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178200 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 132750 Page 1 of 1 ONE CIVIC SQUARE AARON HOOVER CARMEL, INDIANA 46032 1301STAVE SW CHECK AMOUNT: $810.00 •y roN CARMEL IN 46032 CHECK NUMBER: 178200 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 810.00 TUITION REIM r. �i 4 City Of Carmel Tuition Reimbursement Application Form. Part I (to be completed by employee) (Please print. Submit co leted form to Depa ent Head prior to commencement of course.) Employee Name are a Department i J(i`� Off/ Hire Date SSN Educational Institution* Name of Course _�l't`�c,, tc p�l�,�,L rri Starting Date of Course (month /day /year)) "C 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 p ment subjectt federal law, which may change from time to time. Employee Signature Date 3 -C) 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 Z Date 3 "Z6 2 Part III (to be completed by Director of Human Resources) Final Approval U` V r Q� Date 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. Oci 01 09 01:55P City Of Carmel 5712629 p.l RECEIPT RECEIVED FROM: HOOVER, AARON D 17041 Kirklin Dr INDIANA WESLEYAN UNIVERSITY Westfield IN 46074 Div. of Adult Prof. Studies 1900 W. 50TH ST. MARION IN 46953 RECEIPT PRINTED: 25- JUN -09 REF: HOOVER, AARON D XXX -XX -3359 ASCITOL 01 RECEIPT DATE DESCRIPTION AMOUNT 25- JUN -09 SSL:EFTS:062509 238.14 25- JUN -09 USL:EFTU:062509 2333.38 TOTAL RECEIPT APPLIED 0.00 TOTAL UNAPPLIED RECEIPT 2571.52 TOTAL AMOUNT RECEIVED 2571.52 You have the right to cancel all or a portion of this loan and have the proceeds returned to the lender. You must notify Indiana Wesleyan University in writing within 30 days of this notice for this to occur. u1 I dND�N� DEPT 9 e e t �CIT X280 A P�ro'ect�Mana ement and A WESLEYAN "m a.. t' m• 7a RECORDS OFFICE §.R� 3" 4201 South Washington Street s f t z �t Sg "M Marion, Indiana 46953� s srd�? Aaron D. Hoover 1437613 08/05/09 09/15/09 r y Vy1J-Sr r t� i SUMMARY HOURS TOTAL NON QUALITY QUALITY QUALITY GRADE ENROLLED EARNED HOURS HOURS POINTS POINT AVG c e CURRENT �s�e 62'.00 62.00 0.00 62.00 246. "80 Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include is a Christ- centered transfer hours. Current status of Baccalaureate honors: academic community GRADED HOURS (min. 80 req.; 40 hrs. IWU) HONORS GPA N committed to 3 changing the world ALL ERRORS MUST BE REPORTED WITHIN TWO WEEKS. EXPLANATION OF GRADES, POINTS, AND CREDIT HOURS THE UNIT OF CREDIT IS THE SEMESTER HOUR. by developing students A 4.0 Excellent WF Withdrawal while failing Grade oint average based on qualit A- 3.7 p 9 9 d points W Withdrawal while passing divided by quality hours. Total earned hours in character, scholarship B+ 3.3 I Incomplete count toward graduation requirements. B 3.0 Good NR No grade report given and leadership. 8 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 ,tom r" ��qr.Y .r';* Course Course` r 3A No. Course Title LengthYydts BooksFt� Tlution, u FTot Initial Deposit 1 Y **$1©0 0 UNVI l l Philosophy Practice of Lifelong Learning I 4 weeks 2 $10200 fi�nn $470'®© rK ENG 140 Communications I S wee 00 ks 3 $140 $100 0070 ®0 $1 61�7r.00 s ENG 141 Communications II 5 weeks 3 $0:00 105 00 00'$810 00 F CIT112 Intro to Computer Inforrriation Techriology 5 weeks? 