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Home My WebLink About189725 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1 ONE CIVIC SQUARE DARCY CASE CARMEL, INDIANA 46032 13154 DUNWOODY LANE CHECK AMOUNT: $1,273.00 CARMEL IN 46033 CHECK NUMBER: 189725 CHECK DATE: 9114/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4128000 1,273.00 TUITION REIMBURSEMENT i r 1 r ..,�m_ �_„��m, a.:,�W E_�f.„.,, >.,.M,1�1...__.,u�g..m ..E,.� _.z•a� ...E.,_�.� _�._d�,�_ ��t.. LEAP Pack 1 01' Leadership Education for Adult Professionals Student ID: INDIANA WLSLCYAN UNIVERSITY Date: 7 -SEP -2010 DIV, OF ADULT PROP. STUDIES MARION, IN 46953 Student Name: CASE, DARCY L 13154 DUNWOODY LN CARMEL, IN 46033 INVOICE Start Date Invoice Number Description Inv Amt Discount Inv Total OS-JUL-10 ACC/451:6209071 ADVANCED ACCOUNTING 1,050.00 0.00 1,080.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 20- APR -10 FF'I':20- APR -2010 DLUSB DL -UNSUB l <4,665.00> <1,080.00> s. 6 Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. Receipt Statement.,m. r LEAP Page I of 1 Leadership Education for Adult Professionals Student ID: INDIANA WLSLFYAN UNIVERSITY Date: 7 -SEP -2010 DIV. OF ADULT PROF. STUD] CS MARION, IN 46953 y Student Namx CASE, DARCY L 13154 DUNWOODY LN CARMEL, IN 46033 INVOICE Start Date Invoice Number Description Inv Amt Discount Inv Total OS- JUL -10 QOOKS:6209072 Books acc451 193.00 0.00 193.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 20- APR -10 EFT.20- APR- 2010:DLUSB DL- UNSU131 <4,665,00> <193.00> Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. Academic Record Page 1 of 2 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 II ACC -371 A Federal Income Tax I BSA040 ART -134 J Introduction to Photography EL22010 ACC -451 A Advanced Accounting B+ 3.00 BSA040 ADM -448 A Strategic Planning 3.00 BSA040 ACC -423 A Auditing B� 3.00 BSA040 MGT -425 A Issues in Ethics A� F BSA040 ACC -341 A Managerial Cost Accounting I 3.00 BSA040 ADM -447 A Business Law A� 3.00 BSA040 ECO -331 A Appl Macroeconomics Business A� 3.00 SSA040 ECO -330 A Appl Microeconomics Business A� 3.00 BSA040 ACC -312 A Interm Financial Accounting 11 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� F 3001 BSA040 ACC 117 Acc Fund Mg 3.00 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 3.00 BUS 117 Bus Law 1 3.00 BUS 129 Bus Communication F BUS 135 Fund of Advertising BUS 138 Mgmt Seminar 3.00 I DAP 100 Computer Lit 3.00 ECO 601 Macroeconomics 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 PED 332 Begin Bowling PSY 605 Intro Psych https:Hwa- secure.]ndwes.edu /WebAdvisor /WebAdvisor ?TOKENIDX 1716260646 &SS =3... 9/7/2010 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 bGtX C kSe__ Department C QSyy� ,yL um S SSN Hire Date C l Educational Institution* i'10�,c ra�r`Q� LO A Name of Course" __A �6unu C C 1-..�' Credit Hours Starting Date of Course (month/day /year) 7 45 1 6 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 fro time to time. Employee Signature Date 5 16 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 begirming of the course. The final claim will be paid from my department's budget, subject to the terms of Section 2 -58 of Carmel City Code. k° Department Head Signature Date 7-13 Part III (to be completed by Director of Human Resources) Final Approval Cl� -�,v., 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. VOUCHER NO. WARRANT NO. ALLOWED 20 Darcy Case IN SUM OF 13154 Dunwoody Lane Carmel, In 46033 $1,273.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 41- 280.00 $1,273.00 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, September 08, 2010 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)) 09/07/10 I I I $1,273.00 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