160478 06/10/2008 ^„y,t CITY OF CARMEL, INDIANA VENDOR: 357678 Page 1 of 1
ONE CIVIC SQUARE AMANDA MEYER
3963 MADELINE LANE CHECK AMOUNT: $1,498.78
CARMEL, INDIANA 46032
o� z� CARMEL IN 46033 CHECK NUMBER: 160478
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4128000 1,498.78 TUITION REIMBURSEMENT
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City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit completed form to Department Head rip �or to commencement of course.)
Employee Name A)2a A li L' �y io
c
Department f'YIGy���l -1 lS Hire Date
Educational Institution* l
Name of Course (�Mjq6KO
Starting Date of Course (month/day /year)
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By signing below, I signify that I understand the following:
The tuition reimbursement program is subject to the terms of Carmel 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 (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 reim rsement pa is is ubjec to federal law, which may change from time to time.
Employee Signatu e n Date
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 Section 2 -59 of Carmel City Code.
Department Head Signature y Date
Part III (to be completed by Director of Human Resources)
Final Approval fir --k %'�C,�, Date L ,a-1
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 vvill not be considered complete unless a course description from the school's literature is attached.
Ree June 07
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit completed form to Department Head prior to commencement of course.)
Employee Name M o V11
Departmen l C N
Hire Date C t L_C� j
Educational Institution*
Name of Course** Re- and
Starting Date of Course (month/day /year)
By signing below, I signify that I understand the following:
The tuition reimbursement program is subject to the terms of Carmel 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 (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 rei4ursement payments is subject to federal law which may change from time to time.
Employee Signature (tr� j (L Date
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
i 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 Section 2 -59 of Carmel City Code.
i
Department Head Signature Date /9 9�=G
Part III (to be completed by Director of Human Resources)
Final Approval Date
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.
ReN June 07
Vi Mn (}TadcS Page lnf]
Amanda Denny
Spring 2008 Undergraduate 1UPU1
C]assGradea Spring 2008
T Un i t s Grade G r i ad ]e
PRImCOF ECOLOGY u
s�z s«oLuT/om »�oo
znz GENERAL PHYSICS 1 5.00 1
rr
TernmStatist\cm Spring 2008
Enn I Totall
tTotal Grade Points 20.400'
20400 129 400�
Graded units towards GPA
8.000i 8.000i 1 38.000;:
Graded units not for GPA
[in progress units
mPA** 2.550 2.550
~�sPx Total Grade Points Graded units towards spA
~Transfer Credit column mm,mouon reflects the Transfer, Test and spccivVome,[negu for
this term.
statistics represent the grade points and hours as evaluated by the academic policies or
your academic sconoVpmgrpm.
Go to "My Academics &G,ages^ to run on Indiana University unofficial transcript toview
your Indiana University GpAand Hours in oUU|uon oo your Student pmn,ano statistics�
Return to View My Grades
hMno:/duaelf.iu.edn/nao/B5ERV/8lS8ELFSER\/lCE/HRMS/o/8A_ LEARNER_ BER\/lCE— 5/20/2000
I NDIANA UNIVERSITY P IUPUI Office
O Box 6020 of the Bursar
Account Statement
s �.`s I.�s� a
Statement Date: 12/04/07 Page 1 oft Due,Date' 12/18/07
Billing Reference: IN BILL# XXX1012363 "'Previous Balance 0.00
University I D: 0002212309 Minimum'Due' 840.51
Student Name: Denny,Amanda Marie Total Du`e` 2,038.77
S a e notification sent to ammdenny @iupui.edu
Charges and Adjustments
11/13/07 Activity Fee 66.14
11/13/07 Laboratory Fee 90.00
11/13/07 Technology Fee 177.10
11/13/07 General Services Fee 10.00
11/13/07 Resident Undergraduate Fees 1,658.80
11/13/07 Athletic Development Fee (SAF) 36.73
Total Charg an Adjustments: 2,038.77
77
Messages
Paying at least the minimum payment amount due as indicated will enroll you in the installment plan program. There will be a non refundable
Please see a copy of the IUPUI Bursar newsletter at www.bursar.iupui.edu
The University reserves the right to restrict services, deny registration, impose late fees, assess returned item service charges, terminate any
If paying by check we may choose to convert your paper check into an electronic transaction. The amount of your check may appear as an electronic
You agree that if another person submits a check on your behalf, that individual is considered your agent and was provided with the information on
Emergency Notification: IU- Notify is now available to provide critical notifications to you. Please visit OneStart www.onestart.iu.edu) to reviewand
Quicker refunds: Save time and add convenience. Avoid mail delays. Please visit OneStart (www.onestart.iu.edu) and sign up to have your refunds
An upgrade to the Student Information System (SIS) is coming in February 2008. Stay tuned to OneStart for more details in early January!
