189725 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
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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