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Home My WebLink About195548 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 364896 Page 1 of 1 ONE CIVIC SQUARE BLAINE MALLABER CHECK AMOUNT: $894.00 CARMEL, INDIANA 46032 19571 LANDRUM CIRCLE NOBLESVILLE IN 46062 CHECK NUMBER: 195548 CHECK DATE: 3/16/2011 DEPARTM AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 031411 894.00 OTHER EXPENSES Ci An^� Part 1. (to be completed by employee) (P/puseprimt. Submit completed form 10 Department Head prior to uomrnooceoocotofoouoc.) Employee Name [>epodoonnt 8SN Hire Date dy EdoouGonu] Institution* \YmmoofCno�ac** Crcdi1Hourx Starting Date of Course (nzouUh/Juy/voah By signing below, Isignif«that 1 understand the following: The tuition reimbursement pn)gruroiS subject Lnthe terms 0fCurroel City Code, Section 2-58. To receive rcicnbomcrnent O7r(uition, znuot ouh/ni1evidonce of payment for the course and o copy of my final grade. To receive reimbursement for books, l must submit an original itonoized receipt or other proof o[ 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, .1 will repay the City in full for its tuition and book rninnbunsozncndx for this course. The tax status of reimbursement payments is bject to frderai law which change from timu[otime. Employee Signature Date 12 16 0 Part 11 (to be completed by Department Head) (Submit ioHunnunResources) By signing below, ccdiFv that the applicant will have been employed Gm|\-tiroo by the City for at least one (l) year prior ro the uoznn'cnoccucni of the counuo, and has not been subject to a disciplinary probation, suspension or demotion within QO days prior to the beginning of the course. The final claim will be paid from my budget, subject of Sect] 2-58 of Carmel City Code. Deparh Head Signatu Date Part 111 (to be completed by Director of Human Resources) Final Approval Date l[ denied, reason for denial The tuition noin`h'/momenu pn,Dmn` covers only Fv\|'xomevtcr 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. City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed form to Department Head np •or to commencement of course.) n4 Employee Name P Department Jf' 1 1 5 SSN Hire Date OU' 9 Educational Institution* Name of Course 1 yt 70 .1 E C 12 1 Credit Hours Starting Date of Course (month /day /year) By signing below, l 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, 1 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 deral law, which may change from time to time. Employee Signature 1j2 fj Date 1 2 16 11 0 Part H (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 t rms of Seed o 2 -58 of Carmel City Code. Department Head Signature l Date Part M (to be completed by Director of Human Resources) Final Approval �h. "t,. Date t 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. Prebill Invoice 30- Aug -2010 Group Number: ASCJO 33 Start Course /Fee Date Due Date Amount Books CRJ181 L CRJl81 Introduction to Criminal Justice lS De c -10 17Dec -10 .73 5:00 15- Dec -10 1-- Dec -10 159.0Q Educational Resource Fee 15 Dec -10 1- Dec -10 105.00 Balance Due Institution 999.00 PLEASE REMIT PAYMENT BY THE DUE DATE c l t SE4 1 F� L y A" K tryr� ''rim d`3 rs3 2 y, t, t" '-may t+r' D 1 r.R ,A- 4� 46 F P J v �Z, v -A a xt��,L.>..s�'w��* 3 �r �r 1 3�t y a) v...� ��a. 'r, r Please tear off and mail this section with your payment. Thank you. Name: I'd like to make my payment by credit card. Group- Visa or Mastercard Discover Amount Enclosed: cardrnnrrtw e�.dabe Check;here if requesting an itemized receipt phone number cardholder's signs (required) Rernit.payment to Indiana-Wesleyan University Leap Office 1900 W. 50th Street Marion IN 46953. Bank of America I Online Banking I Accounts I Account Details I Account Activity Page 1 of 1 Sign off Location. Mail Help cn E,pahml Accounts Sill Pay Transfers Investments Customer Service Enter keywordf[:i ��cCOUnls Ovc ^new Account DOW* x•1045 Open an A- -w Bank of America Platlnum Plus Account: Bank of America Platinum Plus V.. -5959 Pansfer Account Activity My Statements Services Rewards g non otionai romobon i Enhance your aczarwil e�wadehce even turiner wan the ShopSalcO remora. Dn viariable A�R ala on baj ance, Use ShopSafo I Learn more about ShopSafu j tans thane efts ersa er ee 11 'rota) Paints 0,793 WUddPotnta® vlew,nv Rr d3 ave tQda otlon t i 9 APR on nz balance transf r throe em h Go to: Current statement 0 View: A9 Transactions o r stateme c� osing ate Yn �ecember�411 N. —u Hex, P—w._e 0�1 Learn more Balance Summary Transaction ra;r ^Tmin;,r. 0310&201 t S894.00 Current Balance P-tea 7ransactwn Tyoc Amount t3aloncc., $2,000.00 Available claim [C403l10t'1•' INUTANALVE3t:EYlW UAtnl e� 3a0a',o0. f. ee9d orl 50.00 Temporary Auttwriaalion y02IR2011 5 fi= F•- TOt:rlfc:AVUF ^!T 583010 $000 Imundedy J 1 Mrd2r1011 vrc �cl e l:tG7 o 'kc a o 5392t15 5530 to R'fJ w IIi1M ..081e Pegin —lj, Batarxe r s Ur 0?1d0.7011 555 i.fi0 031182011 Payment due dale Iwo Lenmtd =natuwe :4r:adoad 50-00 Current payment dust Goto: cull and statement Q View: All T--Bun. $0.00 Past dub amount $0.90 Total minimum r +enYSl Nerl OM�:si payment due P py nerve S437M Balance as of your last statement $3.500.00 Creelt unlit $0.00 Amount over the lima J Payment Summary .HIIiI msecum Area AIT BJI Pay Tra M,. Punrls In.•e.1l Cu,lnmer Srrvicc R"-Cy S S jm) IV Larallons Alen, Mild Rekp 5Ge Map Svgn Of! Bank of America, N.A. Member FDIC. Equal Housing Lender 0 02011 Bank at America Corporation. All rights reserved. hops: /ccss -rva. bankofamerica .com/ccss /SSOEntryr ?pageid =102 &target= acctOverview &aci... 3/$/2011 IND IANA CRJ'181 Ar Introduction to. Criminal Justice 3 D0 A WE SLEYAN Y� REGISTRAR'S OFFICE 4201 South Washington Street' Marion, Indiana 45953 i' F Blaine P. Mallaber 12/15/10 02101/11 s: u SUMMARY HOURS TOTAL NON -QUALITY QUALITY QUALITY GRADE ENROLLED EARNED HOURS HOURS POINTS POINT AVG. CURRENT CUMULATIVE 10.00 10.00 0.00 10.00 39.10 3.91 o- o- e Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculations for Baccalaureate honors may include transfer hours. Current status of Baccalaureate honors: GRADED HOURS: (min. 80 req.; 40 hrs. IWU) HONORS GPA lnde ana Wesleyan University is a Christ centered ALL ERRORS MUST BE REPORTED WITHIN TWO WEEKS academic community EXPLANATION OF GRADES, POINTS, AND CREDIT HOURS THE UNIT OF CREDIT IS THE SEMESTER HOUR. A 4.0 Excellent WF Withdrawal while failing Grade point average based on quality points committed to A- 3.7 W Withdrawal while passing divided by quality hours. Total earned hours c hanging t he wor B. 3.3 1 Incomplete count toward graduation requirements. by developing students B 3.0 Good NR No grade report given B- 2.7 CR Credit Equivalent to C or above 811 character, scholarship C. 2.3 NC Non Credit- Equivatant to belo C C 2.0 Average AU Audit and leadership. C 1 7 NA Failure to Audit D+ 1.3 O Outstanding TRANSCRIPT INFORMATION D 1.0 Passing S Satisfactory To request an official transcript, information is F 0.0 Failure u unsatisfactory available by phone at 765 -677 -2966 or online at IP In Progress hftpJAqww.indwes.edu/Academics/Registrarfrranscdpts VOUCHER 107291 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 031411 01- 7042 -06 $894.00 Voucher Total $894.00 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 3/10/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/2011 031411 $894.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer