155457 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00351721 Page 1. of 1
ONE CIVIC SQUARE JAMES PAGE CHECK AMOUNT: $1,334.00
CARMEL, INDIANA 46032
CHECK NUMBER: 155457
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
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1202 4128000 1,334.00 TUITION REIMBURSEMENT
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Martin University
12/20/07 01:50 pm
Billing Combination Schedule and Statement
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Page, James E Student ID: 404 -78 -3334
3961 N Broadway College Level: Masters
Indianapolis, IN 46205
Advisor: SITYNE, O'NEAL
Degree Program: URBAN MINISTRY
STUDIES
Registration Term: FA -07
1
UMS -510 -50 Research Foundations for Urb Min/ INTENSIVE Sept. 4th -14t 3.0 A
9/4/2007 9/22/2007 Instructor: SITYNE, O'NEAL
M 6:00 PM 8:50 PM Hourly Fee: $0.00 Lab Fee
T 6:00 PM 8:50 PM
W 6:00 PM 8:50 PM
R 6:00 PM 8:50 PM
F 6:00 PM 8:50 PM
Total Credits:3.0
Previous Balance $0.00
8/23/2007 FA -07 Charged Tuition FA -07 $1,320.00
8/24/2007 FA -07 Computer Lab Usage $30.00
8/24/2007 FA -07 Student Activity $30.00
8/24/2007 FA -07 Safety and Public Service $100.00
12/14x'20071 FA -07 I Tuition Payment Charge $1,480.00
Please Remit Payment To: Total 0.00
Martin University
Attn: Bursar Office
2171 Avondale Place
Indianapolis, IN 46218
Previous Balance 0.00
Overall Balance $0.00
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Martin University 12/14/07 05:26 pm
2171 Avondale Place
nAM4 Indianapolis, IN 46218
317- 543 -3235
UN 11RTV�' Billing Statement
VERSA
Student ID: 404 -78 -3334
James E Page Phone: (317) 924 9367
3961 N Broadway College Level: Masters
Indianapolis IN 46205 Advisor: SITYNE, O'NEAL
Degree Program:URBAN MINISTRY
STUDIES
Previous Balance: $0.00
Description
8/23/2007 FA -07 Charged Tuition FA -07 $1,320.00
8/24/2007 FA -07 Computer Lab Usage $30.00
8/24/2007 FA -07 Student Activity $30.00
8/24/2007 FA -07 Safety and Public Service $100.00
12/14/2007 FA -07 Tuition Payment Charge I $1,480.00
Please Remit Payment To: Total 0.00
Martin University
Attn: Bursar Office
2171 Avondale Place
Indianapolis, IN 46218 Previous Balance: $0.00
Overall Balance: $0.00
DATE RECEIPT DESCRIPTION AMOUNT YOUR NEW YOUR OLD
NUMBER RECEIVED BALANCE BALANCE RECEIVED OF
MARTIN UNIVERSITY 36628
2171 AVONDALE PLACE
INDIANAPOLIS, INDIANA 46218
(317) 543 -3248
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
James E Page Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Reimbursement Books $1,334.00
Total
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 Now%--WAR RANT NO.
James E Page ALLOWED 20
IN SUM OF
$1,334.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Informatin Systems
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
15n re
itl
Cost distribution ledger classification if
claim paid motor vehicle highway fund