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182794 03/03/2010 -�4. CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1 ONE CIVIC SQUARE DARCY CASE i 0 CARMEL, INDIANA 46032 CHECK NUMBER: 182794 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4128000 1,268.00 TUITION REIMBURSEMENT 'Receipt Statement Page 1 of 1 Leadership Education for Adult. Prafessionals Student ID: INDIANA WESLEYAN UNIVERSITY Date: 24 -FEB -2010 DIV. OF ADULT PROF. STUDIES MARION, IN 46953 Student Name CASE, DARCY L INVOICE Start Date Invoice Number Description Inv Amt Discount Inv Total 07- SAN -10 ACC/341;5962991 Managerial Cost Accounting 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> r r �(lY in��u Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. Receipt Statement 1 Page I of I leadership Education for Adult Professlonals Student ID 'INDIANA WESLEYAN UNIVERSITY Date: 24 -FEB -2010 DIV. OF ADULT PROF. STUDIES MARION, IN 46953 Student Name CASE, DARCY L INVOICE Start Date Invoice Number Description Inv Amt Discount Inv Total 07- JAN -10 BOOKS:5962992 Books 188.00 0.00 188.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 02- OCT -09 EFTU:100209 USL <6,125.00> <188.00> r. I 1 %'i r� f f �A•-,l 'i i"'� �7l Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. Academic Record https: /wa- secure. indwes. edu /WebAdvisor/WebAdvisor ?TOK... Academic Record 1956834 Darcy Case Course /Section and Title Grade Credits CEI is Repeat Term ACC -491 A Accounting Seminar BSA040 ACC -372 A Federal Income Tax 11 BSA040 ACC -371 A Federal Income Tax I BSA040 ACC -451 A Advanced Accounting BSA040 ADW448 A Strategic Planning BSA040 ACC -423 A Auditing BSA040 MGT -425 A Issues in Ethics BSA040 ACC -341 A Managerial Cost Accounting I A 3.00 BSAO40 ADW447 A Business Law A 3.00 SSA040 ECO.331 A Apt Macroeconomics Business A- 3.00 BSAO40 EC4330 A Appl Microeconomics Business A 3.00 BSA040' ACC -312 A Interm Financial Accounting II A 3.00 BSA040 ACC -311 A Interm Financial Accounting I A 3.00 BSA040 ADM -201 A Principles of Self- Management A 2.00 BSA040 b ACC -202 A Accounting Principles II A 3.00 BSA040 ACC 117 Acc Fund Mg 100 ACCT 0033 Princ of Accounting 1 100 BSAD 0029 Business Mathematics 3.00 BSAD 0045 Business Organ Mgmt 3.00 BSAD 0048 Statistics 3.00 BSAD 1599 Special Topics in Business 3.00 BUS 113 Fund of Marketing 3.00 BUS 117 Bus Law 1 3.00 BUS 129 Bus Communication 100 BUS 135 Fund of Advertising 3.00 BUS 138 Mgrnt Seminar 3.00 DAP 100 Computer Lit 3.00 ECO 601 Macroeconomics 3.00 ECO602 Microeconomics 3.00 ENGL 0106 Language and Composition 3.00 ENGL 0107 Literature and Composition 3.00 GNED 1214 Comm Skills for Leadership Dev 1.00 MATH 1601 Algebra 3.00 MATH 1602 Elementary Functions 1 3.00 PED 332 Begin Bowling 1.00 PSY 605 Intro Psych 3.00 SOC 651 intro Sociology 3.00 SPE 314 Interpersonal Comm 3.00 ADC 211 Biblical Literature 3.00 ADC 321 Adult Development 3.00 ADC 322 Specialized Writing 3.00 ADC 323 Work -Team Dynarrks 3.00 ADC 324 Fund of Management 3.00 1 of 2 2/25/2010 2:33 PM Academic Record https: /wa- secure. indwes. edu /WebAdvisor/WebAdvisor ?TOK... ADC 441 Judeo-Christian 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 ADC 454 Organizational Development 3.00 ANP 101 Anatomy Physiology 1 3.00 ANP 102 Anatomy Physiology 11 3.00 HHS 101 Medical Terminology 3.00 PSY 201 l_ifespan Development 100 Total Earned Credits 139.00 Total Grade Points 91.10 Cumulative GPA 3.961 2 of 2 2/25/2010 2:33 PM City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed form to Department Head prior to commencement of course.) Employee Name Department r Y111111c fLC C e Y1 r i?1 S SSN Educational Institution* 111l L t' L:,_. Name of Course O All) (10) i c C..f �9'� C �`Z� S C i1 Credit Hours Starting Date of Course (month/day /year) i ;�LIL 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 L' Date `'i 1L� 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 terns f Section 2 -58 of Carmel City Code. Department Head Signature y De r g D ate Part III (to be completed by Director of Human Resources) Final Approval LC_ 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 accreditor. An application will not be considered complete unless a course description from the school's literature is attached. a VOUCHER NO. WARRANT NO. ALLOWED 20 Darcy Case IN SUM OF $1,268.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1115 41- 280.00 $1,268.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the .r materials or services itemized thereon for which charge is made were ordered and received except Monday, March 01, 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)) 02124/10 I I I $1,268.00 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