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Home My WebLink About170461 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00353099 Page 1 of 1 ONE CIVIC SQUARE JOHN JOKANTAS CARMEL, INDIANA 46032 C/O COMM CENTER CHECK AMOUNT: $915.00 �o. C/O COMM CENTER CHECK NUMBER: 170461 CHECK DATE: 4/1/2009 D EPARTMENT ACCOUNT PO NUM INVOICE NUM BER AMOUNT DESCRIPTION X1115 4128000 915.00 TUITION REIMBURSEMENT i d RECEIPT RECEIVED FROM: JOKANTAS, JOHN M 634 W. 136th Street INDIANA WESLEYAN UNIVERSITY Carmel IN 46032 Div. of Adult Prof. Studies 1900 W. 50TH ST. MARION IN 46953 RECEIPT PRINTED: 11- MAR -09 REF: JOKANTAS, JOHN M XXX -XX -6612 BSCJOL 06 RECEIPT DATE DESCRIPTION AMOUNT BOOKS:Books-CRJ 324 09- MAR -09 VISA: 90.00 CRJ /324:RISK ANALYSIS AND SECURITY 09- MAR -09 825.00 TOTAL RECEIPT APPLIED 915.00 TOTAL UNAPPLIED RECEIPT 0.00 TOTAL AMOUNT RECEIVED S 915.00 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 ND w W ESL EYAN CRJ -324 -A Risk Analysis' and Security 3,Q0 A UNIVENSITY RECORDS OFFICE 4201 South Washington Street' Marian, Indiana 46953 I John M. Jokantas 1660766 01/06/09 02/09/09 d i r f SUMMARY HOURS TOTAL NON- QUALITY QUALITY QUALITY GRADE ENROLLED EARNED HOURS HOURS POINTS POINTAVG. CURRENT CUMULATIVE Indiana Wesleyan University Cumulative GPA reflects hours earned at Indiana Wesleyan University only. Calculation for Baccalaureate honors may include is aChrist- centered transfer hours. Current status of Baccalaureate honors: n academic community GRADED HOURS g5.00 (min. 80 req.; 40 hrs. IWU) HONORS GPA 4A 3 comm to ALL ERRORS MUST BE REPORTED WITHIN TWO WEEKS. changing the world EXPLANATION OF GRADES, POINTS, AND CREDIT HOURS THE UNIT OF CREDIT ISTHE SEMESTER HOUR. b y developing students A 4.0 Excellent WF Withdrawal while failing Grade point average based on quality points A- 3.7 W Withdrawal while passing divided by quality hours. Total earned hours in character, scholarship B+ 3.3 1 Incomplete count toward graduation requirements. B 3.0 Good NR No grade report given and leadership. B- 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 O 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 hti p:// www. indwes- edulrecords /transcripts.htm. IP In Progress r A 14M L 1 1•. r l r j 4 r H• w a Li r� rr, Y� L 4 h. ws 1..'c; r H., c. L r•• N. 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Employee Name n h TOJ Department GOMM u n r`C C .4 ro n f SSN Hire Date IS 0A Educational Institution* 7 Name of Course R is k 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 -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 Areimbut ay is subject to federal law, which may change from time to time. Employee Signature Date _fa-11 rD L9 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 y P g Date DEC Part III (to be completed by Director of Human Resources) Final Approva Date 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 accrediter. An application will not be considered complete unless a course description from the school's literature is attached. Rev June 07 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 n V p �Gcvey�lZ.S Department f n i e 4 o r) t SSNT Hire Date t�'aj /O Educational Institution` Name of Course A is A nc A i Starting Date of Course (month day /year) f a�QQ9 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 reimbu e t ay is subject to federal law, which may change from time to time. Employee Signature Date J.;^ f 1 03 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 -��l Date /l- Part III (to be completed by Director of Human Resources) Final Approval Date If denied, reason for denial The tuition reimbursement program corers only full- semester courses offered through a degree granting institution accredited by the North Central Association of Colleges and Schools or an equivalent regional accrediter. An application will not be considered compiete unless a course description from the school's literature is attached. Rei June 07 Prebill Invoice 13- DEC -2007 JOHN M JOKA.NTAS 14703 Strauss Dr #1924 Carmel, IN 45032 Customer Number: 339252 Groun Number: BSCJOL 06 Start Course /Fee Date Due Date Amount CRJ /324 RISK ANALYSIS AND SECURITY 06- JAN -09 09- DEC -08 825.00 Books CRJ /324 06- JAN--09 09- DEC -08 90.00 Balance= ,,,Due Institution 915.00 PLEASE REMIT PAYMENT BY ThB��DUE DATE. J 6 4 1 1: 46A f k y5 k Ur u a �Tr �s r Please tear off and mail this section with your payment. Thank you. Name: Ej I'd like to make my payment by credit card. Group Visa or Mastercard Discover Amount Enclosed card number exp.date Check here if requesting an itemized receipt phone number (required) cardholder's signature (required) Remit payment to Indiana Wesleyan University Leap Office 1900 W. 50th Street Marion IN 46953. 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)) 03/11/09 $915.00 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 VOUCH NO: WARRANT NO. ALLOWED 20 Jahn Jokantas IN SUM OF 634 W. 136th Street Carmel, Indiana 46032 $915.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1115 41- 280.00 $915.00 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, March 26, 2009 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund