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Home My WebLink About193473 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 364896 Page 1 of 1 q 0 ONE CIVIC SQUARE BLAINE MALLABER CHECK AMOUNT: $912.00 CARMEL, INDIANA 46032 19571 LANDRUM CIRCLE NOBLESVILLE IN 46062 CHECK NUMBER: 193473 CHECK DATE: 1/5/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 TUITION 912.00 TUITION Sep 17 10 11:5Sa Terri 317- 571- -26313 P.1 City Of Cannel Tuition Reimbursement Application Form. Part I (to be completed by employee) (Please print. Submit completed form to Department Head rtp •or to commencement of course.) Employee Name 51 U M e �.._11� a l l a b f'r Department 1% SSN Hire Date Educational Institution* yo V1 t) el �t�yS Nance of Course" (OiV104,6af; o05 �Enq I y0) Credit Hours Starting Date of Coarse (month/day/year) 2 Z By signing below, I signify that I understand the following. The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2 -58. To receive reimbursement for tuition, I must submit evidence of payment for the course and a copy of my final grade To receive reimbursement for books, I must submit an original itemized receipt or other proof of purchase that Iinks these books to this particular course. If I leave City of Carmel employment sooner than one (1) year after the end of this course, I will repay the City in full for its tuition and book reimbursements for this course. Tlie tax status of reimbursement payments is subject to federal law, which may change from time to time. Employee Signature 311 Date 9 ,1 Part B (to be completed by Department Head) (Submit to Human Resources) By signing below, I certify that the applicant will have been employed full -time by the City for at least one (l year prior to the commencement of'the course, and has not been subject to a disciplinary probation, suspension or demotion within 90 days prior to the beginning of the course. The final claim will be paid from my department's budget, subject to the terms of 5ectio .2 -5$ of Carmel City Code, Department Head Signature Date 2 ,2 Part III (to be completed by Director of Human Resources) If7.� �-c- ��J�,1- Date Final Approval '6 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 accreditor. An application will not be considered complete unless a course description from the school's literature is attached. Sep 17 10 11:59a Terri 317 -571-2636 p.1 City Of Cannel Tuition reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed form to Department Head 1Lnor to commencement of course.) Employee Name l a"Pl e Q A a l i a b C✓ Department U f ;1 i f eS SSN Hire Date 3 YO O Educational Institution* Thal Cana 1JC' y l e ya l 04 UPr 4 Name of Course Lal7!"lU n;ta f 3 pv►J` Erlq 1 Credit Hours 3 Starting Date of Course (month/day /year) 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 reimbursement payments is subject to federal law, which may change from time to time. Employee Signature Sda!ltr2 Date 2111,110 Part U (to be completed by Department Head) (Submit to Human Resources) By signing below, l 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 seckio 2 -58 of Carmel City Code. Department Head Signature Date o2 3 Part M (to be completed by Director of Human Resources) Final Approval ci__ Date 9 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 accreditor. An application will not be considered complete unless a course description from the school's literature is attached. INDIANA H ENG i40 A Communications 3 3`00 A W E I YA UN I V E RS I T Y RECORDS OFFICE 4201 South Washington Street Marion, Indiana 46953 Blaine P. Mallaber 09/22/10 11/02/10 HOURS TOTAL NON QUALITY QUALITY QUALITY GRADE SUMMARY ENROLLED EARNED HOURS HOURS POINTS POINT AV G. CURRENT CUMULATIVE Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include g transfer hours. Current status of Baccalaureate honors: is aChrist- centered 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, 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- 3.7 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. B- 23 CA 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 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 hu plAvww. indwes .edu /records/transcripts,htm. IP In Progress i Prebill Invoice 30- Aug -2010 Group Number: ASCJO 33 Start Course /Fee Date Due Date Amount UNV /111 Phil /Practice- Lifelong Lrng I 25- Aug --10 25- Aug 245.00 Books UNV /111 25- Aug -10 25- Aug -10 219.00 Educational Resource Fee 25- Aug -10 25- Aug -10 100.00 ENG /140 Commun'icat6ns- 22 Sep =10 25= Aug -10: 735.00 Books ENG 1140 22'= Sep -:10`= '25 Au4=10 _171700 Balance Due Institution 1,476.00 PLEASE REMIT PAYMENT BY THE DUE DATE w pp ��ffi V d RAN R f at v.3: 54q ry kSs3' +�A 0 f 5 AAM Nit 12 V Please tear off eratl mail this section with your.payriient. Thank you Na[112; #'d like my payment by credit card. Gf, 6 isa Mastercard V' or Discover Amount Enclos card number exp.date Check here if i an itemized receipt phone number (required) rardtioldees sign2h {i q ii ed)' Remit:- paynaent:to Indiana- Wesleyan University Leap Office 1900 W. 50th Street Marion IN 46953. i Bank of America I Online Banking I Accounts I Account Details Account Activity Page 1 of 1 Sign Off Locations Mail Help En Espanol Accounts Bill Pay Transfers Investments Customer Service Enter keyword(s) Accounts Overview Account Details Aleds Open an Account Bank of Am erica Account: BankofAmeric 0 Account Activity My Statements Services Rewards sfer Act a now a d transfeT Enhance acG rd your Oa experience even further with the ShopSafe® feature balnces rom higher Interest rate accdunts to Use ShopSafe I Learn more about ShopSafe save. R_ oll over for more details Total Points: 6,044 tModdPoinis® View my Rewards n Talk to a Specialist Go tot Current Statement View: All Transactions Q Chat online now Newest Next Previous Oldest Balance Summary Transaction Printable Download 12121/2010 1 oCurrem Balance P2a,�01 Transaction TyPe Amount Balance MINIM Available credit 12/202010 12!1812010 Payment due date 50.00 Current payment 1-120412010 INDIANA WESLEYAN UNIV $912.00 4 $2,73286 due 121042010 INDIANA WESLEYAN UNIV $105,00 I $1,820.88 $0.00 Past due amount $0.00 Total minimum i 1 210 4 2 01 0 Payment Summary n Gold; Current Statement Lj 0 View: All Transactions ewe Far Your credit i Nst Neal Previous Oldest card bills in seconds online. Lee:n more tmSecure Area Accounts Bill Pay Transfer Funds Investments Customer Service Privacy 8 Security Locations Alerts Mail Help Site Map Sign Ott Bank of America, N.A. Member FDIC. Equal Housing Lender 121 02010 Bank of America Corporation. All rights reserved. https:// cess- wyd. bankofamerica .com/cess /SSOEntry ?pageid =102 &target= acctOverview 12/21/2010 VOUCHER 106812 WARRANT ALLOWED T1998 IN SUM OF MALLABER, BLAINE CARMEL WASTEWATER Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 123010 01- 7042 -06 $912.00 Voucher Total $912.00 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 T1998 MALLABER, BLAINE Purchase Order No, CARMEL WASTEWATER Terms Due Date 12127/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/271201( 123010 $912.00 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