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HomeMy WebLinkAbout188394 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362124 Page 1 of 1 ONE CIVIC SQUARE ANTHONY ISENBERGER CARMEL, INDIANA 46032 12715 ABBOTT AVE CHECK AMOUNT: $887.00 CARMEL IN 46032 CHECK NUMBER: 188394 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 887.00 TUITION REIMBURSEMENT t 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 W A c-_�Z SSN _ Hire Date 7 16 np Educational Institution* .z ^t 4�iAvJ 1,) tJ�y i V �5 r r�' Name of Course oMMtJ Uc_.AT�,o/dS Credit Hours 3 Starting Date of Course (month/day /year) l�0 V1 .Z 01 C) 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 Date 2! 2 a 1 o 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 f Sec 'on 2 -58 of Carmel City Code. r Department Head Signature Date a a r Part III (to be completed by Director of Human Resources) x,. 1w�� jr— S 3 Final Approval r� 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 accreditor. An application will not be considered complete unless a course description from the school's literature is attached. 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 ASBi017 BUS -230 A Global Issues ASB1017 BIO -203 A Environmental Conservation ASB1017 BUS -150 A Personal Finance ASB1017 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 ASB1017 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 Perf Assmnt ASB1017 BUS -105 A Intro to American Business ASS1017 ENG -141 A Communications II ASB1017 ENG -140 A Communications I A 3.00 ASB1017 UNV -111 A Phil /Practice- Lifelong Lrng I A 1.00 ASB1017 Total Earned Credits 4.00 Total Grade Points 16.00 Cumulative GPA 4.000 https: /wa- secure. indwes. edu /WebAdvisor /WebAdvisor ?TOKENIDX 5997972556 &SS =2... 7/26/2010 Receipt Statement U6�� Page I of I Leadership Education for Adult. Professionals Student ID: INDIANA WESLEYAN UNIVERSITY Date: 9_YUL -2010 DIV. OF ADULT PROF. STUDIES 1900 W. 50TH ST, MARION, IN 46953 Student Name ISENBERGE -R, ANTHONY W 12715 ABBOTT AV CARMEL, IN 46032 INV ©ICE Start Date Invoice Number Description Inv Amt Discount Inv Total 17- JUN -10 BOOKS:6195441 Books ENG 140 197.00 0.00 197.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 07- JUL -10 EFT:07- JUL- 2010:DLSUB DL -SUB 1 <1,742.00> <197.00> j i Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. Receipt Statement Page 1 of 1 Leadership Education for Adalt Pmfessinrtals Student ID: INDIANA WESLGYAN UNIVERSITY Date: 8 -JUL -2010 DIV. OF ADULT PROF. STUDIES 1900 W. 50TH ST. MARION, IN 46953 Student N ame ISENBERGER, ANTHONY W 12715 ABBOTT AV CARMEL, IN 46032 INVOICE Start Date Invoice Number Description Inv Amt Discount Inv Total 17- JUN -10 ENG/140:6195440 Communications 1 690,00 0.00 690.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 07- JUL -10 EFT -07- JUL- 201 0:DLSUB DL -SUB 1 <1,742.00> <690.00> Total Invoice Balance: 50.00 Thank you for choosing Indiana Wesleyan University. Prebill Invoice 17- May -2010 Group Number: ASB 1017 Start Course /Fee Date Due Date Amount UNV /111 Philosophy 6 Practice of Lifelong Learning 20- May -10 20- May -10 230.00 Books UNV /111 20- May -10 20- May -10 238.00 Educational Resource Fee 20- May -10 20- May -10 100.00 ENG /140 Communications I 17- Jun -10 20- May -10 690.00 Books ENG /140 17- Jun -10 20- May -10 197.00 Balance Due Institution 1,455.00 PLEASE REMIT PAYMENT BY THE DUE DATE otM C. Lee Sv- 0 1 WN M d t e$ y s Piease tear off and mad<this secrion'with your payment. Thank you Nal]1e. L) I'd tike to make my payment by credit card. GrOUp' Visa or Mastercard Discover Amount,E'nClosed: card number eq.da6e Check Ii i6 if requesting an itemized receipt phone number (required) cardholders srgnaae (required) Remit payrnent,to Indiana Wesleyan- University Leap Office 1900 W: 50th Street Marion IN 46953. VOUCHER 102333 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 080210 01- 6040 -05 $887.00 Voucher Total $887.00 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 7/30/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/30/2010 080210 $887.00 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