192130 11/23/2010 4, CITY OF CARMEL, INDIANA VENDOR: 362124 Page 1 of 1
ONE CIVIC SQUARE ANTHONY ISENBERGER CHECK AMOUNT: $756.00
za CARMEL, INDIANA 46032 12715 AB80Tf AVE
°q,_ mo o• CARMEL IN 46032 CHECK NUMBER: 192130
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER I N AM OUNT DESCRIPTION
601 5023990 756.00 EMPLOYEE PEN BENEFI
��f�
Carmel
Tuition Reimbursement &r~n.|^p"+on l70ITIl
Part (to he completed by employee)
(Please pri Submit completed form to Department Head prior to commencement ofconoo]
Employee Name 4 �01 HZ� tJ r_, 7�
Dopudx/un( SGN RircDate
Educational Institution*
}4umeofComse�* dbUouo_��___
Starting Date of Course (ozootb/dav/vem) 10
By signing below, Teiguifv that Tunderstand the following:
The tuition reimbursement program is subject to the terrns of Carmel City Code, Sect 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, must submit anoriginal itemized receipt
or other proof of purchase that links these books to this particular course.
J[l leave City of Carmel employment sooner tbau one (1) year after the end nfthis course, l will
repay the City in ful I for its tuition and book reimbursements for this course.
The tax status of reimbursement payments is sub to federal law, which may change from time to time.
Employee Signature Date
Part It (to be completed by Deportment Head)
(Submit b)FlumounResources)
By signing below, certify that the applicant will have been employed full-time hv the City for o1 least one
year prior totheoumomenx:mzoutofthocourso,umdbmsootbo*noubjectioadixuipiinozyormbudm\ouspnnyinn
or demotion. wdJun 90 days prior to the beginning of the course. The final olujmu will he paid from my
department's budget, subject to e terms of Sec n 2-59 of Carmel City Code.
Department Head Signature Date _'�?171W
]pmrk III (to be completed by Director of Human Resources)
Final Approval v�^��/c�� Dat«
l[ denied, reason for denial
The tuition reimbursement program covers only 6,|\':*mmmunrcourses offered through degree-granting instit
accredited hy the North Central Association of Colleges and Schools urunequivalent regional ocoeditnr.
Am application vd 11 not be considered complete unless a course description from the school' s.literature is attached.
Receipt Statement
u rage 1 of l
1
leadership Education
for Adult Professionals
Student ID:
fNDIANA WESLEYAN UNIVERSITY
Date: I8 -NOV -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
14- OCT -10 PHO212:6344906 Health, Wellness and Individual Performance 690.00 0.00 690.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
07- JUL -10 EF'T:07- JUL- 201 0:DLUSB DL -UNSUB 1 <2,985.00> <690.00>
i
Total Invoice Balance: $0,00
Thank you for choosing Indiana Wesleyan University.
Receipt Statement
U Page 1 of 1
Leadership Education
for Adult Professionals
Student ID:
INDIANA WESLEYAN UNIVERSITY
Date: 18 -NOV -2010
DIV. OF ADULT PROF. STUDIES
1900 W. 50TH ST,
MARION, IN 46953
1 Student Name
ISENBERGER, ANTHONY W
RETURNED MAIL
12715 ABBOTT AVE
CARMEL,IN 46032
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
14- OCT -10 BOOKS:6344907 Books- phe212 66.00 0.00 66.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
07- JUL -10 EFT:07- JUL- 2010:DLUSB DL -UNSUB 1 <2,985.00> <66.00>
f r
Total Invoice Balance: $0.00
Thank you for choosing Indiana Wesleyan University.
Academic Record Page 1 of 1
Academic Record
2072377 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 ASS1017
PHE -212 A Health, Well Ind Perf Assmnt A 370 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 13.00
Total Grade Points 51.10
Cumulative GPA 3.931
https: /wa- secure.indwes.edu /WebAdvisor /WebAdvisor ?TOKENIDX 6191663616 &SS 11/19/2010
CORE GROUP: ASB1017 Day of Week: Thursday
BUILDING: IEC Indianapolis Education Center INDIANA WESLEYAN- UNIVERSITY Begins: 06:00PM
CITY': INDN Indianapolis AGS Program Class Schedule Ends: 10:00PM
ROOM: TBA Printed: 05/17/2010
MODULE COURSE TITLE MEETING DATES CRED START /END FACULTY ASB1017
UNV-111-A Phil /Practice Lifelong Lrng I 1 05/20/2010 IEC
N
05/20/10 05/27/10 06/03/10 06/10/10 06/10/2010 N N e Trf
ENG 140 A Communications I 3 06/17/2010 IEC
06/17110 06/24/10 07/01/10 07/08/10 07/15/10 07/15/2010 un�ahr�k3/1�►�
ENG -141 -A Co II 3 07/29/2010 IEC
07/29/10 08/05/10 08/12/10 08/19/10 08/26/10 08/26/2010 S�D`l l�Q�t
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 6 Ind Perf Assmat 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 IEC
11 /18 /10 12/02/10 12/09/10 12/16/10 01/06/11 01/06/2011
COM -115 -A Intro to Human Co 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
HST -160 -A Western Civilization 3 04/07/2011 IEC
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 08/18/11 08/25/11 09/01/11 09/01/2011
BUS-215 -A H uman 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 10/27/11 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
BIO- 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
22j/,22/111 12/29/11 03/29/12 06/14/12 07/26/12
COM
UNA
VOUCHER 103380 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 Cade
112210 01- 6040 -05 $756.00
Voucher Total $756.00
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 11/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/22/201( 112210 $756.00
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
Date Officer