HomeMy WebLinkAbout163142 09/03/2008 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: 163142
CHECK DATE: 9/3/2008
DEPARTMENT ACCOU PO NUM INVOICE N UMBER AMOUNT DESCRIPTION
1125 4128000 200.00 TUITION REIMBURSEMENT
Carmele Clay
Parks &Recreation CHECK REQUEST
Date: le- O a�
Check payable to (�on to r- :i�
Name: l4eJaVI
Address: /02 3
City, State, Zip 0 t n
t Mail check to payee Return check to requestor
Check Amount o� O a. OCR Date Required A S A P
Check needed for �e i m vise vn e-4-11
Is [lr>
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO 1►�
Budget account GL /°Z 5S— o a p
Budget Line Description l u fi ��im �r�r e. k"
Requested by (print): 7� Qs ►'Z
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
View My Grades Page I of I
Helen Ballinger
Summer 2008 Undergraduate 1U PU1
Class Grades Summer 2008
'Class Description Units Grade Grade
Points
>TOELCS IN_AFRO- AMERICAN
�AFRO_A -3.0: STp 3.00 CA] 12.000
Term Statistics Summer 2008
From Combined
From Cumulative
Enrollment Transfer Term Total
Credit Total
i
Total Grade Poin 24.000! t 24.000 72.000
t— i
Grad units towards GP 6.000 6.0001 t 18.0
!Graded units not fo GPA 97.000,
!In progr units
i
GPA** 4.000 4.000 4.000
i
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.
Go to "My Academics Grades" to run an Indiana University unofficial transcript to view
your Indiana University GPA and Hours in addition to your Student Program statistics.
Return to View M Grades
https: iuself. iu. edu/ psc /SSERV /SISSELFSERVICE /HRMS /c /SA LEARNER SERVIC... 8/12/2008
.T4TAIFD
Carmel Clay JUN 6 2008
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 2
Department ASS r✓ r y i C2 5 SSN � Hire Date
Education Institution
Name of Course 2I61� 6A A&j'OA1A lF0 9AA �/1�Yi('g v�
Semester/Year of Course o 008
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. T re�ele�mhl�rcPmPn -k L�L_ L� 1 st
yQ2C• �iui
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 LO Date W 0 8
Supervisor Signature Ot— Date G aZ 4 U"
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 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. T nal claim will be paid from my department's budget, subject to the
terms outlined in the Pers nn Policy Handbook.
Asst Director Signature Date dd
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.
IUPUI Course Descriptions Page 1 of 1
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As requested, here is the course description for:
Current Course Offerings
Archived Course Offerings AFRO
A303
Other Course Listings Topics in African American and African Diaspora Studies
I
Special Course Listings 1 -3 cr.
Distance Education
Foreign Languages Study of selected topics or issues in Afro American studies
occasionally, but not always, coordinated with symposia and /or
Related I conferences sponsored by the AAADS Program.
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QuikPAY(R) Print Payment Receipt Page 1 of 1
Payment Receipt
This is your receipt.
Your payment has been submitted. Thank you.
Confirmation Number: 2553802
Payment Date: Jun 25, 2008 at 3:27 PM, EDT
Effective Date: Jun 25, 2008
Primary User Id: 0001844572
Primary User Name: Helen Ballinger
Account: Indianapolis
Payment Amount: $622.05
Cardholder's Name: Helen I Balligner
Payment Method:
Address Info 12913 Currier Street
Carmel, IN 46032
Contact Info: (317)514 -0514 (daytime phone)
Your payment has been received by Indiana University.
https: quikpayasp. com/ iu/ qp/ epay /preparePrintPaymentReceipt.do 6/25/2008
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.
359600 Ballinger, Helen Terms
12913 Currier Street
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/08 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
i
Voucher No. Warrant No.
359600 Ballinger, Helen Allowed 20
12913 Currier Street
Carmel, IN 46032
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
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
18 -Aug 2008
1 P(�Ort�
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund