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193251 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 356847 Page 1 of 1 0 ONE CIVIC SQUARE JASON WENDZEL CARMEL, INDIANA 46032 8898TORRANCE PLACE CHECK AMOUNT: $3,157.11 FISHERS IN 46038 CHECK NUMBER: 193251 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4128000 3,157.11 TUITION REIMBURSEMENT Amazon.conl Order 002 3169004- 4393807 https: /w% w.aniti7on. corn/gl) /ess /SLUnmaryfprint.htiiWref oss _pi ?ie =UI'... aEtisprij= fi g22i fa," Ordk 4_ :$��3.86 7 Print this page for your records. Order Placed: 3uly 30, 2010 Amazon.com order number: 002- 3169004- 4393807 Order Total: $163.11 Shipped on August 3, 2010 Items Ordered Price 1 of: Principles of Fire Prevention, David Diamantes $73.16 Condition: New Sold by: Amazon.com, LLC 1 of: Chief Fire Officer's Desk Reference (International Association of Fire Chiefs), International Association of Fire Chiefs $89,95 Condition: New Sold by: Annazon.com, LLC Shipping Address: Item(s) Subtotal: $163.11 Corie Wendzel Shipping Handling: $4.98 9542 W Constellation Dr Super Saver Discount: -$4.98 Pendleton, IN 46064 -7509 United.States Total Before Tax: $163.11 Sales Tax: $0.00 Shipping Speed: Total for This Shipment: $163.11 FREE Super Saver Shipping Payment Information Payment Meth Item(s) Subtotal: $163.11 Amazon.com B.W I Last digits Shipping $4.98 Billing Address: Super Saver Discount: -$4.98 Cora Wendzel Total Before Tax: $163.11 9542 W Constellation Dr Estimated Tax To Be Collected: $0.00 Pendleton, IN 46064 -7509 United States Grand Total:$163.11 To view the status of your order, return to Order Summary. Please note: This is not a VAT invoice. �ond_rtions of U,e I Piiacy NQtire G 1996 -2910, Amazon.com, Inc. or its Whites 1 of 1 12/15/2010 10:32 AM Tuition Reimbursement for Jason Wendzel Fire Emergency Service Administration FSCN 302 University of Maryland (without technology fees) 1497.00 Book Chief Fire Officer's Desk Reference 89.95 Total for FESA 1586.95 Fire Prevention Organization and Management FSCN 305 University of Maryland (without technology fees) 1497.00 Book Principles of Fire Prevention 73.16 Total for Fire Prevention 1570.16 Total Reimbursement for classes and books 31.60.11 07/29/2010 10.37 3175714244 CARMEL FIRE DEPARTMT PAGE 01 city of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (,Please prim. Submit completed form to Department Head Igor to commencement or course.) Employee Name Jason Wendzel Departm.W Fire SSN flirt Date 04/2004 Educational Institution* .University of Maryland University C Natneorcourse,* Fire Errlerency Services Administration Credit Hours 3 Starting Date of Course (month/day/year) 09/07/20 By signimg below, I signify that l understand the following: The tuition reimbursement program is subject to the terms of Cartel City Code, Section 2 -58, To receive reimbursement for tuition, l must submit evidence of payment for the course and a copy of my final grade. To receive reimbursement for books, I must subunit an original itemized receipt or other proof of purchase that links these books to this particular course. If Z leave City of Carmel employment sooner than one (1) year after the end of this course, l will repay the City in full for its tuition and book mimbursements for this course. o The tax status of rei pay nts subject to federal law, wWch may c g e from time to time. Date a4 >;mployee Signature Part bI (to be caurpleted by Department Head) (Submit to Human Resoutees) By signing below, i certify that the applicant will have becu onploycd full -tune by the City for at lcast one (1) year prior to the commencement of the course, wind has not been subject to a disciplinary probation, suspension or demotion within 90 days prior to tb ginning of tbA course. The Emal claim will be paid from my department's budget, subject to the terms ctio o el City Code. Department Head Signature Date Part W (to be completed by Ai�rector of Human. Resources) Final Approval a-- C. hate If denied, reason for denial The tuition reimbursement program covers OU1y fWl- sernester courses offered through a degree granting institution acs edited by the North Central Association of Colleges and Schools or an equivalent regional aeeredhor. An application, will not be considered complete unless a course description from the school's literature is attached. Section 2 -58 of the Carmel City Codes that the institution has to be accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools or the equivalent regional accreditor and the University of Maryland University College is part of the Middle State Commission on Higher Education Here are some of the colleges and universities that are accredited by the Middle State Commission on Higher Education: Columbia University Cornell University Georgetown University Johns Hopkins University New York University Princeton University Rutgers University Syracuse University United States Military Academy United States Naval Academy United States Merchant Marine Academy University of Maryland University of Pittsboro Villanova University SOC; Course Description Page 1 of 1 CLOSE WIND FSCN 302: Fire Emergency Services Admin (3) A presentation of modern management and planning techniques that apply to organizing a fire department. Procedures explored include those for evaluation and control of budgeting, personnel, communications, and planning. The traditional and evolving roles of the fire department in protection, prevention, and community service are discussed. http:// webservices .umuc.edu/soc /index.cfm? method= ContentDetails.Description &Course 7/26/2010 Help View My Grades 2010 Fall Jason Wendzel Undergraduate Univ of Maryland Univ College Class Nbr Sect Course Title Component Grading Basis Official Grade Units Earned ESCN�Nz 80818 6980 Fire Emergency Services Admin Lecture Graded A 3.00 Class Nbr Sect Course Title Component Grading Basis Official Grade Units Earned FSC 305 80820 6980 Fire Prevention Org and Mgmt Lecture Graded A 3,00 Term Statistics Units Passed Toward Courses Attempted [Units Taken Toward GPA GPA Grade Points Current GPA -2.F 6.0001 6.0001 24,0001 4.000 Cumulative Statistics Cumulative GPA �Total Take. Toward GPA Total Passed Toward GPA Total Grade Points I 6.000 6.000 F 24,0001 4.00 0 Select a Different Term Course Materials hup:// webservices. umuc .eda/UgcmBookBPage.cfm ?CFSCN 302 &S =6., Undergraduate FSCN 302 (6980) Fall 2010 MBS Direct is UMUC's virtual bookstore. M13S carries all required and recommended t and can ship to anywhere in the world. You can order no line or by phone at Author Required Text Publisher �BN hu Nidual Cause Materials John M Budnrm III (Editor) Cheer Fire Officer's Desk Reference Jones a Bartlett 0763729359 Mahon Reconenended Text NWsher ISBN h xmclual Course Wartats UMUC Guide to Writing and Rmwch(Orfne at ftW -ftwcww- unax:.edutxDghigpienp vwbrgcentertmitrggdehietcor ditrrl or in hardcopy frun MBS Dired) ASS Direct 0006198546 APA I Publication Manual of the American Psychdagiced Associafion, 6h ed APA 1433806618 SAMPLE PAGE CLOSE WINDOW TO SEE TEAT REQUIREMENTS FOR THIS COURSE. Student Message Subject: Important Textbook ISBN Information This message includes important information about how to deterntine which books are required for your courses at University of Maryland University College (UMUC) and how to purchase them. To determine which books and other course materials are required for a course, follow these instructions- 0 Access the online Schedule of Classes at www.umuc.edu/ger 0 Click on "Undergraduate Schedule" or "Graduate Schedule." 0 Select the correct term in the dropdown menu at the top of the page. 01n the far left column, click on the department offering the course (for example, if you are taking 13G MT 495, click on "BGMT 0 Find your course number (for example, BGMT 495) and click the "Books" links to the right of it- You may have to scroll to see the links. The author, title, publisher, and ISBN (International Standard Book Number) will be displayed. It is possible that you might see multiple ISBNs listed; one under "ISBN" and another under "Alternate Books Formal." The one under "ISBN" is often a custom or unique ISBN the publishers have assigned to UMUC to reflect any discount that is available at MBS Direct It may be different from the standard ISBN. For example it may appear as below: AUTHOR REQUI TEXT Publisher I Individual Course Materials Any Author Arty Text Book -I ny Publisher 0123456789 'I Altertt For J IS 1-- Sta ISBN Number 1234567890 i eBooks j2345678901 j •!3 -Holed Purx:h :34567890] J I •WileyPlus 4567890123 If an LSBN is listed under the "Alternate Books Format" and labeled "Standard ISBN Number," it is the publisher's standard ISBN and can be used to shop for the exact same course material at other retail stores. If no standard ISBN is indicated under "Alternate Books Format," the ISBN listed under "ISBN" in the Required Text Field can be used to shop for the course nuteriats in other retail stores. 1 of 1 12/15/2010 1.0:43 AP Account Suftvrlary hops: pshr. urnw. edu /servlets /icliel>tservteV SPRDPICrype= Panel &Mc.. Help Account Summary Account Detail for Term 2010 Fan As of Date 12/15/2010 Jason Wendzel UMUC Student Fin Business Unit Make Payment_ Send Pay To Charges Effective Date Item Description Amount Balance View Details 0 712 612 01 0 FSCN 302 6980 1497.00 0.00 View Details 07130/2010 FSCN 305 6980 1497.00 0.00 Drew Details 07/26/2010 Ugrad Technology Fee 39.00 0.00 Vi Details 07/30/2010 Ugrad Technology Fee 39.00 0,00 View Details 07123/2010 Ugrad Application Fee 50.00 0.00 View Details Total Charges: 3,122.00 0.00 USD Payments Received Date Posted Item Description Amount Balance View Details 07123/2010 Credit Card -50.00 0.00 View Details 0 810512 01 0 Credit Card 3,072.00 0.00 Mew Details Total Payments: 3,122.00 0.00 USD Self Service Pending Payments Ref Number last Four Digits Amount 0.06 Total Pending Payments: 0.00 USD Disbursed Financial Aid Date Posted Item Description Amount Balance 0.00 0.00 Total Financial Aid: 0.00 0.00 USD Anticipated Aid Item Description Anticipated Aid 0.00 Total Anticipated Aid: 0.06 USD Admissions Deposit Due Short Description Academic Program Due Amount 0.00 Total Admissions Deposit: 0.00 USD Refunds Refund Refund to Original Refund Nbr Refund Balance 0.00 Total Refund Balance: 0.00 USD Term Balance: 0.00 USD Return to Term Surrmrary 1 of l 12t[5/2010 10:53 A 06103/2010 09:50 3175714244 CARMEL FIRE DEPARTMT PACE 01 City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed form to Department (lead odw to commencement of course-) Empl oyee Marne Jason Wendzel Department Fire SSN Hire Date 04 Educational Institution* U n ivers ity of Maryland Univ ersity College Name ot'Course,. Fire Prevention Org and Management CMdit Hu"3 3 Starting Date of Course (mtmtWday/year) 09147/2610 By signing below, I signify that I understand the following: The tuition reimbursement program is subject to the terms of Camel City Code, Section 2 -58. To receive reimbursement for tuition, I must submit evidence of payment for the course and a copy of any 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 ]cave 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 re' y eats s to federal law, which may change from time to time. Employee Signature" Date part ]a (to be completed by Department Read) (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 s disciplinary probation, Suspension or demotion within 90 days prior to the beginnin o the course. The final claim will be paid from my department's budget, subject to the of s n -5 f Carmel City Code Department Head Signature Date D Part TII (to be completed by Director of Human Resources) 1 Final Approval �r b.., �C• ryv� Date If denied, reason for denial The tuition reimbursement program covers only full- semester courses offered through a dcgrw- granting institution suredited by the North Centmi Association of Coneges and Schools or an equivalent regional accreditor An application will not be considered cot rnptete unicss a course description from the scbool's literature is a mwJied. SOC Course Description Page 1 of I CLOSE WINDOW FSCN 305: Fire Prevention Org and Mgmt (3) An examination of prevention as the primary community -based strategy for fire protection. Topics include community risk reduction, codes and standards, inspections and plans review, incident investigation, fire prevention research, and the relationship of master planning to fire prevention. The cultural, economic, governmental, nongovernmental, and departmental influences on fire prevention are also explored. Emphasis is on applying the principles studied to anticipate problems and develop strategies for fire prevention. http /webservices.umuc.edu/soc /index. cfm ?method= ContentDetails. Description &Course 7/30/2010 Course Materials http:// webservices .unlm- eddUgcmBookBPaW.cfm ?CFSCN 305 &S =6.. Undergraduate FSCN 305 (6980) Fall 2010 MBS Direct is UMUC's virtual bookstore. MRS carries all required and recommended textbooks and can ship to anywhere in the world. You can order online or by phone at Author Required Tend Putrist. ISl9N Individual Course Materials D srnantes, Dave Principles of Fire PreyeMon Ce rgage Learr ng 1401826113 USFA Fire DeaM Rate Trends (Free publication skidads arder or dmvilmd from USFA) USFA )0= Ruff. Reconwrmnded Tad put w— I 44RN liveWdual Come AAateriais APA Pubticetm Marisa f the American PsycFwlogical Assccialim, 6th Ed, AP& Wash gitcn D.C. I APA 1433505618 UMUC Guide to Wnting and Research (Qt5rre at hW/t vw.mw- edufprWugpievp vri MCWM 4AifinggdOo elca d I or in hmkcpy tram WS Dired) MBS Direct I 0006198548 SAMPLE PAGE -CLOSE WINDOW TO SEE TEXT REQUIRFNTENTS FOR THIS COURSE. Student Message Subject: Important Textbook. ISBN Information This message includes important information about how to determine which books are required for your courses at University of Maryland University College (UMUC) and how to purchase them. To determine which books and other course materials are requited for a course, follow these instructions: 0 Access the online Schedule of Classes at www.untuc_edulgen. Click on "Undergraduate Schedule" or "Graduate Schedule." A Select the correct term in the dmpdown menu at the top of the page- 0 In the far left column, click on the department offering the course (for example, if you are taking BGMT 495, click on "BGMT 8 Find your course number (for example, BGMT 495) and click the "Books" links to the right of it You may have to scroll to see the links. The author, title, publisher, and ISBN (International Standard Book Number) will be displayed. It is possible that you might see multiple ISBNs listed: one under "ISBN" and another under "Alternate Books Format" The one under "ISBN" is often a custom or unique ISBN the publishers have assigned to UMUC to reflect any discount that is available at MBS Direct It may be different from the standard ISBN. For example it may appear as below_ AUTHOR REQUIRED TEXT r Ynbtisher, ISBN Individual Course Materials rry Author Note Book ry blisher 012 Pu3456789 Alternate Books F J !SRN Standard ISBN Number 1 11234 567890 •el 3ooks 2345678901 3 -Holed Punch 3 4567890 12 Wil Alus 4567 890123 If an ISBN is listed under the "Alternate Books Format" and labeled "Standard ISBN Number," it is the publisher's standard ISBN and can be used to shop for the exact same course material at other retail stores. If no standard ISBN is indicated under "Alternate Books Format," the ISBN listed under "ISBN" in the Required Text field can be used to shop for the course materials in other retail stores. t of 1 12115/201010:43 AP trlLtEl rrlfrrJJrrrfrtLlrJfLr .rrriltLJrr�IltLrllrttll JASON D"ENDZEL. 9542 W CONSTELLATION DR CARDMEMBER SERVICE PENDLETON IN 46(364 -7509 PC BOX 54014 PALATINE IL 60094 -4014 irlrrlrllrrllrrrrlLrrin lLrrlrirlrllrnlJ „rt rirrLlrrlLl CHASE r eeirfo 11 A IQ Manage your account online: Additional contact Information 1 vwvw.chase.comered ds conveniently located on reverse skte ACCOUNT SUMMARY PAYMENT INFORMATION Account Number: New Balance $ Payment by the date listed above, you may have to pay a late fee of up to $39.00 and your APR's will be subject to increase to a OpepingiClosing Date 07119/10 08118110 maximum Penalty APR of 29.99 Credit Access Line Minimum Payment Warning: If you make only the minimum payment each period, you will pay more in interest and it will take Available Credit you longer to pay off your balance, For example, Cash Access Line Available for Cash If you make no You will pay off the And you will end up additional charges balance shown un paying an estimated using this card and this statement in total of... each month you ahoui_ pay.., Only the minimum 25 years $9,081 payment $140 3 _years $5.029 (Savings-$4,052) If you would like information about credit counseling services, call 1- 866 797 -2985. CHASE FREEDOM REWARDS SUMMARY Previous Points Balance your options at www.chase.com /ultirnaterLwams. So treat yourself -,you earned it! As a Chase Checkli customer, you