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Home My WebLink About191150 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1 0 ONE CIVIC SQUARE DARCY CASE CHECK AMOUNT: $1,284.00 ,a CARMEL, INDIANA 46032 13154 DUNWOODY LANE CARMEL IN 46033 CHECK NUMBER: 191150 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI 1115 4128000 1,284.00 TUITION REIMBURSEMENT it I Receipt Statement' g� a L p Page 1 of 1 Leadership Education for Rdalt Professionals Student ID: INDIANA WESLEYAN UNIVERSITY Date: 25 OCT 2010 DIV. OF ADULT PROF. STUD] ['-S MARION, IN 46953 Sfude�it 1\Tame� CASE, DARCY L 13154 DUNWOODY LN CARMEL, IN 46033 IN VOICE Start Date Invoice Number Description Inv Amt Discount I 26- AUG -10 ACC1371:6293645 FEDERAL !NCOME TAX 1 1,080.00 0.00 1,080.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 27- AUG -10 EFT27- AUG- 2010,DLUSB DL -UNSUB 1 <5,44100> <507.52> 23- JUL -10 EFT:23- JUL- 2010:DLUSB DL -UNSUB 2 <777.00> <572.48> Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. m...._,............... a�A,..._,».......�. LEAF Page 1 of 1 Leadership Education for Adult Professionals Student ID: INDIANA WESLLYAN UNIVERSITY Date: 25 OCT 2010 DIV. OF ADULT PROF. STUD117S MARION, IN 46953 ]Stu dent'Name! CASE_ DARCY L 13154 DUNWOODY LN CARMEL, IN 46033 INVOICE Start Date Invoice Number Description Inv Amt Discount Inv Total 26- AUG -10 BOOKS.6293646 Books acc371 204.00 0.00 204.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 23- JUL -10 EFT:23- JUL- 201 0:DLUSB DL -UNSUB 2 <777.00> <204.00> t Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. DIANA "t"` x r� k +aF.ede��al'�?Sncome��Tax�r2� s �3�OD�;�� I1 T E S LE Y UNIVERSITjY I RECORDS OFFICE j 4201 South Washington Street. x �,N Marion, Indiana 46953 Dandy Case�� Pc 4� 1956834 08/26/10 10 /13 /10fiw t c @9t.�r�{; f`� r u"•' i `n R t �l I SUMMARY HOURS! TOTAL NON- QUALITY QUALITY QUALITY P GRADE ENROLLED EARNED URS HOURS POIN OIN AV CURRENT ry r as cuNluLArlvE� t 'F ilz� :1 4 .00s� ".bo _t at r U Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may Include transfer hours. Current status of Baccalaureate honors: is a Christ centered T academic community GRADED HOURS (min. 80 req.; 40 hrs. IWU) HONORS GPA committed to ALL ERRORS MUST BE REPORTED WITHIN TWO WEEKS. changing the world EXPLANATION OF GRADES, 001NTS. AND CREDIT HOURS THE UNIT OF CREDIT ISTHE SEMESTER HOUR. by developing students A 4.0 Excellent WF Withdrawal while failing Grade point average based on quality points A- 3.7 W Withdrawal while passing divided by quality hours. Total earned hours i Incomplete count toward graduation requirements. B+ 3.3 in character, scholarship B 3.0 Good NR No grade report given and leadership; B- 2.7 CR Credit- Equivalent to C or above C+ 2.3 NC Non Credit Equivalent to below C C 2.0 Average AU Audit C- 17 NA FailuretoAudit TRANSCRIPT INFORMATION D+ 1.3 0 Outstanding To request an official transcript, information is D 1.0 Passing S Satisfactory available by phone at 765- 677- 2966'or online at F 0.0 Failure U Unsatisfactory http:/h vww- indwes .edulrecordoranscripts.htm. IP In Progress 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 C On" wh.l,l,dt� CZ� t r� SSN � F-Tirg Date C` Educational Institution` Name of Course** Credit Hours Starting Date of Course (month/day /year) 7 j 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 reimbur ent payment subject to federal law, which may change from time to time. to ee Signature �'Vl�L' r Y Em )ate 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 2 -58 of Carmel City Code. Department Head Signature. Date Part III (to be completed by Director of Human Resources) Final Approval l Date r If denied. reason for denial The tuition reimbursement program corers only full- sernester courses offered through a degree granting institudor. accredited by the North Central kssociation of Colleges and Schools or an equivalent reeio:iFl accreditor. An application not be considered complete unless F course description from the sci.00l`s literature is attac "ed. 4 VOUCHER NO. WARRANT NO. ALLOWED 20 Darcy Case IN SUM OF 13154 Dunwoody Lane Carmel, In 46033 $1,284.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 41- 280.00 $1,284.00 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 Monday, October 25, 2010 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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)) 10/25/10 I I I $1,284.00 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 20 Clerk- Treasurer