.indwes.edu /WebAdvisor /WebAdvisor ?TOKENIDX 27$01. &S S= 2 &A... 1/6/2010
Academic Record Page 2 of 2
SPE 314 Interpersonal Comm II 11 3.00 I II II I
ADC 211 Biblical Literature 1 3.00
ADC 321 Adult Development 3.00
ADC 322 Specialized Writing 3.00
ADC 323 Work -Team Dynamics 1 1 3.00
ADC 324 Fund of Management 1 I 3.00
ADC 441 Judeo- Christian 1 3.00
ADC 442 Human Resource Management 3.00
ADC 443 Personal Prof Ethics 3.00
ADC 444 Acct Fin Non Fin Mgr 3.00
ADC 451 Quantiv Decision- Making 3.00
ADC 452 Persuasive Presentation 3.00
ADC 453 Diversity in Workplace 3.00
I ADC 454 Organizational Development 3.00 I
ANP 101 Anatomy Physiology I 3.00 I
ANP 102 Anatomy Physiology II 3.00 I
I HHS 101 Medical Terminology 3.00
PSY 201 Lifespan Development 3.00
Total Earned Credits 136.00
Total Grade Points 79.10
Cumulative GPA 3.955
https: /wa- secure. indwes .edu/ WebAdvisor /WebAdvisor ?TOKENTDX= 27801.404 &SS= 2 &A... 1/6/2010
City Of Carmel
Tuition Reimbursement Application Form
Part 1 (to be completed by employee)
(Please print. Submit complete form to Department Head prior to commencement of course.)
Employee Name ,Q rC_.z_ J (Ise-
Department (,L n l C J t o i S SSN (
Educational Institution* Y (Lt Ct_ I,� C.c k.5
Name of Course 1-A 1 YI. Q S S Credit Hours
Starting Date of Course (month/day /year) J `J J
By signing below, I signify that 1 understand the following:
o 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.
Q The tax status ofreimb ent payments subject to federal law, which may change from time to time.
Employee Signature Date D 0 /Cq
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 Section 2 of Carmel City Code.
Department Head Signature Date
Part III (to be completed by Director of Human Resources)
Final Approval r C` Date i I 3 U
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.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Darcy Case
IN SUM OF
$1,266.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1115 41 280.00 $1,266.00 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
Wednesday, January 06, 2010
Director
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/06/10 I I 1 $1,266.00
I 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