187744 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
ONE CIVIC SQUARE DARCY CASE
CARMEL, INDIANA 46032 13154 DUNWOODY LANE CHECK AMOUNT: $1,257.00
CARMEL IN 46033 CHECK NUMBER: 187744
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4128000 1,257.00 TUITION REIMBURSEMENT
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Leadership Education
(or Adult professionals
Student ID:
INDIANA WESLEYAN UNIVERSITY
Date: 27- NIAY -20 t 0
DIV. OF ADULT cf PROP. STUDIES
MARION, IN 46953
fu' de nt Name'
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, IN 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
20- MAY -10 ADM1448:6173859 Strategic Planning 1,080.00 0.00 1,080.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
20- APR -10 EFT:20- APR- 2010:DLUSB DL -UNSUB 1 <4,065.00> `1,080.00>
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Total Invoice Balance: $0.00
Thank you For choosing Indiana Wesleyan University.
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LEAP l Page 1 of 1
Leadership Education
for Adult professionals
Student ID:
INDIANA WESLEYAN UNIVERSITY
Date: 27- MAY -2010
DIV. OF ADULT PROP. STUDIFS
MARION, IN 46953
S
_m
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, IN 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
20- MAY -10 BOOKS:6173860 Books adm 448 177.00 0.00 177.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
20- APR -10 EFT.20- APR- 2010:DLUSB DL -UNSUB 1 <4,665.00> <17T00>
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Total Invoice Balance: $0.00
Thank you for choosing Indiana Wesleyan University.
Academic Record https: /wa- secure. indwes. edu /WebAdvisor /WebAdvisor ?TOKENIDX...
Academic Record
1956834 Darcy Case
Course /Section and Title Grade Credits CEUs Repeat Term
ACC -491 A Accounting Seminar BSA040
ACC -372 A Federal Income Tax 11 BSA040
ACC -371 A Federal Income Tax I BSA040
ART -134 J Introduction to Photography EL22010
ACC -451 A Advanced Accounting BSA040
ADN�-448 A Strategic Planning A- 3.00 BSAD40
ACC -423 A Auditing B 3.00 BSA040
MGT -425 A Issues in Ethics A 3.00 BSA040
ACC -341 A Managerial Cost Accounting I A 3.00 BSA040
ADM -447 A Business Law A 3.00 BSA040
ECO -331 A Appl Macroeconomics Business A- 3.00 BSA040
ECO -330 A Appl Microeconomics Business A 3.00 BSA040
ACC -312 A Interm Financial Accounting 11 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
ACC -202 A Accounting Principles II A 3.00 BSA040
ACC 117 Acc Fund Mg 3.00
ACCT 0033 Princ of Accounting 1 3.00
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 3.00
BUS 135 Fund of Advertising 3.00
BUS 138 Mgmt Seminar 3.00
DAP 100 Computer Lit 3.00
ECO 601 Macroeconomics 3.00
ECO 602 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 Dynamics 3.00
1 of 2 7/9/2010 7:31 AM
Academic Record lhttps:// wa- secure.indwes.edu/WebAdvisor /WebAdvisor ?TOKENIDX...
ADC 324 Fund of Management 3.00
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 Lifespan Development 3.00
Total Earned Credits 148.00
Total Grade Points 123.20
Cumulative GPA 3.850
2 or") 7/9/2010 7:31 AM
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
Department n1 tv\ l C Cz I f SSN [` Hire Date �l d
Educational Institution* 11
Name of Course U L' S 1 lti -t Credit Hours
Starting Date of Course (month/day /year) 1 b
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 reimb ent payments is subject to federal law, which may change from time to time.
Employee Signature t! �1� Date 0 1 /0
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 (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 Section 2 -5 of Carmel City Code.
Department Head Signature /,f.. ji G� Date
Part III (to be completed by Director of Human Resources)
Final Approval Date 5 .)L7 CO
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 accrediter.
An application will not be considered complete unless a course description from the school's literature is attached.
i
VOUCHER NO. WAR RANT NO.
ALLOWED 20
Darcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$1,257.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 41- 280.00 $1,257.00 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, July 14, 2010
Director
Title y
Cost distribution ledger classification if 1
claim paid motor vehicle highway fund
I
I
Prescribed by State Board of Accounts City Form No. 241 (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))
07/13/10 I I 1 $1,257.00
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