Make paymentonline at http: /onestart.iu.edu
If mailing payment, include the bottom portion of this statement and make check payable to: INDIANA UNIVERSITY
detach
IUPUI Office of the Bursar r Uni_Versity_ ID 0002212309
PO Box 6020 "Due Date_ 12/18/07
Indianapolis, IN 46206 -6020
Minirrium Due 840.51
l' Total bu6 2,038.77
st,
Amount Enclos_ ed
Denny,Amanda Marie
3963 Madeline Lane
Carmel, IN 46033 IUPUI Lockbox
Payment Processing Center
PO Box 7245
Indianapolis, IN 46206 -7245
AIUINA000221230900000000203877000000000008415
I NDIANA U NIVERSITY O IUPUI
BoxO6020 of the Bursar
Account Statement
Statement Date: 01 /02/08 Page 1 of 1 Due Date 01/15/08
Billing Reference: IN BILL# XXX1035494 4 Preyiou's 2,038.77
University I D: 0002212309 Minimum Due 623.13
Student Name: Denny,Amanda Marie Total Due 1,223.26
Statement notification sent to ammdenny @iupui.edu
Charges and Adjustments
12/11/07 Activity Fee 19.21
12111107 Resident Undergraduate Fees 622.05
12118/07 Activity Fee 19.21 CR
12/18/07 Resident Undergraduate Fees 622.05 C R
12/18/07 Deferment Service Charge 25.00
Total Charges and Adjustments: 25.00
Payments and Financial Aid
12/17/07 Payment by Web Credit Card 840.51 C R
Total Payments and Financial Aid: 840.51 C R
�7�-_
Messages
Paying at least the minimum payment amount due as indicated will enroll you in the installment plan program. There will be a non refundable
Please see a copy of the IUPUI Bursar newsletter at www.bursar.iupui.edu
The University reserves the right to restrict services, deny registration, impose late fees, assess returned item service charges, terminate any
If paying by check we may choose to convert your paper check into an electronic transaction. The amount of your check may appear as an electronic
You agree that if another person submits a check on your behalf, that individual is considered your agent and was provided with the information on
IU now has an Emergency Notification system!! To ensure you receive critical notifications, please visit OneStart, www.onestart.iu.edu, to review
Quicker refunds: Save time and add convenience. Avoid mail delays. Please visit OneStart (www.onestart.iu.edu) and sign up to have your refunds
An upgrade to the Student Information System (SIS) is coming in February 2008. Stay tuned to OneStart for more details in early January!
Make payment online at http: /onestart.iu.edu
If mailing payment, include the bottom portion of this statement and make check payable to: INDIANA UNIVERSITY
detach
IUPUI Office of the Bursar Un_iversity,ID 0002212309
PO Box 6020 Due Date 01/15/08
Indianapolis, IN 46206 -6020
Y� 'Minimurn Due' 623.13
o Total Due 1,223.26
Amount Enclosed
Denny,Amanda Marie
3963 Madeline Lane
Carmel, IN 46033 IUPUI Lockbox
Payment Processing Center
PO Box 7245
Indianapolis, IN 46206 -7245
AIUINA000221230900000000122326000000000006235
INDIA N��N 0�N N N 0�N N� �N�� N�� 0������' |UPU| O�000fUmBumar
NN��N—�N��kN����& �JNN�0N��0��������0 N l� PO Box 8O2O
Account Statement
Statement Date: 02/05/08 Page 1 of I Due Date 02/26/08
Billing Reference: IN BILL# XXX1074996 P�evious Balance 1,223.26
University I D: 0002212309 Minimum Due 0.00
P tudent Name: Denny,Amanda Marie Total Dulq, 0.00
Statement notification sent mammdonny@ivpviedu
Payments and Financial Aid
o1/0008 Payment by Web Credit Card 1,223.26 CR
Total Payments and Financial Aid: 1,223.26 CR
M="""
Student Self service and the student administration system (Registrar, Bursar, Financial Aid and Admissions) will be unavailablefrom Friday,
During down (2/15-2/20) you can pay or view your last bursar e-bill via the OneStart MAKE APxvMEwTnnx. Any payments made during this
Please see o copy ofthe |UpU| Bursar newsletter atvmww.Uumo,.iupuiodu
The University reserves the right to restrict services, deny registration, impose late fees, assess returned item service charges, terminate any
If paying by check we may choose to convert your paper check into an electronic transaction. The amount of your check may appear as an electronic
You agree that if another person submits a check on your behalf, that individual is considered your agent and was provided with the information on
Make payment online at hup://onosta,t.iuedu
If mailin n"x=°="' i"=z"u° the bottom portion of this statement and make check o x °ul° to. zmoz^m^ nxzvoaazTx
detach
|UPU| Office of the Bursar "aUniveisit ID 0002212309
Po Box 6020
Indianapolis, IN 46206-6020
,Minimum Due 0.00
Tol:61DU6' 0.00
Amount Enclosed
Donny.AmandeMoho
3O83 Madeline Lane
Carmel, |N48O33
|UPU|Lookbox
Payment Processing Center
PO Box 7245
Indianapolis, |N4O20O'7245
ATUTNA000221230900000000000000000000000000005
Page 1 of 1
Arnone, Janet R
From: Meyer, Amanda M
Sent: Thursday, June 05, 2008 4:27 AM
To: Arnone, Janet R
Subject: RE: I'm confused
Janet,
The C+ class is 3 credit hours totaling $622.05. The B- class is 5 credit hours totaling $1036.75. Each credit hour is
$207.35. There was a $25 fee for tuition deferrment, so that is why the totals on the last two pages do not add up to the
the same as the original statement. I do not have a receipt for the books from the C+ class, so the only book receipt that I
turned in was from the books for the B- class.
Hope that helps!
Amanda
From: Arnone, Janet R
Sent: Monday, June 02, 2008 12:07 PM
To: Meyer, Amanda M
Subject: I'm confused
Amanda,
I have your reimbursements here, but need to know which one is for which class. I can only reimburse you 50% on the
class that you received the C+ in. Plus, I assume the first page is the summary of the other two and I can't get them to
add up to that total. I will be out Tues Thurs this week, but I will put these back in your box in dispatch if you want to
write me some detail. I will be turning claims in on Monday-thanks
Janet R. Arnone
Office Administrator
Carmel Clay Communications Center
31 1 st Avenue N. W.
Carmel, Indiana 46032
(317) 571 -2586
i
6/6/2008
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/06/08 I I I $1,498.78
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.
ALLOWED 20
Amanda Meyer
IN SUM OF
3963 Madeline Lane
Carmel, In 46033
$1,498.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 41- 280.00 $1,498.78 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
Friday, June 06, 2008
4 *a
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund