HomeMy WebLinkAbout179155 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
ONE CIVIC SQUARE DARCY CASE
CARMEL, INDIANA 46032 13154 DUNWOODY LANE CHECK AMOUNT: $1,250.00
CARMEL IN 46033 CHECK NUMBER: 179155
CHECK DATE: 11/11/2009
_DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1115 4128000 1,250.00 TUITION REIMBURSEMENT
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Leadership Education
for Adult Professionals
Student ID: 1956534
INDIANA WL-SLEYAN UNIVERSITY
Date: 30 -OCT -2009
DIV. OF ADULT PROF. STUDIES
MARION, IN 46953
Studenf e°
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, IN 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
20- AUG -09 EC01330.5788150 Applied Microeconomics for Business 1,080.00 0.00 I,OSO.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
O1- APR -09 EFTU:040109 USL <6,125.00> <1,080.00>
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Total Invoice Balance: 50.00
Thank you for choosing Indiana Wesleyan University.
Lp Page l of 1
Leadership Education
for Adult Professionals
Student ID: 1956834
INDIANA WESLEYAN UNIVERSITY
Date: 30 OCT 2009
DIV. Or ADULT PROF. STUDIES
MARION, IN 46953
Student =Name�
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, 1N 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
20- AUG -09 BOOKS:5788151 Books 170.00 0.00 170.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
01- APR -09 EFTU:040109 USL <6,125.00> <170.00>
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Total Invoice Balance: $0.00
Thank you for choosing Indiana Wesleyan University.
Academic Record Page l of 2
Academic Record
1956834 Darcy Case
Course /Section and Title Grade Credits CEUs Repeat Term
ACC -491 A Accounting Seminar BSA040
ACC -372 A Federal Income Tax II BSA040
ACC -371 A Federal Income Tax I BSA040
ACC -451 A Advanced Accounting BSA040
ADM -448 A Strategic Planning BSA040
ACC -423 A Auditing BSA040
MGT -425 A Issues in Ethics BSA040
ACC -341 A Managerial Cost Accounting I BSA040
ADM -447 A Business Law BSA040
ECO -331 A Appl Macroeconomics Business BSA040
ECO -330 A Appl Microeconomics Business A 3.00 BSA040
ACC -312 A lnterm Financial Accounting 11 A 100 BSA040
ACC -311 A lnterm Financial Accounting I A 3.00 BSA040
ADM -201 A Principles of Self- Management A 2.00 BSA040
ACC -202 A Accounting Principles II A 3.00 SSA040
ACC 117 Acc Fund Mg 3.00
ACCT 0033 Princ of Accounting 1 3.00
BSAD 0029 Business Mathematics 3.00
BSAD 0045 Business Organ Mgmt 3.00
BSAD 0048 Statistics 3.00
BSAD 1599 Special Topics in Business 3.00
BUS 113 Fund of Marketing 3.00
BUS 117 Bus Law I 3.00
BUS 129 Bus Communication 3.00
BUS 135 Fund of Advertising 3.00
BUS 138 Mgmt Seminar 3.00
DAP 100 Computer Lit 3.00
ECO 601 Macroeconomics 3.00
ECO 602 Microeconomics 3.00
ENGL 0106 Language and Composition 3.00
ENGL 0107 Literature and Composition 3.00
GNED 1214 Comm Skills for Leadership Dev 1.00
MATH 1601 Algebra 3.00
MATH 1602 Elementary Functions 1 3.00
PED 332 Begin Bowling 1.00
PSY 605 Intro Psych 3.00
SOC 651 Intro Sociology 3.00
SPE 314 Interpersonal Comm 3.00
ADC 211 Biblical Literature 3.00
ADC 321 Adult Development 3.00
ADC 322 Specialized Writing 3.00
ADC 323 Work -Team Dynamics 3.00
ADC 324 Fund of Management 3.00
https: /wa- secure. indwes. edu/ WebAdvisor /WebAdvisor ?TOKENIDX= 4601848042 &SS 10/30/2009
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 b C r l
Department U!T" MGL1'11 CXfiIJYLS SSN Hire Date C OLD
Educational Institutions`
Q
Name of Course" 0 LM bTYL-LCS Credit Hours 3
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 -58.
a 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 an original itemized receipt
or other proof of purchase that links these books to this particular course.
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 reimb sement paym nts is subject to federal law, which may change from time to time.
Employee Signature
Date
Part 11 (to be completed by Department lead)
(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 -58 of Carmel City Code.
Department Head Signature Date
Part III (to be completed by Director of Human Resources)
Final Approval Date l
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.
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))
11/02/09 I I I $1,250.00
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
VOUCHER NO.' WARRANT NO.
ALLOWED 20
D_ arcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$1,250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 41- 280.00 $1,250.00 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
Wednesday, November 04, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund