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172910 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 356837 Page 1 of 1 ONE CIVIC SQUARE MICHELLE KRCMERY CHECK AMOUNT: $3,660.94 CARMEL, INDIANA 46032 433 AUTUMN DRIVE CARMEL IN 46032 CHECK NUMBER: 172910 CHECK DATE: 5/27/2009 DEPARTMENT t ACCOUNT PO NUM IN VOICE N UMBER AMOUNT DESCRIPTI 1160 4128000 3,480.69 TUITION REIMBURSEMENT 1160 4343004 98.18 TRAVEL PER DIEMS 1160 4343005 15.00 CHAMBER LUNCHEON FEES 1160 4359003 67.07 FESTIVAL /COMMUNITY EV Untitled Page Page 1 of 1 AP L R Ishers ding Communities. Fishers, Indiana... y Legislative Breakfast featuring Governor Mitch Daniels Event Date(s): 5/18/2009 Event Time: 7:30 AM to 9:00 AM Return to Homepage Your sign up information has been processed. Please print this information to keep for your records. If paying by credit card, your registration is not complete until your credit card has been charged. Thank You. Your Contact Info: City of Carmel Michelle Krcmery One Civic Square Carmel, IN 46032 Phone: (317) 571 -2495 Ext: Email: mkrcmery@carmel.in.gov 1 Legislative Breakfast Member Price 15.00 TOTAL: 15.00 Your Card Info: Credit Card Type: Visa Card Number: XXXXXXXXXXXX1745 Expiration Date: 5 2012 8 This process uses the latest SSL security encryption. If you'd rather place your order by telephone, please call 317.578.0700 or fax your registration along with your credit card information to 317.578.1097. https: /wcws.weblinkconnect. com/W C_eCommerce /EventReg /Event_Regi stration. aspx ?E... 5/13/2009 Krcmery, Michelle A From: crobinson @fisherschamber.com Sent: Wednesday, May 13, 2009 2:39 PM To: Krcmery, Michelle A Subject: Legislative Breakfast featuring Governor Mitch Daniels Event Sign Up Notification Legislative Breakfast featuring Governor Mitch Daniels The following registration for City of Carmel Michelle Krcmery has been received: Legislative Breakfast Member Price (1) $15.00 i Unofficial Transcripts Page 1 of 3 Report Results Return Student Unofficial Transcript with Enrollment Indiana University Purdue University Indianapolis Name Krcmery,Michelle Anne Student ID SSN Birthdate Address 433 Autumn Drive Carmel, IN 46032 United States Print Date 05 -18 -2009 Request Nbr 007501282 Beginning of Graduate Record Summer 2007 Indianapolis Program Business Graduate Program Business Grad Nondeg Course Title Hrs Grd BUS -K 501 QUANTITATV TOOLS FOR BUSINESS 1.50 S BUS -A 501 FINANCIAL ACCTG REPORTING 1.50 S Semester: IU GPA Hours: 0.00 GPA Points: 0.000 Hours Earned: 3.00 GPA: 0.000 Cumulative: IU GPA Hours: 0.00 GPA Points: 0.000 Hours Earned: 3.00 GPA: 0.000 Fall 2007 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -A 524 MANAGING ACCTG INFO DEC MAKING 3.00 B BUS -J 501 DEVELOP STRATEGIC CAPABILITIES 1.50 A- BUS-G 502 MANAGERIAL ECONOMICS 1.50 B+ BUS -X 511 SEMINAR IN MGMT ISSUES: 1.50 A Semester: IU GPA Hours: 7.50 GPA Points: 25.500 Hours Earned: 7.50 GPA: 3.400 Cumulative: IU GPA Hours: 7.50 GPA Points: 25.500 Hours Earned: 10.50 GPA: 3.400 Spring 2008 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -F 523 FINANCIAL MANAGEMENT 3.00 B+ BUS -X 522 ENTERPRISE LECTURES 1.50 S BUS -G 511 MICROECONOMICS FOR MANAGERS 1.50 B+ BUS -G 512 MACROECONOMICS FOR MANAGERS 1.50 B+ Semester: IU GPA Hours: 6.00 GPA Points: 19.800 Hours Earned: 7.50 GPA: 3.300 Cumulative: IU GPA Hours: 13.50 GPA Points: 45.300 https:// iuself. iu. edu /psc /SSERV/ SISSELFSERVICE /HRMS /c /SA_LEARNER_SERVICE... 