HomeMy WebLinkAbout161267 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 359600 Page 1 of 1
ONE CIVIC SQUARE HELEN BALLINGER CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 12913 CURRIER STREET
CARMEL IN 46032 CHECK NUMBER: 161267
CHECK DATE: 7/11/2008
D EPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4128000 200.00 TUITION REIMBURSEMENT
I
CarmelClay
Parks &Recreation CHECK REQUEST
Date: 6 z Os"
Check payable to
Name:
Address: 102 rr
City, State, Zip L✓Gtrme� �CoO
Mail check to payee Return check to requestor
Check Amount O D U Date Required lc� S /q
Check needed for
Supporting documentation or receipt(s) MUST be attached.
J 4 D
To be paid from JUN 0 2008
PO
Budget account GL
Budget Line Description I fi ;r,1 b v►- s e n e
Requested by (print):
Requested by (signature): o
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
Carmel Clay
Parks &Recreation
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit ompleted form
&III to Supervisor prior to commencement of course.)
Employee Name I`�.k
Department 1 iilesS trV 0 SSN Hire Date J1 Z 9 I07
Education Institution p t
Name of Course �/U 0 3 G 6C PLh G1S o JV� U f rd'1 oo,_
Semester/Year of Course LIU M(l e4l J 1� A h 0 8
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. reim b___.. e f t T t
f 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 )-00
Supervisor Signature Date 5- .2.3 c-)8
CP WED
Part II (to be completed by Assistant Director) JUN R 0 2008
(Submit to Human Resources)
By signing below, I certify that the applicant will have been employed full -time by tfie Carmel Clay
Parks and Recreation Department for at least nue r prior to the commencement of the course,
s
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 outlined in the Personnel Policy Handbook.
Asst Director Signature Date Cc
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 Status Statement Date 06/03/2008 Due Date 06/17/2008
Most Recent Statement
Statement History Invoice ID IN BILL# XXX1158579 Previous Balance 707.77
Make Payment University ID 0001844572 Minimum Due 322.53
Transaction History Name Ballinger,Helen Total Due 622.05
Statement notification sent to hiballin @iupui.edu
Statement Details
Charges and Adjustments
05/06/2008 Activity Fee 11.10
05/06/2008 Technology Fee 29.50
05/06/2008 Resident Undergraduate Fees 622.05
05/0712008 Resident Undergraduate Fees 622.05
05/08/2008 Activity Fee 11.10 CR
05108/2008 Technology Fee 29.50 CR
05/08/2008 Resident Undergraduate Fees 622. CR
Total Charges and Adjustments: 622.05
Payments and Financial Aid
i OS/20/2 8_P_aymeht by VV915 Credit Card 707:77 CR 3
I Total Payments and Financial Aid: 707.77 CR
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303
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Essentials of Nutrition
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Foreign Languages Basic nutrition and its application in meeting nutritional needs of
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View My Grades Page 1 of 1
Helen Ballinger
Summer 2008 Undergraduate 1U PU1
Class Grades Summer 2008
Class Description Units Grade Grade Points
AFRO -A 303 TOPICS IN AFRO AMERICAN 3.00
STDYS
Term Statistics Summer 2008
From Combined
From Cumulative
Enrollment Transfer Term Total
Credit; Total
i
i
Total Grade Points 12.000 12.000, 60.000.
Grad units toward GPA 3.000 3.000 f
15.000'
Graded units not for GPA 97.000
In ro ress units 3.000 3.000' 3.000
P 9
GPA 4.000 4.000 4.000
GPA Total Grade Points Graded units towards GPA
Return to View M Grades
=B7 Y:
https:// iuse( f. iu. edu/ psc /SSERV /SISSELFSERVICE/FIRMS /c /SA LEARNER SERVIC... 6/24/2008
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 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6126108 reimb. 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 General
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 reimb. 4128000 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
30 -Jun 2008
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund