HomeMy WebLinkAbout189855 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362124 Page 1 of 1
ONE CIVIC SQUARE ANTHONY ISENBERGER CHECK AMOUNT: $690.00
4 CARMEL, INDIANA 46032 12715 ABBOTT AVE
CARMEL IN 46032 CHECK NUMBER: 189855
CHECK DATE: 911412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 690.00 TUITION REIM
City
Carm
Tuition Reimbursement Application Form
Part /to be completed by employee)
(f'lemueyritx Submit pomy|uoj hxnn W Department Head prior to;oo mcncuncnt ofcoursej
Employee Name
Department SSN Hire Date
Educational institution* -7_~/0
Namoo{[ovoc Cn:ditBovcs_���__
Starting Da ofC000c(mou/Nduy/ycor
Uyyi�nio�boiow,lui�oifv that |understand the following:
The tuition reimbursement program is sot�mctN the |oonx of Carmel City Code, Section 2'59.
Tn receive ooi/�huryomcotfor tuition, |must submit evidence of payment for dbc Course and ucopy
of my final grade. To receive /rimhumcnncot for books, moutuohmituo original itcmizud receipt
oc other proof of purchase that links these books |othis partiCUlar comso.
1 f I leave City of Carmel employment sooner than one 1) year after the end of this course, I will
repay the City in full hbr its tuition and book reimbursements for this course.
The tax status ofoimhorsonucn{pxyrucnts is subject to federal law, which may cbuogo from time tndn`r�
Empluyco8ignuun: Durc C 10
Part 1X (to hc completed hyDepartment Read)
(Submit toHuman Resources)
By signing below, certify that t applicant will have been employed kd|'h/nc by the City for ut least one (l)
year prior to the cornMCnCernent Of Lhe COUrse, and has not been SUbJect to a disciplinary probation, suspension
or Jomnboo within 90 days prior to the hc8iooiog of the course. The final claim will be paid from my
department's bUdgCt, sub to the terms of Sectl )TI Of Carinel Ci C ode.
Department neam^ o[ Date
]PmrtT}0 (1w be completed. by Director offioruum Rcnomreuo)
Final Appnovu| Datc
|f denied, reason for denial
The mi,ino reimbursement yrngmm covc,v only &U'oemuntc, cvu,,o offered /xmvgh o degree-granting iooimdnu
accredited hy the North Central Association ofColleges and ScIioc>s or an equivalent regional accreditor.
An vpo|icm(on will not h0000sidvud complete xo|eoououncd,,"rirx/*n fi*m the S^hno|`, |it,nx",n is attached.
Receipt Statement
L Page l o I
Leadership Education
for Adult Preferislonals
Student ID:
INDIANA WESLEYAN UNIVERSITY
Date: 28 -AUG -2010
DIV. OF ADULT PROF. STUDIES
1900 W. 50TH ST.
MARION, IN 46953
Student Name
ISENBERGER, ANTHONY W
RETURNED MAIL
12715 ABBOTT AVE
CARMEL, IN 46032
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
29- JUL -10 ENG/141:6255091 Communications II 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> <387.00>
07 JUL EFT:07- JUL- 2010:DLUSB DL- UNSUB_l. <2,985.00> <303.00>
1 y Ir
(D
Y
Total Invoice Balance: $0.00
Thank you for choosing Indiana Wesleyan University.
Academic Record Page 1 of I
Academic Record
2072377 Anthony Isenberger
Course /Section and Title Grade Credits CEUs Repeat Term
BUS -274 A Business Case Study ASS1017
BUS -225 A Legal Environment of Business ASB1017
BUS -230 A Global Issues ASB1017
BIO -203 A Environmental Conservation ASB1017
BUS -150 A Personal Finance ASB1017
PHL -283 A Philosophy /Christian Thought ASB1017
FINA -180 A Humanities Fine Arts ASB1017
BUS -220 A Accounting for Business ASB1017
BUS -215 A Human Resource Management ASB1017
ENG -242 A Literature and Ideas ASB1017
PSY -155 A Personal Adjustment ASB1017
ECO -205 A Basic Economics ASB1017
HST -160 A Western Civilization ASB1017
MAT -110 A Business Mathematics ASB1017
COM -115 A Intro to Human Communication ASB1017
BIL -102 A New Testament Survey ASB1017
PHE -212 A Health, Well Ind Perf Assmnt ASB1017
BUS -105 A Intro to American Business ASB1017
ENG -141 A Communications II A 3.00 ASB1017
ENG -140 A Communications I A 3.00 ASB1017
UNV -111 A Phil /Practice- Lifelong Lmg I A 1.00 ASB1017
Total Earned Credits 7.00
Total Grade Points 28.00
Cumulative GPA 4.000
https: /wa- secure. indwes. edu /W ebAdvisor /WebAdvisor ?TOKENIDX= 1662756478& SS =2... 9/3/2010
Prebill Invoice
17- May -2010
Group Number: ASB 1017
Start
Course /Fee Date Due Date Amount
ENG /141 Communications II 29- Jul -10 8- Jul -10 690.00
Books ENG /141 29- Jul, -10 8- Jul -10 0.00
Balance Due Institution 690.00
PLEASE REMIT PAYMENT BY THE DUE DATE
Plesise Lear Off arn�i kthis seb#on wF#� ygur paymerrt Tfiank you
Nam$ E3 1 d 11lte•to miAe my payment by credit card.
