192093 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY
CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK AMOUNT: $2,490.47
C/O DEPT OF LAW CHECK NUMBER: 192093
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4128000 2,490.47 TUITION REIMBURSEMENT
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit completed`` f``or --m to Department Head rtp for to commencement of course.)
Employee Name 6 s� tw
Department 64td SSN Hire Date
Educational Institution* 1 1 .4 h
k.. LJ�n fin. '�f
Name of Course �„l (p„�,..� o- Credit Hours J
Starting Date of Course (month /day /year) By signing below, I signify that I understa d the following: f 7S: V7
X7
The tuition reimbursement program is subject to the terms of Carmel City Co e, 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 Date �,S` 2 4� 1/0
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 d rS_ 74
Part III (to be completed by Director of Human Resources)
Final Approval Date ,0
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 acereditor.
An application will not be considered complete unless a course description from the school's literature is attached.
Account Detail for Term Page 1 of 1
Review detail transactions on your account, including current and future balance totals for the
selected term and other terms. Please Allow 24 Hours for payments to be posted to your
account.
100870 2008 Summer Qtr 06/02 -08/24 Term
Detail
Detail Code Description Charge Payment Balance
Current Term Balance $0.00
Future Balance for Other Terms: $2,315.00
Total Account Balance: $2,315.00
Includes future and previous term balances.
fittps: /ssb.waidenu.edu /pls/ PROD /bwskoacc.P_VlewAcctTenll 11/16/2010
Re: FW: PPPA -8111 -1 Leadership and Organization Change Douglas C. Haney Page 1 of 1
Re: FW: PPPA 8111 -1 Leadership and Organization
Change Douglas C. Haney
From: Stephen Morreale step hen. morreale@walde nu. edu>
To: Douglas Haney and Family
Subject: Re: FW: PPPA 8111 -1 Leadership and Organization Change Douglas C. Haney
Date: Oct 20, 2010 11:31 PM
You received a perfect score Doug, an A for the course!
I have submitted for concurrance from the Progrram Director. You should be notified of the COG soon.
Dr. Steve
Dr. Stephen A, Morreale
Contibuting Faculty
Walden University
School of Public Policy and Public Administration
Human Services
College of Social and Behavioral Sciences
Ph.D. in Management
College of Management and Technology
step hen. morreale &waldenu.edu
508 -929 -8708 W Boston area EST
a
Walden University
155 Fifth Ave. South, Suite 100
Minneapolis, MN 55401
www.waldenu.edu
A higher degree. A higher purpose.
Original E -mail
From: Douglas Haney and Family <dteck31@earthlink.net>
Date: 10/20/2010 03:46 PM
To: stephen.morreale @waldenu.edu
Subject: FW: PPPA 8111 -1 Leadership and Organization Change Douglas C. Haney
Professor Morreale:
Here is another try. If you cannot open it, I will overnight it to you. Thank you and I am so sorry for the problems I have caused.
Douglas Haney
1rll71l7f11A
Walden University Online Online Bookstore: My Account -My Order History Page l of 1
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My Gradebook: Douglas Haney
Grade To Date: 100% View Gradebook By: Week i Item
Percentage of Final Grade
Points Earned to Date Possible for Course
Week 1: Leadership Theories: Power and Influence Discussion 35/35 5% 5%
Week 2: Contextual Leadership Discussion 33/33 3% 3%
Week 2: Contextual Leadership Application 100/100 10% 10%
Week 3: Leadership Styles Discussion 33/33 3% 3%
Week 4: The Influence of Personality Traits on Leadership Discussion 33/33 3% 3%
Week 5: Relationship Building in Leadership Discussion 33/33 3% 3%
Week 6: Relationship Building in Leadership Part 11 Discussion 33/33 3% 3%
Week 7: Motivation and Empowerment Discussion 33133 3% 3%
Week 7: Motivation and Empowerment Self Evaluation 250/250 25% 25%
Week 8: Servant- Leadership and Motivation Discussion 33133 3% 3%
Week 9: Leadership and Adaptability Discussion 33133 3% 3%
Week 10: Strategic Leadership Discussion 33/33 3 3%
Week 11: Strategic Leadership Part II Discussion 33/33 3% 3%
Week 11: Strategic Leadership Part 11 Praxis Paper 250/250 25% 25%
Week 12: The Culmination: Becoming a Leader Discussion 35/35 5% 5%
Total 100% (of 100% Completed) 100%
Grade To Date: 100%
Gradebook Key
Items not yet graded
Exams not yet entered
Extra Credit
Excluded from Course Grade
Bold values indicate all items have not been graded.
To access grade details and comments click on the or on the grade.
The grade to date shown above includes only the items that have been graded
thus far —it does not take into account ungraded items.
i ^I
19ttn /AltrNnP arnriplinr PordlPC7P r l N/r.' nAcj Pr/. \tll/lpnt \11.-\)17 ggt)v?1 TT Tm= 54'00 Agt PO? I 111) 1 n
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas C. Haney
IN SUM OF
13828 Smokey Ridge Drive
Carmel, IN 46033
$2,490.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Law Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT
Board Members
1180 I I 41-280,00 $2,490.47 I hereby certify that the attached invoice(s), or
I 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, November 17, 2010
aw Department
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))
11/17/10 $2,490.47
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