184702 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
0 ONE CIVIC SQUARE DARCY CASE CHECK AMOUNT: $58.00
CARMEL, INDIANA 46032 13154 DUNWOODY LANE
CARMEL IN 46033
CHECK NUMBER: 184702
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1115 4128000 58.00 TUITION REIMBURSEMENT
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Student ID:
INDIANA WESLEYAN UNIVERSITY Date: 3I MAR 2010
DIV. OF ADULT PROF. STUDIES
MARION, IN 46953
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, IN 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount In
18- FEB -10 BOOKS:6044253 Books 58.00 0.00 58.OU
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
02-OCT-09 EFTU:100209 USL <6,125.00> <58.00>
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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 CEOs Repeat Term
ACC -491 A Accounting Seminar BSA040
ACC -372 A Federal Income Tax II BSA040
ACC -371 A Federal Income Tax I BSAD40
ACC -451 A Advanced Accounting BSA040
ADM -448A Strategic Planning
ACC -423 A Auditing BSA040
MGT -425 A Issues in Ethic A BSA040
ACC -341 A Managerial Cost Accounting I 3A0 BSA040
ADM -447 A Business Law L" J 3.00 BSA040
ECO -331 A Appl Macroeconomics Business 3.00 BSAO40
ECO -330 A Appi Microeconomics Business I n J 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 L_� 2.00 BSA040
ACC -202 A Accounting Principles 11 3.00 BSAO40
ACC 117 Acc Fund Mg
ACCT 0033 Princ of Accounting I F 3.00
BSAD 0029 Business Mathematics
BSAD 0045 Business Organ Mgmt
BSAD 0048 Statistics
BSAD 1599 Special Topics in Business 3.00
BUS 113 Fund of Marketing F 3.00
BUS 117 Bus Law I
BUS 128 Bus Communication
BUS 135 Fund of Advertising
BUS 138 Mgmt Seminar
DAP 100 Computer Lit
ECO 601 Macroeconomics 3.00
ECO 602 Microeconomics
ENGL 0106 Language and Composition 3.00
ENGL 0107 Literature and Composition
GNED 1214 Comm Skills for Leadership Dev
MATH 1601 Algebra 3.00
MATH 1602 Elementary Functions I F 3.00
PED 332 Begin Bowling
PSY 605 Intro Psych 3.00
SOC 651 Intro Sociology
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Academic Record Page 2 of 2
SPE 314 Interpersonal Comm 3.00
ADC 211 Biblical Literature
ADC 321 Adult Development
ADC 322 Specialized Writing F
ADC 323 Work -Team Dynamics 3.00
ADC 324 Fund of Management
ADC 441 Judeo Christian 3.00
ADC 442 Human Resource Management 3.00
ADC 443 Personal Prof Ethics I 3.00 r� U�
ADC 444 Aoct Fin Non Fin Mgr F 3.00
ADC 451 Quantiv Decision Making
ADC 452 Persuasive Presentation F 3.00
ADC 453 Diversity in Workplace Q 3.00 D
ADC 454 Organizational Development 7
ANP 101 Anatomy Physiology I 3.00
ANP 102 Anatomy Physiology II F 3.00
HHS 101 Medical Terminology r 3.00
PSY 201 Lifespan Development
Total Earned Credits 142.00
Total Grade Points 103.10
Cumulative GPA 3.965
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City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print Submit completed form to Department Head p rior to commencement of course.)
Employee Name Ct r ease—
Department 1 i? M Y%'N t t._ F4c C OJ t 6hs S5N Hire Date
Educational Institution*
Name of Course 1,1 I SS C �yu 5 Credit Hours
Starting Date of Course (month/day /year) 0 19 l)
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, l 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 fitli for its tuition and book reimbursements for this course.
The tax status of re f ent payments subject to federal law, which may change from time to time.
Employee Signature Date c� I
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 clays prior to the beginning of the course. The final claim will be paid from any
department's budget, subject to the ternIs of Section 2 -58 of Carmel City Code.
Department Head Signature Date /9iE I Wo /o
Part III (to be completed by Director of Human Resources)
Final Approval Date 4
If denied reason for denial
The tuitior reirrbursement program covers ont, full- semester courses offered through a degree-granting institution
accredited b% tNe North Central association of Colleges and Schools or an equivalent regional accrediror.
Air: application kill rot be considered compiete unless z cou description fror. the sc hool's literature is attar !led.
VO NO. WARRANT NO.
ALLOWED 20
Darcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$58.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 41- 280.00 $58.00 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
Friday, April 16, 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))
04/16/10 I I I $58.00
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