5/18/2009 Unofficial Transcripts Page 2 of 3 Hours Earned: 18.00 GPA: 3.356 Summer 2008 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -S 555 INFO TECHNOLOGY FOR MANAGERS 1.50 A BUS -W 519 KNOWLEDGE MANAGEMENT 1.50 A Semester: IU GPA Hours: 3.00 GPA Points: 12.000 Hours Earned: 3.00 GPA: 4.000 Cumulative: IU GPA Hours: 16.50 GPA Points: 57.300 Hours Earned: 21.00 GPA: 3.473 Fall 2008 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -M 501 STRATEGIC MARKETING MANAGEMENT 3.00 A- BUS-P 501 OPERATIONS MANAGEMENT 3.00 B+ Semester: IU GPA Hours: 6.00 GPA Points: 21.000 Hours Earned: 6.00 GPA: 3.500 Cumulative: IU GPA Hours: 22.50 GPA Points: 78.300 Hours Earned: 27.00 GPA: 3.480 CSp ring 2009 Indiana -is Program Business Graduate Course Title Hrs Grd BUS -J 506 LDRSHIP ETHICS BUS ENVIRO 3 0.0 A- �II r(ES BUS -M 503 APPLIED MARKETING RESEARCH 3.00 A'] BUS -M 595 SPECIAL TPCS IN MARKETING: VT 1.50 A+ t1 Course Topic(s): MARKETING ENGINEERING Cl -G.C� i I �rc Semester: IU GPA Hours: 7.50 GPA Points: 29.100 ,J Hours Earned: 7.50 GPA: 3.880 �111A I1C Cumulative: IU GPA Hours: 30.00 GPA Points: 107.400 Hours Earned: 34.50 GPA: 3.580 Summer 2009 Indianapolis Program Business Graduate Course Title Hrs Grd BUS -D 594 INTL COMPETITIVE STRATEGY 3.00 NR BUS -L 512 LAW AND ETHICS IN BUSINESS 3.00 NR Semester: IU GPA Hours: 0.00 GPA Points: 0.000 Hours Earned: 0.00 GPA: 0.000 Cumulative: IU GPA Hours: 30.00 GPA Points: 107.400 Hours Earned: 34.50 GPA: 3.580 Student Graduate Program Summary GPA Hours: 30.00 Transfer /Test Hours Passed: 0.00 Hours Earned: 34.50 Points: 107.400 GPA: 3.580 Indiana University Graduate Summary IU GPA Hours: 30.00 Transfer /Test Hours Passed: 0.00 Hours Earned: 34.50 Points: 107.400 GPA: 3.580 https:Hiuself iu. edu/ psc/ SSERV/ SISSELFSERVICE /HRMS /c /SA_LEARNER_SERVICE... 5/18/2009 QLAPAY(R) Print Payment Receipt Page 1 of 1 Payment Receipt This is your receipt. Your payment has been submitted. Thank you. Confirmation Number: 3487001 Payment Date: Dec 15, 2008 at 5:17 PM, EST Effective Date: Dec 16, 2008 Primary User Id: 0002328371 Primary User Name: Michelle Anne Krcmery Account: Indianapolis Payment Amount: $4,439.83 Cardholder's Name: Michelle A Krcmery Payment Method: DISCOVER 2201 Contact httpS: 1) quikpayasp. com/ iu/ qp/ epay /preparePrintPaymentReceipt.do 12/15/2008 SF Account Activity Page 1 of 1 Michelle Krcmery Student Center Account Inquiry summary II activity IF charges due 411s payments ��I anticipated financial aid"'.I Account Activity Account Activity provides a list of all bursar transactions in date order. You may change the date range to review transactions processed prior to the current year. If you have bursar accounts at more than one campus, use the drop -down arrow to review individual campus bursar transactions. View by Indianapolis From 11/01/2008 o To 03/10/2009 `a[ gg Transactions Find I View All First Rl 1 -9 of 9 Posted Date 11tem I Charge Payment Refund 12/16/2008 Refund by Credit 38.40 Card (Web) 12/15/2008 Payment by Web 4,439.83 Credit Card 112/15/2008 Technology Fee- -38.40 Business Grad 11/24/2008 Activity Fee 50.06 Athletic 1 11/24/2008 Development Fee 38.57 (SAF) 11/24/2008 General Services 10.00 Fee Grad /Prof 11/24/2008 MBA Prof 200.00 Development Resident Grad 1.1/24/2008 Fees Business) 4' 050.00 11/24/2008 Technology Fee- 91.20 I h 0L.l,r Business Grad ,p{ First 0 1 -9 of 9 La rQQ� MAKE A PAYMENT I Account Ingulry Summary Activity Charges Due Payments Anticipated Financial Aid Student Center https il iuself.lu.edu/pse /SSERV/ SISSELFSERVICE /HRMS /c /SA_LEARNER_SERVICE... 3/10/2009 City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed form to Department Head rtp �or to commencement of course.) Employee Name i Department C-0 m ,k.n'I± Ke c; S SS N ire Date 2OC Educational Institution* =Y c tay -�Lt, "��Lk l l f\ IV�.� S t� �I 1 d�- ►'\-C 15 Name of Course 'I"pu L e f ti p �+4� �-S t fl u s f1�S 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 -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 payments is subject to federal law, which may change from time to time. Employee Signature Date Z S 2U0g 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 Date og Part III (to be completed by Director of Human Resources) Final Approval 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 accreditor. 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 rip for to commencement of course.) Employee Name Department .0 m}� 4 rl i u �Ie_� L n t SSN ire Date Z LOC's Educational Institution* =r�CLi o n a f oh S Name of Course �uS M SG J A:� i� l l �c� M ck �-,eA nl Starting Date of Course (month/day /year) 2 Lo 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 payments is subject to federal law, which may change from time to time. Employee Signature IV-/rn Uu- Date 2 5 2 )G r 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 11,q tt e uJ, Date �2 G Part III (to be completed by Director of Human Resources) Final Approval OL A Date 7�) l y /O,Y 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. 't* An application will not be considered complete unless a course description from the school's literature is attached. Rev June 07 1506 Spring 2009 Syllabus v3.0 Ethical Leadership1 Professor: Douglas Austrom, Ph.D. Cellphone: 317- 439 -0906 E -Mail: daustrom@iupui.edu Office Hours: By appointment Time: Tuesday 5:45 -8:25 pm Classroom CLLC105 Course Description Several years ago, Warren Bennis observed that many of our organizations were "over- managed and under -led." The dire states of our economy and the environment coupled with recent scandals in the business world make it abundantly clear that effective, ethical leadership AND good management are urgently required now to heal the crisis in confidence and achieve sustainable economic vitality. The purpose of this capstone course in the Kelley School MBA program is to Help you strengthen your practice of ethical leadership now and for the future. We will examine the range of competencies and character- istics that ethical leaders at all levels and across all sectors employ in order to be effective. We will also discuss the characteristics of leading enterprises and what it takes for them to achieve consistently high levels of ethical and virtuous performance. And in the process, we will attempt to discern the characteristics that are common at both levels of analyses. We will address, and hopefully, debunk the conventional "wisdom" about leadership; in particular, that leadership is a position and that you can only be a leader if you have people reporting to you. Leadership is everyone's business. We will explore how each and everyone of us can provide leadership in the various roles we play in our lives employee, spouse, parent, community member, friend, self in other words, everyday leadership. The emphasis of the course is both pragmatic and personal; it will not be a strictly theoretical or conceptual appreciation of the subject of leadership. Pragmatic because I firmly believe that the most important leadership test you will face is not the final exam, but the Official course title is Leadership and Ethics in the Business Environment 1 Required Course Readings 1. Resource Book 1 [Jim ouzes and Barry Posner, The`Le'adersli'i Challen edition preferably,_but -3rd editi _will- suffice)_]ossey_Bass, 2007.; 29— DD /L m.Collins;_F "ro Good to Great:'Why'Some Companies Make th'e Geap: and "Others Uon'_t Harp erBusiness, 2001 y G Q Z• HBR Online Aec s Readin t Joseph Badaracco, Jr., Business Ethics: Four Spheres of Executive Responsibility, California Management Review, 1992, Reprint CMR -036. t Peter Drucker. Managing Oneself, Harvard Business Review, 1999, Reprint R0501K. t Russ Eisenstat, Michael Beer, Nathaniel Foote, Tobias Fredberg, and Flemming Norrgren, The Uncompromising Leader. Harvard Business Review, 2008, Reprint R0807B. t Bill George, Peter Sims, Andrew McLean, and Diana Mayer, Discovering Your Authentic Leadership, Harvard Business Review, 2007, Reprint 80702 H. t Daniel Goleman, What Makes a Leader? Harvard Business Review, 1998, Reprint 98606. t Daniel Goleman and Richard Boyatzis, Social Intelligence and the Biology of Leadership? Harvard Business Review, 2008, Reprint R0809E. t Harvard Business School, Managing Product Safety: The Ford Pinto. 9- 383 -129 t John Kotter, What Leaders Really Do, Harvard Business Review, 2001, Reprint R0111F. t Banaji Mahzari, Max Bazerman, and Dolly Chugh, How (Un)ethical Are You? Harvard Business Review, 2003, Reprint 5526. t Nitin Nohria, William Joyce, Bruce Roberson What Really Works, Harvard Business Review, 2003, Reprint R0307C t Lynn Sharp Paine, Managing for Organizational Integrity, Harvard Business Review, 1994, Reprint 94207. t Lynn Sharp Paine, Harvard Business School, Ethics: A Basic Framework, 9- 307 -059 t To access these readings go to http: /harvardbusinessonline .hbsp.harvard.edu /relay.jhtml ?name= cp &c= c25564 n 3. Leadership Practices In (LP I360 Survey) i un online 360 degree leadership assessmenttool su workbooks: Pa ment instructions and form will be provided. 4P I Jim Kouzes and Barry Posner, Leadership Practice Inventory (LPI) 360 Degree Report Jim Kouzes and Barry Posner, Leadership Practice Inventory Participant's Workbook Jim Kouzes and Barry Posner, Leadership Development Planner. Articles and Readings Available in Oncourse Resources Douglas Austrom, From Change Management to Change Capacity. Unpublished manuscript. Elizabeth Doty, Winning the Devil's Bargain, Strategy Business, 2007. Experience Point, Online documentation for the ExperienceChange Simulation. Parker Palmer, A Life Lived Whole, Yes! Magazine, Winter 2005 Articles to be Distributed in Class K. Cameron, Good or Not Bad: Standards and Ethics in Managing Change, Academy of Management Learning Education, 2006, pp.317 -323. Others timely articles may be distributed either in class or by email as they become available. 8 y :ao HhF PRIG 8006 1551 ,"l. 86th St. Indianapolis, IN 46250 317- 824 -9002 01,/09/09 12:43 PH #00047/ECOR047/00012 CUSTOMER: 0000000000 SALE: 0001315299 014.98 UN 14.9 5799 -(Used books at loan prices) /HAND 0.0 (7% on $14.98) 1,0b i0iKL 16.03 PAYMENT TYPE DISC *2201/REF:12029824) 16.03 AUTH CODE:009764 PAYMENT TOTAL 16.03 CHANGE DUE 0.00 THANK YOU! STATE ISSUED ID REQUIRED FOR ALL RETURNS Have a Safe and Happy New 'Year! 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Competitive strategy I Entrepreneurship ORDER INFORMATION j Finance General management Customer Information Billing Information MICHELLE KRCMERY Michelle Krcmery Human resources 433 AUTUMN DRIVE 433 Autumn Drive management CARMEL IN Carmel, IN Management of United States United States information systems 46032 46032 (317) 848 -2537 (317) 848 -2537 Marketing Email: mkrcmery @yahoo.com Negotiations Operations Payment Method management American Express XXXXXXXXXXX1017 Organizational Exp Date 8/2009 j behavior leadership Service management REM INFORMATION i Social enterprise ethics Courses To view details related to your courses or to change the products within your course, click on the course name or go to My Courses. i Course Total Price W-1 Ethical Leadership Spring 2009 $47.40 Business Ethics: Four Spheres of Executive Responsibility What Makes a Leader? (HBR Classic) https:// harvardbusinessonline .hbsp.harvard.edu/b01 /en /commerce /checkout confinn.jhtml ?_requestid =87296 1/9/2009 Harvard Business Online Page 2 of 2 What Really Works Discovering Your Authentic Leadership How (Un)ethical Are You? (HBR OnPoint Enhanced Edition) Managing Oneself (HBR Classic) Managing Product Safety: The Ford Pinto Ethics: A Basic Framework Social Intelligence and the Biology of Leadership Managing for Organizational Integrity The Uncompromising Leader What Leaders Really Do (HBR Classic) i Order Subtotal: $47.40 Surcharge: $0.00 Tax TBD Shipping and Handling: $0.00 Grand Total: $47. 0 Careers About Us Privacy Policy Permissions Copyright Information Trademark Policy Harvard Business School �e u.�► re� Co s� a c.� 75c� h https:// harvardbusinessonline .hbsp.harvard.edu/bOI /en /commerce /checkout_confirm.jhtml ?_requested =87296 1/9/2009 Recie t JOHN WILEY SON'S INC. INQUIRIES: One Wiley Drive Somerset, NJ 08875 RETURNS: 360 Mill Road Edison, NJ 08817 WILE Paid by: Ship To: Michele Krcmery m krcmery(a)yahoo.com Invoice Number Invoice Date Purchase Order Number 38475911 1/20/2009 Ship Via: Account Number Comments Group Outlet Sort By Terr Control no. Promo no. Trans Code 5777294 0 Price per Rich Crucitt C V 073 81771 74013 1 ISBN Qty Author Description Unit Price Disc Amount 787948527 1 LPI Online $125.00 25% $93.75 Paid cc Less Special Ad'. 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Open the XanEdu "Login /Register" page at: http:// www .xanedu.com /login.shtmI ?PackId= 295308 2. If you have previously registered for another CoursePack, log in. If not, click the "register" link underneath the "Students" heading. Complete the registration page, and click Continue. 3. Confirm your CoursePack Selection, and complete the purchase form. (Price: $4. 7 You will have immediate access to your Digital CoursePack. You will not receive a printed copy of the CoursePack. You can print your CoursePack yourself, if your system hardware and connectivity supports downloading and printing very large files from the Internet. 4. After completing the purchase, you will be taken directly to "My XanEdu" where you can access your digital CoursePack. Questions? Please contact XanEdu Customer Service at 1- 800 218 -5971. Course Objective The purpose of this course is to introduce the student to basic marketing research procedures, ethics, and methodologies. Students will define, design a data collection instrument, collect data and provide recommendations on a specific marketing Print Page 1 of 2 From: auto confine @amazon.com (auto confirm @amazon.com) To: inkrcmery @yahoo.corn Date: Tuesday, January 6, 2009 9:26:39 PM Subject: Your Order with Amazon.com a mazo 1•com vlEw CART I wISH LIST I (YOUR ACCOUNT I HELP Thanks for your order, Michelle Krcmery! Want to manage your order online? If you need to check the status of your order or make changes, please visit our home page at Amazon.com and click on Your Account at the top of any page. Purchasing Information: E -mail Address: mkrcmery @yahoo.com Billing Address: Shipping Address: Michelle Krcmery Michelle Krcmery 433 Autumn Drive City of Carmel Carmel, IN 46032 1 Civic Sq United States Carmel, IN 46032 -7569 United States Order Grand Total: $57.96 Get the Am a z o n.c o_m Visa Car or the A_m Business Visa_ Card instantly and automatically get $30 back after your first purchase. Plus get up to 3% rewards. Order Summary: Shipping Details littlecutepenguin Order 105_- 4.8.8.5.939_ 001.702.0_ Shipping Method: Shipping Preference: Group my items into as few shipments as possible Subtotal of Items: $53.97 Shipping Handling: $3.99 [Total for this Order: $57:96 '7 Delivery estimate: January 13, 2009 January 29, 2009 Shipping estimate for these items: January 7, 2009 January 8, 2009 lii 1 "Marketing- .Research Essentials with SPSS" Carl, Jr. McDaniel; Paperback; 53.97 Sold by: littlecutepenguin Where can I get help with reviewing or changing my orders? http./(us,m%l.iiialt.yahoo.comidcilaunch?.gx=l &.rand= 43vb4bah8ffgh 1/6/2009 p Y'Y XanEdu CoursePack. Purchase Page 1 of 1 XanEdu CoursePack Purchase Print this page as your receipt Thank you for buying a XanEdu CoursePack. Print this page as a receipt of your purchase. 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CoursePack Title: M503 Applied Marketing Research Spring 2009 Total Amount: 4.60 Total Tax: 0.00 Date of Purchase: 01 /06/2009 9:43:14 PM EDT Full Name: Michelle A Krcmery Address Line 1: 433 Autumn Drive Address Line 2: Address Line 3: City: Carmel State/Province: IN Zip/Postal Code: 46032 Please Note: This charge will appear from National Archive Publishing Company on your credit card or bank statement. http: /us.mg l .mail.yahoo.com /dc /launch ?.gx =1 &.rand= 43vb4bah8ffgh 1/6/2009 _/rte I<rG -�I ��i/1� rt �i -i� a 1 r ■.�i ��i- ea w IWO X11 U,51% 711 III' X11 f4j Claim No. Warrant No. have examined the within claim and hereby IN FAVOR OF certify as follows: That abm proper form. That aa duly authenticated as required by &w. That aa based u statutory authority. That aaa correct apparently 7 incorrect f _mdA Disbursing Officer OnAcc Appropriation o No 6! o t3- a %En n 0 W O$ Allowed ,Ig� f M m in the sum of �/r m 9L �K o K� (Board aCommission) o§ Km. k FILED §7 ƒ a m f! Title) ƒ 0 E e CO., INC. ,=m g PRESCRIBED BY STATE BOARD OF ACCOUNTS GENE RAL FORM NO. 101 (1986) MILEAGE CLAIM 2 j TO 1" 1 q5 1 1 \�GmC�(� J �1zimhlh l Vs-- (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SPEEDOMETER AUT UT DATE FROM T READING NATURE OF BUSINESS MILES Q S� MILEAGE Q �9 POINT POI NT START FINISH F AVELED PER MILE LA 19, 2aft Vi tL j rl dY1 b r I z2 M bl� s i Q S 5 C) n l D l f I l. t s` AUTO LICENSE NO. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. J Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits and that no part of the same has been paid. Date Claim No Warrant No. Ihv examined the wt§n cam ach ab I FAVOR OF certify as 6!»w: That it is in proper form. That aa duly authenticated as required by »w. That it is ba _au statutory authority. That a is a ƒ correct @@_e!7! incorrect Disbursing Officer On Account of Appropriation No. for o W a %2a n 0 §wE� Allowed ,Ig� ƒ f m ƒ in the mm d$ /k §ƒ E G ƒ o (D M m �Kn nom° c' (Board eCommission) 2R Ems FILED ƒ M M E M M rr (!ot 2!!w o ƒ 0 E A.E. BOY CE CO., INC. _CIE, m m. R f r c ry) e- Vv' LA Lno MARSH #14 2110 E. 116TH STREET CARMEL, IN 46032 (317)575 i 29 V F RAINBOW SlH?B_l 11 .99 F 59 i -tip PC 1 .79 B _59 7-Up PC 1 79 B A'3SORT CHS CUBES `I.97 F ASSORT' CHI, CUBES 5.09 1: 7- -TIP PC 1 .79 B 1 7 -UP PC 1 B 9002 VB1,_ IOWNITFS;­ WHLAI PC 3.99 F 7264 TOWNHOUSE ORIG PC '.5.99 F vv V\k 8080 OLO WIS BEEF, BITES 1 3. 99 F 8080 01-!) w[S BEEF BITES 5.99 F Flif'Lli CUT PLAS Cl-.I\l 3 58 1 5 /z��o :283 AV k ,'2'(3 Cil i t6- I DESSRI PL P C 3.79 1 b A 0-v-w 2 P C 3. 75 T "z CHJNFl LUNCH NPKN'1-_ PC 2. 29 T 7273 Ft-WILB CUP P!_AS CLR 3.58 I FR UIT I R Y WO DP 6 111.99 F I DEA A CUSTOMER 10005997729 -4- n+z\ 32 CHINET LUNCH NPKNS .40-1 10 CHINET DESSRT PL 1.29 -1 10 CHINET DESSRT PL 1.29 -1 127 TOWNHOUSE ORIG 1.49-F 127 KBL TOWNHSE WHEAT 1.49-F 135 7--UP .29-1 )85 7-UP .29 )85 7-UP .29-1 )85 7-UP .29-b I Fix 1 90 B rt L 68. IAX EXEMPTION FAX 00 Bnl- mnRSfl SUf ill 219 E. 1161 SIREEI IN 96032 CRLOTF PURCHrISF 0r '21109 10:58 All 1-1 1 11 055S I C Fw,'MfM AMOUNT 67 07 '7 07 v F CkFDTI CHANGE I (11 AT NUMBER OF 1 1 E11 SOLD 1 1 �eimb rse_ Nl ickiel Ie_ Krc-rne,( 8wKutRS EMMOMMMOM -1 y BORDERS BOOKS MUSIC AND CAFE 2381 POINT PARKWAY CARMEL, IN 46032 317 843 STORE: 0504 REG: 04%43 TRAM 2826 E 01/09/2009 EMP: 00044 to GREAT 22.00 3624381 CL f .50 'z V ITH COUPON )PON 15a�J4059f ?000002 subtotal 22,0 8480917940 S Subtotal 22.00 INDIANA 7% 1.54 1 Item, Total 23.54 DICOVER 23.54 ACCT /S };XXXXXXXXX V7201 !T;1: 009124 NAME: KRCMERY /MICHELLE A yc)u Saved $S SO 0i, /09 /2099 01:21PM illill�llilii�ll�l�lll8illlllllliilill II �i�lll�l�ll��l�lllll���lllill As of September 21, 2008 all returns or exchanges must be accompanied by a reciept and be returned vlit Sh. l,l b u 1 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 rLM4Lr V Purchase Order No. A-v,41,k.m r\ p6 v-c_ Terms x f`(\cA zt�j y6o3 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5J 13 0 9 A If� Q?b r 69 H1 U e, C (a lM g,l i tirn -A 4 500 CreA 1 2 0 00 c 0-ij M5o /I v geimbv.r"w+ Ac J 506 cQJ M503 2A D c_ co�c�t -J6 rc�iM tick I i —OS 5 1 2 1 Lo hmer�ts -�o� �at t� �o� -Kai tq. N_ Total 3 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 VOUCHER NO. WARRANT NO. n ALLOWED 20 M I C;he, ler {K rcrne-ry IN SUM OF y33 A v,1,mn 1)r► v-e— ON ACCOUNT OF APPROPRIATION FOR LID- XXX Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 3 005 1115 bill(s) is (are) true and correct and that the materials or services itemized thereon for 3 $Q,�`� which charge is made were ordered and �El oco 01 received except S �na?u Cost distribution ledger classification if Title claim paid motor vehicle highway fund