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155914 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 295850 Page 1 of 1 ONE CIVIC SQUARE DAVID C STRONG CARMEL, INDIANA 46032 CHECK NUMBER: 155914 CHECK DATE: 112312008 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4128000 288.26 TUITION REIMBURSEMENT I A 0 V LJ AH A U N W E R IJ U PIUIPUI O Box 6020 020of the Bursar Account Statement Statement Date: 09/04/07 Page 1 of 1 Due Date 09/18/07 Billing Reference: IN BILL# 000935243 Previous Balance 576.52 University ID: 0001396222 Minimum Due 0.00 Student Name: Strong,David Comer Total Due 0.00 Statement notification sent to dcstrong @iupui.edu Payments and Financial Aid 08/05/07 Payment by Web Credit Card 576.52 C R TotalPayments and Financial Aid: 576.52 C R Messages 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 i Make payment online at http: /0nestarLiu.edu If mailing payment, include the bottom portion of this statement and make check payable to: INDIANA UNIVERSITY detach IUPUI Office of the Bursar University ID 0001396222 PO Box 6020 Due Date 09/18/07 Indianapolis, IN 46206 -6020 Minimum Due 0.00 Total Due 0.00 Amount Enclosed Strong,David Comer 1011 Oswego Rd Carmel, IN 46032 IUPUI Lockbox Payment Processing Center PO Box 7245 Indianapolis, IN 46206 -7245 AIUINA000139622200000000000000000000000000007 Account Summary Page 1 of 1 AccountSurnma Account Detail for Term Fall 2007 As of Date 12/31/2007 David Strong Indianapolis i Make Payment I Send Pa To Charges Date Posted Item Description Amount 07/13/2007 Laboratory Fee 50.62 USD 07/13/2007 Resident Undergraduate Fees 525.90 Total Charges: 576.52 USD Payments Received Date Posted Item Description Amount 08/05/2007 Payment by Web Credit Card 576.52 USD Total Payments: 576.52 USD Self Service Pending Payments Reference Number Last Four Digit Amount 0.00 Total Pending Payments: 0.00 USD Financial Aid Date Posted Item Description Amount 0.00 Total Financial Aid: 0.00 USD Anticipated Aid Item Description Anticipated Aid 0.00 Total Anticipated Aid: 0.00 USD Admissions Deposit Due Short Description Academic Program Due Amount 0.00 Total Admissions Deposit: 0.00 USD Return to T Summar https:// iusel£ iu. edu/ serviets /iclientser ?ICType =Panel &Menu= SA_LEARNE... 12/31/2007 View My Grades Page I of 1 j View silly Grades David Strong Begin of Ten End of Tern Undergraduate Indiana Universit Class Nbr Sect Course Title Component Grading Basis Official Grac CIT 112 4405 0100 INFO TECHNOLOGY Lecture Graded C+ FUNDAMENTALS Program Term Statistics Courses Attempted Units Taken Toward GPA Units Passed Toward GPA Grade Points 3.0001 3.0001 6.900 P rogram Cumulative Statistics Total Taken Toward GPA I Total Taken Not Toward GPA Total Passed Toward GPA I Total Grade Points 122.0001 8.0001 111.0001 289700 IU Statistics IU Term GPA I IU Cum GPA 2.3001 2,318 Select a Different Term https:// iuself. iu. edu/ servlets /iclientservlet/SSERV ?ICType= Panel &Menu =SA_LEARNE... 12/31/2007 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 David C. Strong Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1/17/08 reimbursement for tuition 288.26 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Pave, d C- Stro IN SUM OF 288-76 ON ACCOUNT OF APPROPRIATION FOR police general fnd Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ilin 288.26 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 Janu -gr)z 17 20 08 *4�Z� b Signature CHief of police Cost distribution ledger classification if Title claim paid motor vehicle highway fund