earn more cash back for all your spending! You get I point for every $1 you spend, plus you will receive 10% bonus points per $1 spent and 10 bonus points on every purchase Plus, get 5% Cash Back in quarte0y bonus categories that change like gas, groceries, and even travel. It's free to sign up! See offer details and sign up now at chase.comlfreedom. Caps and limitations apply. ACCOUNT A CT IVITY Date of Transaction Merchant Name or Transaction Description S Amount PAYMN.TS.AND OTHER`CREDITS 07!23 I 07127 08105 UMUC STATESIDE -CC 800- 8888682 MD 3,072.004 0$105 21114:Xotals Year -io Dot$ Total fees charged in 2010 $0.00 Total interest charged in 2010 $0.00 Year -to -date totals reflect all charges minus any refunds applied to your account on or after January 31, 2010. INTEREST CHARGES Your Annual Percentage Rate (APR) is the annual interest rate on your account. Annual Balance Accrued Balance Percentage Rate (APR) Subject To Interest interest Type 31 Days In Cycle Interest Rate Charges Charges Purchases 16.24% (v) 50.00 $0.00 $0.00 Cash Advances 1924 (v) $0,00 $0.00 $0.00 Balance transfer 16.24% (v) $0.00 $0.00 $0.00 Overdrafts 19.24% (v) 50.00 $0.00 $o.00 (v) Variable Rate Please see Intnrmation About Your Account section for the Calculation of Balance Subject to Interest Rate, Annual Renewal Notice, How to Avoid Interest on Purchases, and other important inlormat}on, as applicable. 09/19110 $,93.92 $0.00 510.00 amazon.com Make your check payable to: Chase Card Services. Please write amount enclosed. New address or e-mail? Print on back. 97047 Br X Z 23910 C 1111111111111111111111111111111111111111111111111111 1 111111111 CORA WENDZEL BUSINESS ACCOUNT CARDMEMBER SERVICE 9542 W CONSTELLATION DR PO BOX 94014 PENDLETON IN 46064 -7509 PALATINE IL 60094 -4014 IJ1J1111411111 111, 11111 111 n111.1rllnrl,ln,lrrlrrlrlr,�lrl BUSINESS CARD STATEMENT Manage your account online: Additional contact information www.chase.com/businesscards conveniently located on reverse side ACCOUNT SUMMARY I PAYMENT INFORMATION Account Number: 4320 1610 0401 8987 New Balance $ AMAZON.COM POINTS SUMMARY Previous Points Balance 3,125 Choose from cash, travel, Amazon gift Points earned on all other purchases 31 certificates, and more! To redeem your points Points earned on Amazon.com purchases 490 visit www.chase.comlamazon or call Points redeemed this period 2,500 1 -800- 603 -2265. Remaining points balance 1,146 Your card allows you to earn points faster than ever! Earn 3 points for every eligible dollar spent at Amazon-cum. Earn 2 points for every eligible dollar spent on gas, dining, drugstore, and office supply purchases. And earn 1 point for all other purchases! Choose rewards for as few as 2,500 points! For complete program details, please refer to your Rewards Rules and Regulations. ACCOUNT ACTIVITY Date of Transaction Merchant Name or Transaction Description Amount 08113 CORA WENDZEL TRANSACTIONS THIS CYCLE (CARD 6987) $61.47 INCLUDING PAYMENTS RECEIVED 2010T otals Year Date Total fees charged in 2010 $0.00 Total interest charged in 2010 $0.00 Year -to -date totals reflect all charges minus any refunds applied to your account on or after January 31, 2010. INTEREST CHARGES Your Annual Percentage Rate (APR) is the annual interest rate on your account. Annual Balance Accrued Balance Percentage Rate (APR) Subject To interest Interest Type 31 Days In Cycle Interest Rate Charges Charges Purchases 13.24! (v) $0.00 $0.00 $0.00 Cash Advances 19.24 (v) $0.00 $0.00 $0.00 Balance transfer 13,24% (v) $0.00 $0.00 $0.00 (v) Variable Rate Please see Information About Your Account section for the Calculation of Balance Subject to Interest Rate, Annual Renewal Notice, How to Avoid Interest on Purchases, and other important information, as applicable. This Statement is a Facsimile Not an original 0000001 FIS33335 C 1 000 N Z 27 10!08127 Paga 1 of 2 06236 MA DA 97047 23910000010009704701 VOUCHER NO. WARRANT NO. ALLOWED 20 Jason Wendzel IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 41- 280.00 $3- 11-fff-1-1 I 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 DEC 2 d 2010 o Fire Chief 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)) $3,157.11 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 2Q Clerk- Treasurer