166246 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 132750 Page 1 of 1
ONE CIVIC SQUARE AARON HOOVER CHECK AMOUNT: $824.00
CARMEL, INDIANA 46032 1301ST AVE 5W
CARMEL, IN 46032 CHECK NUMBER: 166246
CHECK DATE: 1112412008
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER T AMOUNT DESCRIPTION
`651 5023990 824.00 OTHER EXPENSES
xRu.9 03 2007 9. 45HM Hr LHtJLKJL 1 t p. 1
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print_ Submit completed fo to Department Head rip `or to commencement of course.)
Employee Name v
Department �e!:,,216 C SSN Hire Date I G
Educational Institution*
Name of Course l ti Mo 0 0�r_ �y,
Starting Date of Course (month/day/year)
Hy signing below, I signify that I understand the following:
The tuition reimbursement program is subject to the terms of Cannel City Code, Section 2 -59.
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 the book list for the course
and an original itemized receipt for all books purchased.
If I leave City of Carmel employment sooner than one (l) year after the end of this course, I will
repay the City in fill for its tuition and book reimbursements for this course.
The tax status of reimbursem t payr en is subject to federal law, which may change from time to time.
Employee Signature cam/` Daze
Part II (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 terms of S do -59 of Carmel City Code.
Department Head Signature Date
Part III (to be completed by Director of Human Resources)
Final Approval a, Date 0 g
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 appUcadon will not be considered complete unless a course description from the school's literature is attached.
e t e
INDIANA
T A �r d s, ;frr 'i•�r e x
1 Y l i t' "r yC t 5 tai s 1 e s o c i t
CIT k140 A t 7Operatang Systems Concepts 3'�ti00f e ,k TAB t
o-r4" '&i `ra s41�k7 'h.
fz r P
U
N 1 E 1 S I T &D
Y rt sn ofg.T �ri Std to f� Kr t 1S 1 dr zti`�.�f� i 4 fi`'
�k��4v
C,
RECORDS OFFICE
4201 South Washington Street
Marion, Indiana 46953 x
Aaron D. Hoover
1437613
09/17/08 10/21/08
SUMMARY HOURS TOTAL NON- QUALITY QUALITY QUALITY GRADE
ENROLLED EARNED HOURS HOURS POINTS POINTAVG.
CURRENT
CUMULATNE
38.00 38.00 0.00 38.00 ISO. 80 3.96
e• a, e .f
Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include
transfer hours. Current status of Baccalaureate honors:
IS a Christ-cent
n
academic community GRADED HOURS (min. 80 req.;40 hrs. IWU) HONORS GPA 3
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 whle passing divided by quality hours. Total earned hours
in character, scholarship B+ 3.3 1 Incomplete count toward graduation requirements.
8 3.0 Good NR No grade report given
and leadership. B- 2 -7 CR Credit Equivalent toCorabove
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
http: /www.indwes,edu /records /transcripts,htm. IP In Progress
t
C ourse Lille L1111J 11A u
Initial Deposit
';111 Philosophy Practice of Lifelong Learning I
4 weeks Z $102.00 $470.00
6140 Communications I 5 weeks 3 $140.00 $100.00 $705.00 $1,617.00
5 weeks 3 $0.00 $105.00 $705.00 $810,00
G14I Communications II
'112 Intr o. to Computer Information Technology 5 weeks 3 $90.00 $705.00 $795.00
4 weeks 2 $64.00
E140 Concepts of Wellness $470.00 $534.00
5 weeks 3 $49.00 $705.00 .$754.00
:102 New Testament Survey
5 week
1MI15 introduction to Human Communications s 3 $91.00 $705.00 $796.00
1220 Desktop lications 6 weeks 4 $10400 $94000 $1,04400
P pP @O 3;�r s.. y� 'ts� X500€
W' i.€, 6 t+! SJ !.L/,O'��V1'f tte OU.
F €i ntlesorld fi}�vrLZation: W* e
5 weeks 3 $85.00 $705.00 $790.00
AT108 Modem Concepts of Mathematics $705.00 $814-00
of Personal A 5 weeks 3 $109.00
�Y155 Psychology $705.00 $803.00
3G242 Literature and Ideas 5 weeks 3 $98.00
-5 °weeks $705.00 _._$$24
Tr4O- perating Concepts $705.00 $752.00
3 $47.00 k
T120 Introduction to Programming Concepts 5 wee $705.00 $845.00
U5I80 Huarianities: Fine Arts 5 weeks 3 $140.00 $705.00 $802-00
41,283 Philosophy and Christian Thought
5 weeks 3 $97.00
[T262 Network Communications 41,283 weeks 3 $126.00 $705.00 $831.00
5 weeks 3 $99.00 $705.00 $804,00
€T260 Database Concepts $705,00 $817.00
IT270 E- Conunerce and Web Development
5 weeks 3 $112.00
5
IT-272 Hardware and Software Troubleshooting weeks 3 $137.00 $75.00 $705.00 $917,00
$705.00 $810.00
IT280 Project Management and Integration Capstone 5 weeks 3 $105.00
62 $2,114.00 *$280.00 $14,570.00 $16,964,00
OTAL
ition: $235.00 per credit hour *Educational Resource Fee: $205.00, Graduation Fee: $75.00
WMENT PROCESS
Deposit
submitted to the Marion office: Payment may be mailed in or phoned in using 9
z initial deposit of $100.00 must be Regardless
asterCard, or Discover (if the class is full when your deposit is received, your name will be placed on a waiting
how subsequent payments will be made (financial aid, veterans' benefits, etc.), the $100.00 deposit is still required.
Balance of First Payment
ie remaining balance of your first payment for the-first d f om class and you w11 nel ta this ses on.
€ys prior to the class start, or your name wtl b pp
ite payments will not be accepted.
Direct Pcryment to:
Indiana Wesleyan University LEAP Office 0 1 900 W50t eet 0 Marion, IN 46953
800 23.4 -5327, option 2 e 765 6 7 7 -3 265
Indiana Wesleyan University reserves the right to change information in this document without notice.
RECEIPT
RECEIVED FROM: HOOVER, AARON D
17041 Kirklin Dr INDIANA WESLEYAN UNIVERSITY
Westfield IN 46074 Div. of Adult Prof. Studies
1900 W. 50TH ST.
MARION IN 46953
RECEIPT PRINTED: 23- OCT -08
REF: HOOVER, AARON D
ASCITOL 01
RECEIPT DATE DESCRIPTION AMOUNT
23- OCT -08 SSL :EFTS:102308 1723.75
23- OCT -08 USL:EFTU:102308 1970.00
TOTAL RECEIPT APPLIED 0.00
TOTAL UNAPPLIED RECEIPT 3693.75
TOTAL AMOUNT RECEIVED 3693.75
You have the right to cancel all or a portion of this loan and have the proceed:
returned to the lender. You must notify Indiana Wesleyan University in wittin(
within 30 days of this notice for this to occur.
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 's
132750
d
AARON HOOVER Purchase Order No.
SEWER COLLECTION Terms
CARMEL, IN 46032 Due Date 11/18/2008
Invoice Invoice Description
Date dumber (or note attached invoice(s) or bill(s)) Amount
11/18/2= 112408 $824.00
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
VOUCHER 086686 WARRANT ALLOWED
132750 IN SUM OF
AARON HOOVER
SEWER COLLECTION
CARMEL, IN 46032
Carmel Wastewater Utility
tdi
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
112408 01- 7040 -01 $824.00
5 Voucher Total $824.00
Cost distribution ledger classification if
claim paid under vehicle highway fund