HomeMy WebLinkAbout187345 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 362124 Page 1 of 1
0 ONE CIVIC SQUARE ANTHONY ISENBERGER CHECK AMOUNT: $468.00
CARMEL, INDIANA 46032 12715 ABBOTT AVE
CARMEL IN 46032 CHECK NUMBER: 187345
CHECK DATE: 7/7/2010
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 070210 468.00 OTHER EXPENSES
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit completed form to Department Head rip or to commencement of course.)
Employee Name t� Noah' =SE�13k I,6;:
Department G AT ��sf:2ac3lrtont SSN Hire Date Z
Educational Institution* A)J JFSL U'�i s
Name of Course �H jLosdl�H'' A b l�i2AcT�c CaF ���r �o�� ���+�at�J6' Credit Hours
Starting Date. of Course (motith/day /year)
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 R- a 4 Date L4 1 20l 0
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 terms of Sectio 2-S S of Carmel City Code.
Department Head Signature Date y o1
Part III (to be completed by Director of Human Resources)
Final Approval I
Date
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 acereditor.
An application will not be considered complete unless a course description from the school's literature is attached.
IND I ANA 'f� {A� o o e o o
l r �L g aUN/ Ili A t EhiSoso and'EracCce af. 1,.00 A,
P. y
WESLEYAN
UNIVERSITY
RECORDS OFFICE
4201 South Washington Street
4.
Marion, Indiana 46953 �a a
ate a r r
Anthony W. Isenberger e a
05/20/10 06/10/10
SUMMARY HOURS TOTAL NON QUALITY QUALITY QUALITY GRADE
ENROLLED EARNED HOURS HOURS POINTS POINT AVG
E CURRENT
i
P L F1
1 CUMULATIVE
1. 00 1.00'. 0'.00 i? 00
I g
Indiana Wesle an Universit Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include
transfer hours. Current status of Baccalaureate honors:
is a Christi- centered
academic community GRADED HOURS (min. 80 req.; 40 hrs- IWU) HONORS GPA
committed to ALL ERRORS MUST BE REPORTED WITHIN TWO WEEKS.
changing the world EXPLANATION OF GRADES, POINTS,AND CREDIT HOURS THE UNIT OF CREDIT ISTHE SEMESTER HOUR.
by developing students A 4.0 Excellent WF Withdrawal while failing Grade point average based on quality points
A- 3.7 W Withdrawal while passing divided by quality hours. Total earned hours
in character, scholarship B+ 3.3 1 Incomplete count toward graduation requirements.
B 3.0 Good NR No grade report given
and leadership. B- 2.7 CR Credit Equivalent to C or above
C+ 2.3 NC Non Credit- Equivalent to below C
C 2.0 Average AU Audit
C- 1,7 NA Failure to Audit
TRANSCRIPT INFORMATION D+ 1.3 O Outstanding
To request an official transcript, information is D 1.0 Passing S Satisfactory
available by phone at 765- 677 -2966 or online at F 0.0 Failure U Unsatisfactory
htt p:fi www. indwes .edulrecords /transcripts.htm. IP In Progress
Academic Record Page 1 of 1
Academic Record
Anthony Isenberger
Course /Section and Title Grade Credits CEUs Repeat Term
BUS -274 A Business Case Study ASB1017
BUS -225 A Legal Environment of Business ASB1017
BUS -230 A Global Issues ASB1017
BIO -203 A Environmental Conservation ASB1017
BUS -150 A Personal Finance AS61017
PHL -283 A Philosophy /Christian Thought ASB1017
FINA -180 A Humanities Fine Arts ASB1017
BUS -220 A Accounting for Business ASB1017
BUS -215 A Human Resource Management AS81017
ENG -242 A Literature and Ideas ASB1017
PSY -155 A Personal Adjustment ASB1017
ECO -205 A Basic Economics ASB1017
HST -160 A Western Civilization ASB1017
MAT -110 A Business Mathematics ASB1017
COM -115 A Intro to Human Communication ASB1017
BIL -102 A New Testament Survey ASB1017
PHE -212 A Health, Well Ind PerfAssmnt ASB1017
BUS -105 A Intro to American Business ASB1017
ENG -141 A Communications II ASB1017
ENG -140 A Communications I ASB1017
UNV -111 A Phil /Practice- Lifelong Lrng I A 1.00 ASB1017
Total Earned Credits 1.00
Total Grade Points 4.00
Cumulative GPA 4.000
https: /wa- secure. indwes. edu WebAdv1sor /WebAdvisor ?T4.KENIDX =3 3 69026842 &SS =2... 6/17/2010
r
Prebill Invoice
17 -May -2010
Group Number: ASB 1017
Start
Course /Fee Date Due Date Amount
,UNV /111 Philosophy Practice of Lifelong Learning 20- May -10 20- May -10 230.00
Books UNV 1111 20- May -10 20- May -10. 238.. 00
Educational. Resource Fee 20- May -10 20- May -10 100.00
ENG /140 Communications I 17- Jun -10 20- May -10 690.00
Books ENG /140 17- Jun -10 20- May -10 197.00
Balance Due Institution 1,455.00
PLEASE REMIT PAYMENT BY THE DUE DATE
460 A
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PI$ase tear otf and nra11 this section wrthyour pa}rnent Thank you
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Visa nr Mastercard Discover
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Check here if requesting =an ite ntzed r cetpt Ovre number (n�red)'
fee's s�n2iure (mcjWred)
Ramie �sayment, 16:Mdiana>Wesleyarr.Unixrersity Leap- affici64900�W 50tH Street Marton IN 46953: 1.
VOUCHER 102063 „WARRANT ALLOWED
T1663 IN SUM OF
ISENBERGER, ANTHONY
CARMEL WATER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
070210 01- 6040 -05 $468.00
Voucher Total $468.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1663
ISENBERGER, ANTHONY Purchase Order No.
CARMEL WATER Terms
Due Date 6/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/2010 070210 $468.00
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
Date Officer