185902 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351721 Page 1 of 1
ONE CIVIC SQUARE JAMES PAGE
ii CHECK AMOUNT: $3,120.00
CARMEL, INDIANA 46032
CHECK NUMBER: 185902
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4128000 18377 3,120.00 TUITION REIMBURSEMENT
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DATE AUTHORIZATION TOTAL y
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R EFERENCE SERVER TAX C
ID- FOLIOICHECK NOAIC. NO. STATE REOJDEPT. CLERK TIP
SIGN HERE misc.
x U 5320131 �cyDi0
The Issuer of the cerd,pendW on this bm Is 9uthodzed waount shown as TOTAL
e coon "d i:u awa h 'w�" d CUSTOMER RETAIN THIS COPY FOR YOUR RECORDS
DATE RF�CEIPT DESCRIPTION AMOUNT YOUR NEW YOUR OLD RECEIVED OF
NUMBER RECEIVED BALANCE BALANCE
MARTIN UNIVERSITY 3
2171 AVONDALE PLACE
INDIANAPOLIS, INDIANA 46218
(317) 543 -3248
SIGNATURE
RECEIPT
Martin University
P.O. Box 18567
IZ�Z Indianapolis IN 46218
Phone:
Fax:
Staternent and Schedule
04127!2010
James E Page Student ID:
3961 N Broadway College Level: Masters
Indianapolis IN 46205 Student Level:
Current Schedule: FA -09
Course Course Title Status Credits Grade
CPY -520 -50 Personality Official 4 A
3.00
Previous Balance: $0.00
P
Term .Date_, Desc,ri,p #�o_n ��Td� H, a s�. �H "R .,.3.Debtts Credtts�
die
FA -09 9/18/2009 Computer Lab Usage FA -09 $30.00
9/18/2009 Safety and Public Service FA -09 100.00
9/1812009 Student Activity FA -09 P D-0 1 0
9/18/2009 Charged Tuition FA -09 $1,560.00
4/27/2010 Tuition Payment Charge $1,720.00
Statement Total: $0.00
HoldDate HoldCategory HoldDescription
03109/2009 Bursar Office Student has an account balance. PendingTotal: $0.00
Overall Total: $000
Notes: Page 1 of 1
Martin University
'r P.O. Box 18567
Indianapolis IN 46218
Phone:
Fax:
Itatement and Schedule
04/27/2010
James E Page Student ID:
3961 N Broadway College Level: Masters
Indianapolis IN 46205 Student Level:
Current Schedule: SP -10
Course Course Title Status Credits Grade
UMS -530 -50 Spiritual Foundations for Family Dev Official 3.00
3.00
Previous Balance: $0.00
Date �Dsscr #fon p Debtts� Win pe�Rl ac� _max ..p.. s._ m a�
..A.. W
SP 1/20/2010 Computer Lab Usage 30.00
1/20/2010 Safety and Public Service 100.00
1/20/2010 Student Activity0
1/2012010 Tuition $1,560.00
4/27/ Tuition Payment Charge $1,720.00
Statement Total: $0.00
HOIdDate HoldCategory HoldDescription
03/09/2009 Bursar Office Student has an account balance. PendingTotal: $0.00
Overall Total: $0.00
Notes: Page 1 of 1
Martin University
FINAL Grade Report
517!2010 SP-10 Page 1
Page, James E Student ID:
3961 N Broadway
Indianapolis IN 46205 Major Advisor
URBAN MINISTRY Dr. Oliver, Claude
STUDIES
CourselD CourseName Credjts-'(n GPAHours GradePoint
UMS 530 50 Spiritual Foundations for Family Dev 0 A 3.00 12.00
Attempted Earned GPA Hours Grade Points GPA Comp Rate
Term: 3.00 3.00 3.00 12.00 4.00 100.00
Cumulative: 42.00 42.00 42.00 165.00 3.93 100.00
NOTE: IF YOU NEED TO HAVE THE SCHOOL SEAL AFFIXED FOR LEGAL PURPOSES OR FOR TUITION REIMBURSEMENT,
PLEASE BRING THE GRADE REPORT TO THE REGISTRAR'S OFFICE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
James Page
IN SUM OF
$3,120.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1202 I 00000018377 I 41- 280.00 I $3,120.00 1 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
Monday, May 24, 2010
Director, IS
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))
04/27/10 00000018377 $3,120.00
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