186244 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
0 ONE CIVIC SQUARE DARCY CASE CHECK AMOUNT: $1,279.00
CARMEL, INDIANA 46032 13154 DUNWOODY LANE
CARMEL IN 46033 CHECK NUMBER: 186244
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4128000 1,279.00 TUITION REIMBURSEMENT
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Leadership Education
for Adult Professionals
Student ID:
INDIANA WESLEYAN UNIVERSITY
Date: 27- MAY -2010
DIV. OF ADULT PROF. STUDIES
MARION, IN 46953
Stude>ttt Nance
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, N 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
25- MAR -10 ACC/423:6092570 AUDITING 1,080.00 0.00 1,080.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
20- APR -10 EFT:20- A1 2010:DLUSB DL -UNSUB 1 <4.665.00> <1,080.00>
Total Invoice Balance: $0.00
Thank you for choosing Indiana Wesleyan University.
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Page 1 of t
Leadership Education
for Adult Professionals
Student ID:
INDIANA 4VGSLEYAN UNIVERSITY
Date: 27 -NIAY -2010
DIV. OF ADULT PROF. STUDIES
MARION, IN 46953
Stude Na me X 3
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, IN 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
25- REAR -10 BOOKS:6092571 Books acc423 199.00 0.00 199.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
20- APR -10 EFT.20- APR- 2010:DLUSB DL -UNSUB 1 <4,665.00> <199.00>
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Total Invoice Balance:
Thank you for choosing Indiana Wesleyan University.
Academic Record Page 1 of 2
Academic Record
Darcy Case
Course /Section and Title Grade Credits CEOs Repeat Term
ACC -491 A Accounting Seminar BSA040
ACC -372 A Federal Income Tax II
ACC -371 A Federal Income Tax I BSA040
ACC -451 A Advanced Accounting
ADM -448 A Strategic Planning BSAC40
ACC -423 A Auditing U 3.00 BSA040
MGT -425 A Issues in Ethics 3.00 BSA040
ACC -341 A Managerial Cost Accounting I 3.00 BSA040
ADM -447 A Business Law 3.00 BSA040
ECO -331 A Appl Macroeconomics Business 3.00 BSA040
ECO -330 A Appl Microeconomics Business 3.00 BSA040
ACC -312 A Interm Financial Accounting II 3.00 BSA040
ACC -311 A Interm Financial Accounting I 3.00 BSA040
ADM -201 A Principles of Self- Management 2.00 BSA040
ACC -202 A Accounting Principles II 3.00 BSA040
ACC 117 Acc Fund Mg
ACCT 0033 Princ of Accounting I
BSAD 0029 Business Mathematics
BSAD 0045 Business Organ Mgmt
BSAD 0048 Statistics
BSAD 1599 Special Topics in Business
BUS 113 Fund of Marketing
BUS 117 Bus Law I
BUS 129 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
ENGL 0107 Literature and Composition
GNED 1214 Comm Skills for Leadership Dev
MATH 1601 Algebra
MATH 1602 Elementary Functions I
FED 332 Begin Bowling
PSY 605 Intro Psych
SOC 651 Intro Sociology I 3.00
https: /wa- secure. indwes. edu/ WebAdvisor /WebAdvisor ?TOKENIDX= 8813691841 &SS =2... 5/27/2010
Academic Record Page 2 of 2
SPE 314 Interpersonal Comm 3.00
ADC 211 Biblical Literature
ADC 321 Adult Development L� 3.00
ADC 322 Specialized Writing
ADC 323 Work -Team Dynamics
ADC 324 Fund of Management
ADC 441 Judeo- Christian F 3.00
ADC 442 Human Resource Management
ADC 443 Personal Prof Ethics
ADC 444 Acct Fin Non Fin Mgr
ADC 451 Quantiv Decision Making
ADC 452 Persuasive Presentation
ADC 453 Diversity in Workplace
ADC 454 Organizational Development
ANP 101 Anatomy Physiology I
ANP 102 Anatomy Physiology II
HHS 101 Medical Terminology
PSY 201 Lifespan Development
Total Earned Credits 145.00
Total Grade Points 112.10
Cumulative GPA 3.866
hUps: /wa- secure. indwes. edu /WebAdvisor /WebAdvisoOTOKENIDX= 8813691841 &SS =2... 5/27/2010
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit completed form to Department Head rt or to commencement of course.)
1
Employee Name a L
In
Department t�:DY1`1 rIAi,c r11� 5 SSN �� ►lire Date C �(p
Educational Institution*
Name of Course** Credit Hours
Starting Date of Course (monthiday /year) I S JL7
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 reimbur�cment payments is subject to federal law, which may change from time to time.
Employee Signature (�c� Date L
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 (l)
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.
O
Department Head Signature Date X H r t.ezH -gala
Part III (to be com pleted b`- Director of Human Resources)
T
Final Approval l LL 3
Date C-)
If denied, reason for denial
The tuition reimbursement program covers only full- semester courses offered through a degree- grar_ting institution
accredited by the Norte Centrai _association of Colleges 2nd Schools Or an eQLit al eP.i regional aCCredli0r.
AP application ivilt not be considered commpiete a ❑less a cou:Se deSCrlptio„ fYQ t SC Fa01 5 1CtercCL're i5 attaCl ec.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Darcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$1,279.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 41- 280.00 $1,279.00 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
Wednesday, June 02, 2010
44 0e
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))
05/27!10 I I I $1,279.00
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
2Q
Clerk- Treasurer