162388 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 00353099 Page 1 of 1
ONE CIVIC SQUARE JOHN JOKANTAS
CHECK AMOUNT: $2,133.47
CARMEL, INDIANA 46032 cro COMM CENTER
C/O COMM CENTER CHECK NUMBER: 162388
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1115 4128000 1,823.00 TUITION REIMBURSEMENT
?1115 4343002 3.10.47 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: John Jokantas DEPARTURE DATE: TIME: AM PM
DEPARTMENT: Communications RETURN DATE: TIME: AM PM
REASON FOR TRAVEL: EMD training for Michele Reed DESTINATION CITY: Evansville, IN
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
7/22/08 $310.47 $31077
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.00 $0.00 0 ,$O.QO $0.'001 $311.0.471 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
DIRECTOR'S STATEMENT: I ffirm that xpen con rm to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 7/29/2008 Page 1
Page 1 of 1
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DRURY INN EVANSVILLE NORTH
3901 HIGHWAY 41 NORTH
EVANSVILLE, IN 47711 won am
Tele (812) 423 -5818 Fax (812) 423- 5818
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REED, MICHELE; 1 OF 1 Room Number: 415
CARMEL Daily Rate: 89.99
31 1ST AVE NW;; Room Type: KX
CARMEL, IN 46032 No. of Guests: 1 0
RIVAL iDEPARTUREi CREDIT CARDk r f �a4i!`;� y y N a� lyi r` ;I RATE PLANS ;1 CATEGORY a' ACCOUNTi¢
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07/22/08 415 ROOM #415 REED, MICHELE; 1 OF 1 $89.99
07/22/08 415 ROOM TAX ROOM TAX $6.30
07/22/08 415 OCCUPANCY TAX OCCUPANCY TAX $7.20
07123/08 415 ROOM #415 REED, 1 OF 1 $89.99
07/23108 415 ROOM TAX ROOM TAX $6.30
07/23/08 415 OCCUPANCY,TAX'' OCCUPANCY TAX $7.20
07/24/08 415 ROOM #415 REED, MICHELE; 1 OF 1 $89.99
07/24/08 415 ROOM/TAX ROOM TAX $6.30
07/24/08 415 OCCUPANCY TAX OCCUPANCY; TAX $7.20
07125/08 415 ($310.47)
i
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Priority Dispatch Register your course:
V Choose by Discipline:
e r International
Province 1 State
Upcoming Courses EMD EFD EPt7 ETC
Course (Registration Form
Please complete the following to register for a course. One form per registrant please.
If you wish, you can print this form and fax it to 801 363 -9144.
Contact Information
Name: Michele Reed Your Agency: Carmel Clay Communications Ce
Title: Dispatcher Email: mreed @carmel.in.gov
Work Phone: 3 Ext. Home Phone: 3175712585
Fax:
Agency Addr 1: 31 1st Ave NW Addr 2:
City: Carmel County: Hamilton
State /Province: IN ZiplPostai Code: 46032
Country: US
Required to register for course.
Course Information
Course 14083
Type: 11.3 Advanced EMD Certification
Course Info location: Evansville, IN
Start Date: 07/23/2008
End Date: 07/25/2008
'STOPI' If the above is not the course you want to register for please, return to courses.
Includes additional fee for registrations within 10 days of the start date.
Course Fee $296 669 ON -TIME REGISTRATION
$340 USD LATE REGISTRATION
PLEASE NOTE: In a small percentage of cases course fees will vary according to class type, location, and arrangements made with
the host agency. If you are unsure as to the arrangements made for your ctass, please contact a sales representative.
https:// www .xmission.com/— prioritydispatch/ courses courseregistration .php course_id =8930 7/15/2008
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DEPT NO. COURSE DESCRIPTION HOURS GRADE
I ND�A A
WESLEYAN CRJ -472 -A Court Procedures 3.00 A
UNIVF_RSITY
RECORDS OFFICE
4201 South Washington Street
Marion, Indiana 46953
John M. Jokantas
1660766
04/29/08 06/03/08
L.
SUMMARY HOURS TOTAL NON- QUALITY QUALITY QUALITY GRADE
I ENROLLED EARNED HOURS HOURS POINTS POINTAVG.
CURRENT
CUMULATIVE
U
Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include 4
tD
is a Christ- centered transfer hours. Current status of Baccalaureate honors:
academic community GRADED HOURS '77 00 (min. 80 re q.; 40 hrs. IWU) HONORS GPA 3 37 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 while passing divided by quality hours. Total earned hours
in character, scholarship B+ 3.3 1 Incomplete count toward graduation requirements.
B 3.0 Good NR No grade report given
and leadership. B- 2.7 CR Credit Equivalent to C or above
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
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4301 S WASHINGTON ST
MARION. IN 46953
765 677 3265
Term I0: 72433189 Rrr u: uCi40
Phone Order
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Total: 8 910.00
0528/08 10:14,09
Inv 000040 Oppr Code: 01548B
Batch 000069
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DEPT &.NO. COURSE DESCRIPTION HOURS GRADE
IND�ANA
W1ESL EYAN CRJ -358 -A Criminal Law 3.00 A
UNI VERSITI'
RECORDS OFFICE
4201 South Washington Street
Marion, Indiana 46953
John M. Jokantas
1660766
03/25/08 04/28/08
J l
HOURS TOTAL NON- QUALITY QUALITY QUALITY GRADE
SUMMARY
ENROLLED EARNED HOURS HOURS POINTS POINTAVG.
CURRENT
D �I'1:6Z`•'��
CUMULATIVE
8.00 71.00 0.00 8.00 32.00 4.
,IN FORMATION U
Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include
is aChrist- centered transfer hours. Current status of Baccalaureate honors:
academic community GRADED HOURS 71.00 (min. 80 re q.: 40 hrs. IWU) HONORS GPA 3.32 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 while passing divided by quality hours. Total earned hours
in character, scholarship B+ 3.3 1 Incomplete count toward graduation requirements.
B 3.0 Good NR No grade report given
and leadership. B- 2.7 CR Credit Equivalent to C or above
C+ 2.3 INC 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 Unsatisfactoy
http: /www.indwes.edu /records /transcripts.htm. IP In Progress
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RECEIPT
RECEIVED FROM: JOKANTAS, JOHN M
14703 Strauss Dr #1924 INDIANA WESLEYAN UNIVERSITY
Carmel IN 46032 Div. of Adult Prof. Studies
1900 W. 50TH ST.
MARION IN 46953
REF: JOKANTAS, JOHN M
XXX -XX
BSCJOL 06
RECEIPT DATE DESCRIPTION AMOUNT
BOOKS:Books CRJ /472
07- JUL -08 88.00
CRJ /472:COURT PROCEDURES
07- JUL -08 825.00
TOTAL RECEIPT APPLIED 913.00
TOTAL UNAPPLIED RECEIPT 0.00
TOTAL AMOUNT RECEIVED 913.00
Please feel free to contact our office with, any questions, our P,Yiorle.,:nuinb�r i s 1
800 -234 -5327 option 2. We have a new voice mail line that will allow you to re
quest receipts, statements, or invoices by dialing our 800 number and selecting
option 2 extension 3498. Thank you for allowing us to serve your educational ne
eds. Indiana Wesleyan LEAP Accounting Department.
dkf
RECEIVED BY
Accounting Department
DATE:
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 �T rt TO K� i
Department CO Mm L6 rill r Qr7 SSN Hire Date '9
Educational Institution* P e
Name of Course �LA t it
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 reimbursement payments is subject to federal law, which may change from time to time.
Employee Signature i7 Date 3`- a a0
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 ::;ice Date -a�
Part III (to be completed by Director of Human Resources)
Final Approval Date l7
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.
Rev June 07
RECEIPT
RECEIVED FROM: JOKANTAS, JOHN M
14703 Strauss Dr #1924 INDIANA WESLEYAN UNIVERSITY
Carmel IN 46032 Div. of Adult Prof. Studies
1900 W. 50TH ST.
MARION IN 46953
REF: JOKANTAS, JOHN M
XXX -XX
BSCJOL 06
RECEIPT DATE DESCRIPTION AMOUNT
BOOKS:Books CRJ /358
28- MAY -08 85.00
CRJ /358:Criminal Law
28- MAY -08 825.00
TOTAL RECEIPT APPLIED 910.00
TOTAL UNAPPLIED RECEIPT 0.00
TOTAL AMOUNT RECEIVED 910.00
Please feel free to contact our office with any questions, our phone number is 1
800 234 -5327 option 2. We have a new voice mail line that will allow you to re
quest receipts, statements, or invoices by dialing our 800 number and selecting
option 2 extension 3498. Thank you for allowing us to serve your educational ne
eds. Indiana Wesleyan LEAP Accounting Department.
dkf
RECEIVED BY
Accounting Department
DATE:
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
Department CO(y) T wi i c_ -A; o SSN 1 o ?Hire Date (I
Educational Institution j j� c� G W P I f? p r s
Name of Course" G I /Yl 1-1) s, L C,
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.
r The tax status of reimb erne payments is subject to federal law, which may change from time to time.
Employee Signature Date,3 ,e U .4 `Z
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 Date 2y d V
Part III (to be completed by Director of Human Resources)
Final Approval 0— Date ot� 8
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.
Rev June 07
Prescribed by Slate 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))
07/22/08 $910.00
07123/08 $913.00
07/28/08 $310.47
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
VbLI NO. WARRANT NO.
ALLOWED 20
John Jokantas
IN SUM OF
7219 Registry Drive
Indianapolis, Indiana 46217
$2,133.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE N0. ACCT /TITLE AMOUNT Board Members
1115 41- 280.00 $910.00 1 hereby certify that the attached invoice(s), or
1115 41- 280.00 $913.00
bills) is (are) true and correct and that the
1115 43- 430.02 $310.47
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, July 30, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund