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Home My WebLink About190818 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362124 Page 1 of 1 ONE CIVIC SQUARE ANTHONY ISENBERGER i CHECK AMOUNT: $872.00 CARMEL, INDIANA 46032 h27i5 ABBOTT AVE CARMEL IN 46032 CHECK NUMBER: 190818 CHECK DATE: 10/13/2010 DE PARTMENT ACCOUNT NUMBER I NUMBER AMOUNT DESCRIPTION 0 601 502399 872.00 EMPLOYEE PEN BENEFT City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed form to Department Head prior to commencement of course.) Employee Name 4 114 0 J /i Department SSN Hire Date 7 l Ala) a l Educational Institution* ti l7t 4J c i U Si i Name of Course i tZ v A M l��11�_._.�� Credit hours Starting Date of Course (monthfdayfyear) o t 0 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 r Date i t j r 1 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 -58 of Carmel City Code. Department Head Signature Date 4� zx� Part III (to be completed by Director of .Human Resources) s �Y Date Final Approval 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 schooI's literature is attached. Prebill Invoice 17 -May -2010 Group Number: ASB 1017 Start course /Fee Date Due Date Amount BUS /105 Introduction to American Business 2- Sep -10 19- Aug -10 690.00 Books SUS /105 2- Sep -10 19- Aug -10 182.00 Educational Resource Fee 2- Sep -10 19- Aug -10 105.00 Balance Due Institution 977.00 PLEASE REMIT PAYMENT BY THE DUE DATE i on L d'euhih Ad M Please tear off magthis section with your payment. 'rha�ik you W�118 I d'liketo °make my:paytnerit by credit card. i ste GT01�; V savor [►Aa rcrd Discover Amount Erich dl C#tdok here tf rec}uesUng n ttemt l ru3 :�tpt ptronernanber Remit Payimen to tilaea W steyan Uraiarefsify Leap Ece- 19110 W. SOth`Stree# Marion IN 46963.- Receipt Statement Page 1 of 1 Leadership Education for Adult Prafessionals Student ID: INDIANA WESLEYAN UNIVERSITY Date: 7 -OCT -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 02- SEP -I0 BUS/105:6294882 Introduction to American Business 690.00 0.00 690.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 07- JUL -10 EFT:07- JUL- 201 0:DLUS13 DL -UNSUB 1 <2,985.00> <690.00> e s ,1 !0 L( Ji II J `y�C`..�.,1, l�I I Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. f Reeeipt Stat ui��p Page l of I leadership Education for Adult Professionals Student ID: INDIANA WESLEYAN UNIVERSITY Date: 7 -OCT -2010 DIV, OF ADULT PROF. STUDIES 1900 W. 50TH ST. MARION, IN 46953 Student Name CSENBERGER, ANTHONY W RETURNED MAIL 12715 ABBOTT AVE CARMEL, IN 46032 INVOICE Start Date Invoice Number Description. Inv Amt Discount Inv Total 02- SEP -10 BOOKS:6294883 Books- bus105 182.00 0.00 182.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 07- JUL -10 EFT:07- JUL- 20I 0:DLUSB DL -UNSUB 1 <2,985.00> <182.00> f r Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. 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 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 S Ind Perf Assmnt ASB1017 BUS -105 A Intro to American Business A- 3.00 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 Lrng I A 1.00 ASB1017 Total Earned Credits 10.00 Total Grade Points 39.10 Cumulative GPA 3.910 https: /wa- secure. indwes.edu/WebAdvisor /WebAdvisor ?TOKENIDX 283 541043 2 &S S =2... 10/7/2010 VOUCHER 102985 WARRANT ALLOWED T1 E63 IN SUM OF ISENBERGER,ANTHONY CARMEL WATER Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 101110 01- 6040 -05 5872.00 Voucher Total $872.00 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 10/8/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/8/2010 101110 $872.00 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 Date 6fc er