HomeMy WebLinkAbout159476 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 357811 Page 1 of 1
ONE CIVIC SQUARE BRYAN MASON CHECK AMOUNT: $1,260.60
CARMEL, INDIANA 46032 15311 WANDERING WAY
o� NOBLESVILLE IN 46060 CHECK NUMBER: 159476
CHECK DATE: 511412008
DEPARTMENT ACCOUNT PO NUM IN VOICE NUMBER AMOUNT DESCRIPTION
1120 4128000 1,260.60 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 Flo commencement of course.)
Employee Name MASON, Bryan L,
Department Fire Department SSN Hire Date 19 Aug 2002
Educational Institution* University of Phoenix Online
Name of Course Re5eaarch Methods in Criminal Justice
Starting Date of Course (montb/day /year) 02126 thou 03/31/08
By si T4ng below, I sigrri..£y that I understand the following.
The tuition reimbursement program is subject to the terms of Carmel City Code, Secdon 2 -59.
To receive reimbursement for tuition, f 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 reimbursement payments is subject to federal law, which may change from time to time.
Employee Signature A r Date 28 Ian 2008
Part H (to be completed by Department Head)
(Submit to Human Resources)
By signing below, 1 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 o n 9 of Carmel City Code.
Department Head Signature Date t? g
Part T)Q (to be con feted by Director o[Human Resources)
Final Approval /a -m.��- Date
If denied, reason for denial
The tuition mimbursement program covers only fail-semester course& offered through a
degree- granting institution
amre4#ed by the North Central Association of Colleges and Schools or an equivalent regional accrealitor.
An application "I not bc considered complete unless a courw description from the school's literature is attached.
Schedule and grades Page 1 of 1
Schedule and Grades
Current Program- BSCIA student Academic Status RG Regular (Effective: 04/18/2005) ID: 9006963332
Program Version: 002 Program Academic Status: RG Regular (Effective: 05/2412005) 8531A1 MASON
OERING WAY
Total Credits Required: 120
Program GPA: 3.28 NOBLESVILLE, IN 46060
The following information is unofficial and is intended to provide you with convenient information on your student record. To obtain an
official University transcript, you may order online or call Customer Service at (480) 446 -4600 or 1- (800)- 866 -3919. If you are a
student of Instituto de Estudios Superiores de Phoenix, please contact your local campus or Customer Service to request a copy of your
transcript.
Coca feted Courses dick on the grades below to view your official gra ce card
Course Title CR Start End Instructor Grade
GEN /300 SKILLS FOR PROFESSIONAL DEVELOPMENT 3.00 04/26/2005 05/30 /2005 DENNIS NAGLE A
PHL/251 CRITICAL THINKING .00 07/26/2005 08/29/2005 JOHN FELTGEN W
PHL/251 CRITICAL THINKING 3.00 02/14/2006 03/2012006 DOUGLAS SWANSON B-
MTH /208 COLLEGE MATHEMATICS 1 3.00 03/21/2006 04/24/2006 JOHN YOON B+
MTH /209 COLLEGE MATHEMATICS II (5 WEEK COURSE) .00 04/25/2006 05/29/2006 KHALID KHOURI W
HUM /102 INTRO TO THE HUMANITIES II RENAISSANCE TO THE 3.00105/30/2006 07/03/2006 JEFFREY WALLMANN A-
PRESENT
CJA1320 JINTRODUCTION TO CRIMINAL JUSTICE 3.00 07/04/2006 08/07 /2006 KEVIN PERRY B
CIA /310 CONTEMPORARY ISSUES IN CRIMINAL JUSTICE 3.00 09/05/2006 10/09/2006 K12fH BAILLY A-
CJA /330 CRIMINOLOGY 3.00 10110/2006 11/13/2006 JEFFERY EASTON A
C]A/370 INTRODUCTION TO POLICING 3.00 11/1412006 12/18 /2006 EVAN COHEN A-
C3A/340 CRIMINAL LAW 3.00 01/09/2007 02/12/2007 CARLA BROWN- A-
I MANNING
CJA/300 ORGANIZED CRIME 3.00 02/13/2007 03/19/2007 JACK TANDY A-
C]A /350 ICRIMINAL PROCEDURE 3.00 03/20/2007 04/23/2007 TROY RAWLINGS A
CJA /360 INTERPERSONAL COMMUNICATION 3.00 04/24/2007 05/2812007 STEVEN GILLIKIN A_
OA/380 CRIMINAL COURT SYSTEMS 3.00 05/29/2007 07/02/2007 GWENDOLYN BURRELL D+
CIA /390 INTRODUCTION TO CORRECTIONS 3.00 07/03/2007 08/0612007 HELEN FORD C+
CJA/400 JUVENILE JUSTICE 3.00 08/07/2007 09/10/2007 DEBRA NADEAU A
C3A/410 ETHICS IN CRIMINAL JUSTICE 13.00112/04/2007101/21/2008 LEESA MC NEIL 1C
CIA /420 CULTURAL DIVERSITY IN CRIMINAL JUSTICE 13.00101/22/2008102/25/2008 BRENDA WELTZER C+
CJA /430 IRESEARCH METHODS IN CRIMINAL JUSTICE 13.00103/18/2008104/21/2008 HOPE MURPHY IL-
KEY: WV Waiver Without Credit Includes all exempted coursework (must be replaced with appropriate upper division coursework. Some programs may have
specific requirements of upper division business- related coursework). WC Waived Course with Credit Please contact your Academic Counselor with any
questions.
The current and scheduled courses below may not include everything required by your program. Please refer to your Enrollment
Agreement for specific requirements for your program or contact your academic counselor.
Current and Scheduled Courses
Course itle CR Start End Instrucor
COMM /215 JESSENTIALS OF COLLEGE WRITING 3.00 02/06/1992 03/05/1992
MTH /208 COLLEGE MATHEMATICS 3.00 04/16/1992 05/14/1992
MTH 1209 COLLEGE MATHEMATICS U (5 WEEK COURSE) 3.00 05/21/1992 06/1811992
CIA/410 ETHICS IN CRIMINAL JUSTICE 3.00 09/11/2007 10/1512007 STEVE FREITAS
CJA/430 RESEARCH METHODS IN CRIMINAL JUSTICE 3.00 02/26/2008 03/31/2008 HOPE MURPHY
CJA/443 ORGANIZATIONAL BEHAVIOR AND MANAGEMENT 3.00 04/22/2008 05/26/2008 1ALLEN COLE
CIA/453 CRIMINAL JUSTICE ADMINISTRATION 3.00 05/2712008 06/30/2008
CIA/463 ICRIMINAL JUSTICE POLICY ANALYSIS 3.00 07/01/2008 08/04/2008
CJA/473 MANAGING CRIMINAL JUSTICE PERSONNEL 3.00 08/05/2008 09/08/2008
CIA1483 FUTURES OF CRIMINAL JUSTICE 3.00 09/09/2008 10/13/2008
GEN /480 1INTERDISCIPLI NARY CAPSTONE COURSE 3.00 10/1412008 11/17/2008
From time to time, due to technical difficulties, there may be a delay in the posting of grades. If you do not see a grade
posted for a course that you recently completed, please try again later.
English and mathematics prerequisites must be satisfied prior to enrolling in some courses in the required course of study for
Undergraduate programs. To review options for satisfying prerequisites in these areas, please contact your Academic Counselor.
You may access your grade and /or schedule information by calling 1- 800- 4GRADES. Please note you will be required to enter a PIN
number to utilize this service. To view your PIN number, please click here.
The information on this page is updated every day at midnight. If any of this information is incorrect, please contact your local campus
for assistance. Please allow up to 2 weeks for grade processing. Once posted, if you have a question regarding your grade, please
promptly contact your faculty member.
https: /mycwnpus_phoeni-x-edu/ services/ schedgrades /viewstscheduleandgrades.aspx 4/29 /2008
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Phoeruk-
IRN: 9006963332
UNIVERSITY OF PHOENIX Date: 2 -MAY -2008
3157 E. ELWOOD ST.
PHOENIX, NA 85034 -7209
ON PAE'St MASON, BRYAN
15311 WANDERING WAY
NOBLESVILLE, IN 46060
INVOICE
Date Invoice Number Description Inv Amt Tag Adj 7 Inv Total
18- MAR -08 CJA/430:AL875121 CJA /430 RESEARCH METHODS IN 1,482.00 0.00 <296.40> 1,185.60
CRIMINAL JUSTICE
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
15- JAN -08 EFT:15- IAN- 2008:FA_UFSLI FA UFSL1 <1,273.00> <196.20>
15- JAN -08 EFT :15 JAN- 2008:FA UFSL2 FA UFSL2 <1,273.00> <239.40>
Total Invoice Balance $750.00
Thank You for your business from University of Phoenix.
Page 1 of 1
university of
ftioerux-
IRN: 9006963332
UNIVERSITY OF PHOENIX Date: 11-MAY-2008
3157 E- ELWOOD ST.
PHOENIX, NA 850347209
'1, XAM
7
MASON, BRYAN
15311 WANDERING WAY
NOBLESVILLE, IN 46060
RECEIPT
Date Receipt Number Payment Type Receipt Amount Amt Applied
06-MAY-08 FB:0590:030390:8553939 NAM VISA VFONE <750.00> <750.00>
INVOICE
Date Invoice Number Description Inv Amt Tax Adj Amt Applied
18-MAR-08 CJA/430.AL875121 CJA1430-RESEARCH METHODS IN 1,482,00 0.00 <296.40> 750.00
CRIMINAL JUSTICE
Receipt Balance $0.00
III ice d' s r�`'4"s '�".r4 E t. i r ,+x. :,t' e 4 F f,;as' "s a
University of Page 1 of 1
1Qenk
IRN: 9006963332
UNIVERSITY OF PHOENIX Date 2 MAY 2008
3157 E. ELWOOD ST.
PHOENIX, NA 85034 -7209
s� Stad'ent w
ieyd �es�
RUN
MASON, BRYAN
15311 WANDERING WAY
NO.BLESVILLE, IN 46060
INVOICE
Date Invoice Number Description Inv Amt Tax Adj Inv Total
18- MAR -08 R:CJAl430:AL879697 CJA/430- rEsource Course Materials 75.00 0.00 0.00 75.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
15- JAN -08 EFT:15- JAN- 2008:FA UFSL2 FA UFSL2 <1,273.00> <75.00>
Total Invoice Balance $0.00
Thank You for your business from University of Phoenix.
VOUCHER NO. WARRANT NO.
ALLOWED 20
'Bryan Mason
IN SUM OF
15311 Wandering Way
Noblesville, IN 46060
$1,260.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 41- 280.00 $1,260.60 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
Title v
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
Tuition Reimbursement $1,260.60
I 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