159220 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 359600 Page 1 of 1
ONE CIVIC SQUARE HELEN BALLINGER
12913 CURRIER STREET CHECK AMOUNT: $200.00
s, CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK NUMBER: 159220
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
1125 .4235000 200.00 BUILDING MATERIAL
'i
I
Carmel ®Clay
Parks &Recreation CHE CK REQUES
Date:
Check payable to
X36 5'�00�
Name: H Pile,V7
Address: /022/ 3
City, State, Zip .�crm O
V Mail check to a ee Return check to re uestor
P Y q
Check Amount ado. D O Date Required
Check needed for l v i -i yr �e i., 6 ors e �te� -�,7� t e r
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO
Budget account GL
Budget Line Description
Requested by (print): h/fl
Requested by (signature): u
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
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Helen Ballinger
1 Se for Classes Acade Planning i My Academics Grades II
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Spring 2008 1 Undergraduate I IUPUI change term
Class Grades Spring 2008
Official Grades
Class Description Units! Grade! Grade Points;
SOCIOLOGY OF WORK 3.00 A 12.000
p Term Statistics Spring 2008
From Combined
From Transfer Term Cumulative
Enrollment Credit Total Total
Total Grade Points 12.000 12.000 48.000
Graded units towards GPA 3.000 3.000 12.000
:Graded units not for GPA 97.000
In progress units
GPA 4.000 4,000 4.000
GPA Total Grade Points Graded units towards GPA
Transfer Credit column information reflects the Transfer, Test and Special /Other Credit for
this term.
Statistics represent. the grade points and hours as evaluated by the academic policies of
your academic school /program.
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llttpS:// iuself. iLl. edLi/ pSC /SSERV /SISSELFSERVICE /HRMS /c /SA LEARNER SERVICES.... 5/5/2008
Car e� ��ay
Parks Recreation
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit completed form to Supervisor prior to commencement of course.)
Employee Name 4 0-
Department h J�/I,� �gw 'd SSN Hire Date r r�
n
Education Institution
Name of Course ��OC'I D 0 �i V Op /I oy /G
Semester/Year of Course �/l'IZI.;I,' D {7�
I understand that to receive reimbursement for this course, I must submit evidence of payment for the
course and a copy of my final grade. To-F @Ei €eve eimburs ement fer
f �.•�A at +�na rr f nr d. The amount of the
reimbursement is subject to the outlines in the Personnel Policy Handbook adopted by the Carmel/Clay
Board of Parks and Recreation.
Employee Signature Date U l
Supervisor Signature Date
Part II (to be completed by Assistant Director)
(Submit to Human Resources)
By signing below, I certify that the applicant will. have been employed full -time by the Carmel Clay
Parks and Recreation Department for at least yrior to the commencement of the course,
and has not been subject to a disciplinary probation, s ension 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 outlined in the Personnel Policy Handbook.
Asst Director Signature Date v�
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.
*An application will not be considered complete unless a course description from the school's literature is attached.
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Account Summary
Account Detail for Term
Spring 2008 02/11/2008
p 9 As of Date
n
Helen Ballinger.
ayment
Indianapolis Make P Send Payment To
4J
Charges
Date Posted Item Description Amount
11/13/2007 General Services Fee 10.00 USD
11113/2007 Athletic Development Fee (SAF) 36.73
12/12/2007 Activity Fee 48.37
12/12/2007 Technology Fee 59.00
12/12/2007 Resident Undergraduate Fees 622.05
01/22/2008 Late Fee Past Due Balance 29.00,q
Total Charges: 805.15 USD
ru;
Payments Received''
Date Posted Item Description Amount
02/09/2008 Payment by Web Credit Card 805.15 USD
zxi
Total Payments: 805.15 USD
Self Service Pending Payments
Reference Number Last Four Digit Amount
0.00 ?r i
Total Pending Payments: 0.00 USD
Financial Aid
i
Date Posted Item Description Amount
0.00
Total Financial Aid: 0.00 USD.;
�r.
r�
Anticipated Aid
Item Description Anticipated Aid
0.00 4
Total Anticipated Aid: 0.00 USD'
Admissions Deposit Due
Short Description Academic Program Due Amount
0.00
Total Admissions Deposit: 0.00 USD
f
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CourseOfferings
As requested, here is the course description for:
Current Course Offerings
Archived Course Offerings i SOC
R317
Other Course Listings Sociology of Work
Special Course Listings I 3 cr.
DistanceEducation I
Foreign Languages P R100 or consent of instructor. Analysis of the meaning of
work, the dynamic social processes within work organizations,
Related and environmental constraints on organizational behavior.
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Helen Ballinger Terms
12913 Currier Street
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/6/08 Ck Request Tuition Reimbursement 200.00
Total 200.00
1 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
,Voucher No. Warrant No.
Helen Ballinger Allowed 20
12913 Currier Street
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 -1125 GEN FUND
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Ck Request 4235000 200.00 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
12 -May 2008
1
44
200.00 Business Servi es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund