155527 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360643 Page 1 of 1
ONE CIVIC SQUARE KAREN LVK SUTTON
C/O COMM CENTER CHECK AMOUNT: $902.00
CARMEL, INDIANA 46032
CHECK NUMBER: 155527
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4128000 902.00 TUITION REIMBURSEMENT
r,
RECEIPT
RECEIVED FROM: VONKAMECKE, KAREN L
6 Thornhurst Dr INDIANA WESLEYAN UNIVERSITY
Carmel IN 46032 Div. of Adult Prof. Studies
1900 W. 50TH ST.
MARION IN 46953
REF: VONKAMECKE, KAREN L
XXX -XX -5149
BSCJOL 02
RECEIPT DATE DESCRIPTION AMOUNT
BOOKS:Books CRJ 463
12- DEC -07 VISA: 107.00
CRJ /463:FORENSICS
12- DEC -07 VISA: 795.00
TOTAL RECEIPT APPLIED 902.00
TOTAL UNAPPLIED RECEIPT 0.00
TOTAL AMOUNT RECEIVED 902.00
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
COURSES BSJO01 -CRJ- 463 -A: FORENSICS TOOLS MY GRADES
Karen LvK Sutton
'Final Grade 890 .1000 B+
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 C SSN � Hire Date 5 2 2_
Educational Institution*
J _y
Name of Course
RV f ,rV t it c'
Starting Date of Course (month/day /year) J r, f lc-�
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; subject to federal law, which may change from time to time.
Employee Signature Date l rd t}..l
Part II (to be completed by Department Head)
(Submit to Human' Resources)
By signing below, I certify that the applicant will have been employed frill -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 .16 9 7
Part III (to be completed by Director of Human Resources)
Final Approval Date 61 h Z
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 acereditor.
An application will not be considered complete unless a course description from the school's literature is attached.
Rev June 07
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))
01/03/08 I I I $902.00
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
V NO. WARRANT NO.
Karen LvK Sutton ALLOWED 20
IN SUM OF
6 Thornhurst Drive
Carmel, IN 46032
$902.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# D7t.# INVOICE NO. ACCT #/TITLE AMOUNT Board Members
41- 280.00 $902.00 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
Thursday, January 03, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund