170461 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.
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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
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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
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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 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
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�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