3. }x$90:00 ���.E ��$705c00,t $7950 PHE140 Concepts of Wellness 4 weeks 2 $64.00 $470.00 $534.00 BIL102 New Testament Survey 5 weeks 3 $49.00 $705.00 .$754.00 COM115 Introduction to Human Communications 5 weeks 3 $91.00 $705.00 $796.00 CIT220 Desktop applications 6 weeks 4 $104.00 $940.00 $1,044.00 HST180 Humanities: World Civilization 5 weeks 3 $100.00 $705.00 $805.00 MAT 108 Modern Concepts of Mathematics 5 weeks 3,. $85 00 $705 00 $790 00:.- r w -.iN^$. rs d' n .y- xs,a't7i,. PSY 155 „Ps. ,cholo of Peoal. Ad ustrnent €r a weeks; 3,� 9 001 x$705.00 x $814 O.Ot 5 10 r rklra y 9 Y �,�r�!����a�.�:, x�M week $98:00 $705:00 $803.00 x ENG •Literature=arid Ideas 3t,,.. zww '�»S+"a TluTf�7_ S< aYY'f�:F F C 140 SytemsC i .:3 0 r $705�Q� $82400 T1g20 Inuct�0 to Prorammi n� CO aS 5 weeks 3 $47f'00 $705 R $752 NttlS180 IiuxnaNttF9ne its s -5 e 'UYIi: A`''k'S,G'S' M' R2HICY J£. •iT 9 F 8�.'.eS t;•••• U WOMAN ����'s���a �t;� °M; r.. g vyr F° N u x +t,�� 7 u. Dat`abase,C•�onc is pyr;.t �eu� urn- CCS �F �E�!?'Zi- YP94r�x a :t� i^�+�. A cr SCIT ¢270E'CommercWeb�Developm �,��4�f 5 week 3 1�1 "20 $75:00 1T 5 ariyx• rssc �e 4ss :seat a�„a,e Yscr`a we 5 to CTTZ7 �Ha Software Trokf b esho hng, ,f i S.eeks` 3 $137:00 $75.00 7Q500 $91 r r S+EN a +°xx aaLiaati .X.�iB•ri '�tic+5727J09iS .»i rEEa" MUM "°;"""�I.TM` CIT280f Pro�ectM anag�eentandegr,hon�apg ne 3 r5w 3 $10500 .4 $70 500 $81Q00 zc TOTAL U, f�� 62'. $Z W3 °14�57Q;00 t:: s. _zKa .f;:.ia''ii tFM �alX3er'vHRU s '?a! y u „�.�r 4�, •.,+ia.r y y g�� }fix �'t¢�'!��- s..��j4� ,Y tih. �W�*Sy .a Tuition: $235.0 per credit hour *EducahonalResourceFee `$205 00 Graduation Fee P 4. PAYMENT PROCESS J��� M, A. Deposit 1� An initial deposit of $100.00 must be submitted to the Marion office. Payment may °;be retailed mx or Ephoned musing UISA� MasterCard, or Discover (if the class is full when your deposit is received, your name will be placed on a` waitmg'hst)�Regardle of how subsequent payments will be made (financial aid, veterans' benefits, etc.), the $100.00 deposit is still required: B. Balance of First Payment The remaining balance of your first payment for the first two courses must be received in the Marion office by noon 14 days prior to the class start, or your name will be dropped from the class list and you will be ineligible to start this session. Late payments will not be accepted 't p i,� y. .mot ter+ 9 i n Yy 4r gg t Dzz�ect�Paymen, r�,,� r'. NMI x 3F ,_a d¢iarna Wesyle anUruver L C. 1.900�SOth. Stre 1VIariori, I +N 46953. P tiori Z: 76567 32 65 f y' i., lndtandi�Wesleyan UrU.verslty�c�e$erYeSt er• g t to .t y g Lnforrrtatlor'iti� lhrts F g k ty W yt 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 132750 AARON HOOVER Purchase Order No. SEWER COLLECTION Terms CARMEL, IN 46032 Due Date 10/5/2009 �f Q Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/5/2009 100909 $810.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 i�Al, G am- ✓Lc.� Date Officer VOUCHER 096502 WARRANT ALLOWED 1.32750 IN SUM OF AARON HOOVER SEWER COLLECTION CARMEL, IN 46032 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR I� Board members PO INV ACCT AMOUNT Audit Trail Code 100909 01- 7040 -01 $810.00 it Voucher Total $810.00 Cost distribution ledger classification if claim paid under vehicle highway fund