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HomeMy WebLinkAbout181832 02/03/2010 CITY OF CARMEL, INDIANA VENDOR 361329 Page 1 of 1 „0,-,;--‘41,,,,, ONE CIVIC SQUARE CLAY CAMPBELL k4 o CARMEL INDIANA 46032 9003 MAX COURT CHECK AMOUNT: $1,070.18 3, FISHERS IN 46037 CHECK NUMBER: 181832 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 668.86 TUITION REIMBURSEMENT 651 5023990 401.32 TUITION REIMBURSEMENT City Of Carmel Tuition Reimbursement Application. Form Part I to be completed b y arts to e� (Please print. Submit completed form to Department Head prior to commencement of course.) Employee Name CiaLt Department 1 I+ e Vittili4 (C4`4)51 \nq SSN Hire Date 11/0 6 Educational Institution* 1 U (7 l� T Name of Course I ih=t` 1 S J o d r G-vj 6'6-- Starting Date of Course (month/day /year) U VS 1 By signing below, I signify that I understand the following: o The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2 -59. 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 the book list for the course and an original itemized receipt for all books purchased. 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. G The tax status of reimbursement payments is subject to federal law, which may change from time to time. Employee Signature err. Allinewa Date Al 2 `-I 0 C/ Part If (to be co., Meted by Department C! ead) (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 S ction 2 -59 of Carmel City Code. Department Head Signature Y Date 8,4 f/o °J Part ffi (to be completed by Director of Human Resources) Final Approval r Date g le, 7 l 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 N IVE RS IT PO Box Student Acct Svcs-Bursar Account Statement Bloomington IUPUI Indianapolis... `IUPUI Columbus:. Kokomo Northwest South Bend. Southeast Statement Date: 09/01/09 1 Page 1 of 1 Due Date 09/15/09 Billing Reference: IN BILL# XXX1615544 Previous Balance 0.00 University ID: Minimum Due 388.33 Student Name: Campbell,Clay Samuel Total Due 1,098.04 Statement notification sent to clscampb @iupui.edu Charges and Adjustments 08/24/09 Resident Undergraduate Fees 23.04 08/24/09 General Fee 175.00 Total Charges and Adjustments: 1,098.04 Messages Paying at least the minimum amount due as indicated will enroll you in the payment plan program. There will be a non refundable service charge Visit our website at http: /osas.iupui.edu for important information about refunds, how and where to pay, and special announcements conceming If vnii have nu ahnnt vnur arrniint statement nlease r.nntant Shirlent Ancnu SQrvir.Rs- Rursar• telenhnne• 117 974 9451 a -mail• Capital One Online Banking 1 Transaction Details Page 1 of 1 Online Banking r SARA CAMPBELL Capia i Transaction Details View the details below for your transaction. If you require additional information, please contact the merchant. Detailed Information Transaction Date: January 03, 2010 Post Date: January 04, 2010 Transaction Description: IUPUI BURSAR WEB PAYME 317 2742451 IN Charge: $1,198.04 Category: Merchant Information: IUPUI BURSAR WEB PAYME 317 2742451 IN ,bH)flisp,y1P CapitalOne.com This site provides information about and access to financial MEMBER FDW Home services offered by the Capital One family of companies, Contact Us including Capital One Bank (USA), N.A. and Capital One, N.A., members FDIC. Legal Consult your account agreement for information about the Privacy Capital One company servicing your individual accounts. Security Terms and Conditions Capital One does not provide, endorse, nor guarantee and is not liable for third party products, services, educational tools, or other information available through this site. 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All rights reserved. https: /servicing.capitalone. com/C 1 /Accounts /TransactionDetail. aspx ?index... 1/18/2010 View My Grades Page 1 of 2 Go to Bottom Student Center Clay Campbell Search for Classes r Academic Planning My Academics Grades View My Grades Fall 2009 1 Undergraduate 1 IUPUI change term I IU Mid term Grade Definition 1.1 Class Grades Fall 2009 Official Grades !Crass Description Units Grading Grade Grade Points IGEOG -G X 123 SOIL SURVEY 1.00 Graded B+ 3.300 !HIST -B 357 MODERN FRANCE 3.00 Graded B+ 9.900 v Term Statistics Fall 2009 From Cumulative Enrollment i Total Units Toward GPA: 'Taken 4.000. 81.000 'Passed 4.000! 78.000 Units Not for GPA: 'Taken 50.000; Passed 50.000° GPA Calculation Total Grade Points 13.2001 1 226.800 I Units Taken Toward GPA 4.000 81.0001 GPA j 3.300 I 2.800 Transfer Credit column information reflects the Transfer, Test and Special /Other Credit for this term. Statistics represent the grade points and hours as evaluated by the academic policies of your academic school /program. Go to "My Academics Grades" to run an Indiana University unofficial transcript to view your Indiana University GPA and Hours in addition to your Student Program statistics. Printer Friendly Page https:// iuself. iu. edu/ psc /SSERV /SISSELFSERVICE/HRMS /c /SA LEARN... 1/18/2010 VOUCHER 097223 WARRANT ALLOWED T1005 IN SUM OF CAMPBELL, CLAY CARMEL UTILITIES r Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR 0 ri r 22 Board members PO INV ACCT AMOUNT Audit Trail Code 020110 01-7040-07 --$4-3,83. 40/ v a e7 0 v Ld Voucher Total $437.83 Cost distribution ledger classification if il ik a claim paid under vehicle highway fund 2-1)061 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee T1005 CAMPBELL, CLAY Purchase Order No. CARMEL UTILITIES Terms Due Date 12/30/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/200! 020110 $437.83 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 71= l! V a ✓vl j�� cwt_ Date Officer Prescribed by State Board of Accounts Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 Mo. Day Yr. Signature Title 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. ,::1 r i5 c Mo. Day Yr. Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT, ACCT No. CARMEL, INDIANA clni C Att l li CI` FavorOf Total Amount of Voucher b d Deductions 1. 6—bly— 6 Amount of IhjafraltU f p Month of if Yr VOUCHER RECORD Acct. No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation Maintenance 0 5� Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed BOYCE FORMS SYSTEMS 1 880 382 8702