HomeMy WebLinkAbout171903 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00353099 Page 1 of 1
ONE CIVIC SQUARE JOHN JOKANTAS
CARMEL, INDIANA 46032 CIO COMM CENTER CHECK AMOUNT: $915.00
C/O COMM CENTER CHECK NUMBER: 171903
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUN PO NU MBER INV NUMBE AMOUNT DESCRIP
1115 4128000 915.00 TUITION REIMBURSEMENT
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i
COURSE DESCRIPTION
INDIANA
WESLEY{ �I CRJ -422 -A Disaster Preparedness 3.00 A
UNIVERSITY
RECORDS OFFICE
4201 South Washington Street
Marion, Indiana 46953
John M. Jokantas
1660766
02/10/09 03/16/09
WE f,
SUMMARY HOURS TOTAL NON QUALITY QUALITY QUALITY GRADE
�.�#..p ENROLLED EARNED HOURS HOURS POINTS POINTAVG.
CUMULATIVE 41.00 101.00 0.00 38.00 151.10 3.97
H ONORS. INFOR
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:
n
academic community GRADED HOURS 101 00 (min. 80 req.; 40 hrs. IWU) HONORS GPA 3.51 3
committed 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.
by 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 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
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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: 20- APR -09
REF: JOKANTAS, JOHN M
XXX -XX -6612
BSCJOL 06
RECEIPT DATE DESCRIPTION AMOUNT
16- APR -09 VISA: 915.00
TOTAL RECEIPT APPLIED 0.00
TOTAL UNAPPLIED RECEIPT 915.00
TOTAL AMOUNT RECEIVED 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
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.)
.1
Employee Name 067 i 7 K a A
Department C OMM eo n j C C4 L p o SSN � Date
Educational Institution* 1F4 g i Chia W e S I e)e Cr/]
Name of Course I6sCZ x P rewRrAfAc.,, Credit Hours
Starting Date of Course (month/day /year) OA 0 _0 9
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.
o 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 reimbursement pay m is is subject to federal law, which may change from time to tinge:..
Employee Signature Date
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 -58 of Carmel City Code.
Department Head Signature Date 4 2 �q
PartIIII (to be completed by Director of Human Resources)
Final Approval Date Lo� 5
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))
04/24/09 I I I $915.00
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. W ARRANT NO.
ALLOWED 20
John 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 I 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
Friday, April 24, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund