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Home My WebLink About192781 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 9 of 1 d ONE CIVIC SQUARE DARCY CASE CARMEL, INDIANA 46032 13154 DUNWOODY LANE CHECK AMOUNT: $1,080.00 CARMEL IN 46033 CHECK NUMBER: 192781 CHECK DATE: 121'1512010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4128000 1,080.00 TUITION REIMBURSEMENT Re ceipttatem�nt L `1 Page 1 of 1 Leadership Education for Adult Professionals Student IUD: INDIANA WE-SLGYAN UN]VLRSI'CY Date: S- DEC -2010 DIV. OP ADULT PROF. STUDIES MARION, IN 46953 5 tiden CASE, DARCY L 13154 DUNWOODY LN CARMBL, IN 46033 INVOICE Start Date Invoice Number Description Inv Anit Discount Inv Total 14- OCT -10 ACC/372:6338t37 FEDFRAI.INCOMETAX 11 1,080.00 0.00 1,050.00 RECEIPT Date Receipt Number Payment Type Receipt Amt Amt Applied 27- AUG -10 EFT:27- AUG- 201 0:DLUSB DL -UNSUB l <5,442.00> <1,080.00> r; r r Total Invoice Balance: $0.00 Thank you for choosing Indiana Wesleyan University. P COURSE DESCRIPTION r S"� r rS,. �,.r�. rt �y� s ..a, 'ds. r ts•+.�s%i ACC 372 Federal Income iax II �'+'�a SL YA a Try s s N y v- c s 's�`'23� �"x sc".�`- Rr".,l,- RECORDS OFFICE x �A r a a� x 1" 4207 South Washing Street rim g x ts.. Z ,.t.,: r -N Marion, Indiana 46953 7 rte t r ti x f r Darcy L. Case 10/14/10 11/24/10 x SUMMARY HOURS TOTAL NON QUALITY QUALITY QUALITY GRADE i r L ENROLLED EARNED HOURS HOURS POINTS POINT AVG. j E CURRENT CUMULATIVE t; 44.00 160.00 0.00 44.00 167.00 3.79 �f HON ORS 0 Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include q) transfer hours. Current status of Baccalaureate honors: mI is a Christ centered academic community GRADED HOURS 159.08 (min. 80 req.; 40 hrs. IWU) HONORS GPA 3 47 3E committed to ALL ERRORS MUST BE REPORTED WITHIN TWO WEEKS. changing the world EXPLANATION OF GRADES, POINTS, 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- 33 W Withdrawal while passing' divided by quality hours" Total earned hours in character, scholarship B+ 3.3 1 incomplete count toward graduation requirements. B 3.0 Good NR No grade report given and leadership. e- 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- 1.7 NA Failure to Audit i TRANSCRIPT INFORMATION D+ 1.3 O 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: l/ www. indwes .eduirecordsltranscripts.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 prior to commencement of course.) EmployeeNTame 0,CYSC_ Department Q J►'1 (Y1.UAX Cez� t t-2 I-lire Date Educational Institution* I 4L CLA_0-- C Cc Name of Course P_ e� 4L J nun e 3 Credit Hours Starting Date of Course (month/day /year) 1 D I I Cl �.Ip By signing below, I signify that I understand the following: a The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2 -58. e 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. C The tax status of reimb se ent paymentsirs1bject to federal law, which may change from time to time. Employee Signature Date 3 1 Part II (to be completed by Department Head) (Submit to Human Resources) By signing below, 1 certify that the applicant will have been employed full -time by the City for at least one (i) 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 beEinning of the course_ The final claim will be paid from my department's budget, subject to the term 2 -58 of C rmel Code. e Department. Head Signature Date /to /3 /b Part III (to be completed by Director of Human Resources) Final ,approval Date I If denied, reason for denial The tuition reimbursement program corers only full- semester courses offered through a decree- ¢ranting institution accredited b.- the North Central association_ of Colleges and Schools or an equivalent regional acereditor. An appiication will not be considered complete unless a course desc ription from the sc literature is attached. VO NO. WARRANT NO. ALLOWED 20 Darcy Case IN SUM OF 13154 Dunwoody Lane Carmel, In 46033 $1,080.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members 1115 I 41- 280.00 I $1,080.00 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 Thursday, December 09, 2010 Director 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)) 12/09/10 I $1,080.00 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