Group Vswot Mastercard Discover
Amdunt Enct�J� dL
Cheek herd If requr rtesfized receipt phone
RemBt payir er to lndiatsa' Wesleyan- UnWersity- cap -Office 1900 W. 50th :Street- Marion iN >4895&
BUILDING: !EC Inziianapo-^ is Bdu--at—: on Cemta-z- W33LMZYZ'Z*
CITY INDN Indianapolis FIGS ?=oc=— Class
ROOM:' TBA
MODULE COURSE TITLE MEETING DATES CRED START-/END ASS Cog i
MM-111-A Phil /Practice- Lifelong Lrng 1 1 05/20/.2010
05/20/10 05/27/10 06/03/10 06/10/10 06/10/2010
LANG -140-A Communi cations. 1 3 06/17/2010 .1
06/17/10 06/24/10 07/01/10 07/08/10 07/15/10 07/15/2010 —ODY VA.
ENG'141-A Communications 11 3 07/29/2010 IEC
07/29/10 09/05/10 08/12/10 08/19/10 08/26/10 08/26/2010 :S ODV VAAJ(
BUS-105-A Intro to American Business 3 09/02/2010 IEC
09/02/10 09/09/10 09/16/10 09/23/10 09/30/10 09/30/2010
PHE-212-A Health, Well Ind Perf Assmnt 3 10/14/2010 IEC
10/14/10 10/21/10 10/28/10 11/04/10 11/11/10 11/11/2010
BIL-102-A New Testament Survey 3 .11/18/2010 I=
11/18/10 12/02/10 12/09/10 12/16/10 01/06/11 01/06/2011
COM-115-A Intro to Human Communication 3 01/13/2011 IEC
01/13/11 01/20/11 01/27/11 02/03/11 02/10/11 02/10/2011
MAT-110-A Business Mathematics 4 02/17/2011 IEC
02/17/11 02/24/11 03/03/11 03/10/11 03/17/11 03/24/2011
03/24/11
BST-160-A Western Civilization 3 04/07/2011 ■EC
04/07/11 04/14/11 04/21/11 04/28/11 05/05/11 05/05/2011
ECO-205-A Basic Economics 3 05/12/2011 IEC
05/12/11 05/19/11 05/26/11 06/02/11 06/09/11 06/09/2011
PSY-155-A Personal Adjustment 3 06/23/2011 IEC
06/23/11 06/30/11 07/07/11 07/14/11 07/21/11 07/21/2011
ENG-242-A Literature and ideas 3 08/04/2011 IEC
08/04/11 08/11/11 08/l8 /11 08/25/11 09/01/11 09/01/2011
BUS-215-A Human Resource Management 3 09/08/2011 IEC
09/08/11 09/15/11 09/22/11 09/29/11 10/06/11 10/06/2011
BUS-220-A Accounting for Business 3 10/20/2011 IEC
10/20/11 10127/11 .11/03/11 11/10/11 11/17/11 11/17/2011
FINA-180-A Humanities Fine Arts 3 12/01/2011 IEC
12/01/11 12/08/11 12/15/11 01/05/12 01/12/12 01/12/2012
PHL-283-A Philosophy /Christian Thought 3 01/19/2012 IEC
01/19/12 01/26/12 02/02/12 02/09/12 02/16/12 02/16/2012
BUS-150-A Personal Finance 3 02/23/2012 IEC
02/23/12 03/01/12 03/08/12 03/15/12 03/22/12 03/22/2012
BIG-203-A Environmental Conservation 3 04/05/2012 IEC
04/05/12 04/12/12 04/19/12 04/26/12 05/03/12 05/03/2012
BUS-230-A Global issues 3 05/10/2012 IEC
05/10/12 05/17/12 05/24/12 05/31/12 06/07/12 06/07/2012
BUS-225-A Legal Environment of Business 3 06/21/2012 IEC
06/21/12 06/28/12 07/05/12 07/12/12 07/19/12 07/19/2012
BUS-274-A Business Case Study 3 08/02/2012 IEC
08/02/12 08/09/12 08/16/12 08/23/12 08/30/12 08/30/2012
Breaks:
07/22/10 10/07/10 11/25/10 12/23/10 12/30/10
03/31/11 06/16/11 07/28/11 10/13/11 11/24/11
12/22/11 12/29/11 03/29/12 06/14/12 07/26/12
U� N v� V K' vel q) .90 corn
UM q
-3
f/
VOUCHER 102745 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
090810 01- 6040 -05 $690.00
I
Voucher Total $690.00
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 9/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2010 090810 $690.00
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 1'�/
Date cer