HomeMy WebLinkAbout176700 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: T358497 Page 1 of 1
ONE CIVIC SQUARE DARCY CASE CHECK AMOUNT: $1,080.00
ti ?a CARMEL, INDIANA 46032 13154 DUNWOODY LANE
CARMEL IN 46033 CHECK NUMBER: 176700
CHECK DATE: 9/2/2009
DEPA ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRI
1115 4128000 1,080.00 TUITION REIMBURSEMENT
i
Receipt Statement
Page 1 of 1
Lead er�sh�i.p
for Adult Professionals
MR
Student ID: 1956834
INDIANA WESLEYAN UNIVERSITY
Date: 24 -AUG -2009
DIV. OF ADULT& PROF. STUDIES
1900 W. 50TH ST.
MARION, IN 46953
Student Name
CASE, DARCY L
13154 DUNWOODY LN
CARMEL, IN 46033
INVOICE
Start Date Invoice Number Description Inv Amt Discount Inv Total
25- JUN -09 ACC/312:5690075 Intermediate Financial Accounting 11 1,080.00 0.00 1,080.00
RECEIPT
Date Receipt Number Payment Type Receipt Amt Amt Applied
01 APR 09 EFTU:040109 USL <6,125.00> <1,080.00>
Total Invoice Balance: $0.00
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Academic Record littps://wa-secure.itidwes.edu/WebAdvis,)r/WebAdvisor?TOKENIDX...
Academic Record
1956834 Darcy Case
I
Course/Section and Title Grade Credits CEOs Repeat Term
ACC-491 A Accounting Seminar BSA040
ACC-372 A Federal Income Tax 11 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 BSAD40
ECO-331 A Appi Macroeconomics Business BSA040
ECO-330 A Appl Microeconomics Business BSA040
ACC-312 A Interm Financial Accounting 11 A 3.00 BSA040
ACC-311 A Interm Financial Accounting I A 3,00 BSA040
ADM-201 A Principles of Self-Management A 2-00 BSA040
ACC-202 A Accounting Principles 11 A 3.00 BSA040
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
SSAD 1599 Special Topics in Business 3.00
BUS 113 Fund of Marketing 3.00
BUS 117 Bus Law 1 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 100
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 100
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.
ADC 323 Work-Team Dynamics 3.00
ADC 324 Fund of Management 3-00
1 o1`2 8/23/2009 3:10 PM
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please pri t. Submit completed 17 to Departmen
Employee Name t Head prior to commencement of course.)
G� Q S�
Department LMCVl YV)l,l_n l CrA L SSN Hire Date 9
Educational Institution` C,��. S e—
Name of Course" 7,
Credit Hours J
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 -58.
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 rei urse ent payme s is subject to federal law, which may change from time to time.
Employee Signature Date `P D O q
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 Sect' o 2 58. f Cannel City Code,
Department Head Signature Z
Date Z2 ul e
Part III (to be completed by Director of Human Resources)
Final Approval t A ar,�Q.i-- Date as O
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))
08/25/09 I I $1,080.00
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 NCB. WARRANT NO.
ALLOWED 20
Darcy Case
IN SUM OF
13154 Dunwoody Lane
Carmel, In 46033
$1,080.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO Dept. INVOICE N0. ACCT /TITLE AMOUNT
Board Members
1115 41- 280.00 $1,080.00 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, August 26, 2009
Dire
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund