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SALARY AND FRINGE DETAIL <br />Complete one table for each task containing Salary, Fringe, and Indirect Cost Reimbursement Requests. <br />Add rows as needed for each table. Add tables as needed, if more than one task is included in this invoice. <br />Be sure to attached timesheets showing hours worked for each task, with the employee name. <br />Be sure to attached a copy of employee's pay stubs as proof of payment showing employee name and date payment was made. <br />Formulas are included in some of the spreadsheet cells, denoted with "$ - . <br />Task Number: <br />Salary <br />Position Title Employee Name <br />Performance Period or <br />Total Hours <br />Hourly Total Amount <br />Payment Type <br />Check # or CC <br />Proof of <br />Amount <br />Date Completed <br />Worked <br />Wage Paid <br />Date Paid <br />Used <br />Type (If <br />Payment <br />Claimed <br />applicable) <br />Provided <br />Example John Doe <br />1112119 - 3110119 <br />84.00 <br />$ 25.00 $ 3.500.00 <br />313012019 <br />Check <br />P4589 <br />Cancelled <br />$ <br />2.100.00 <br />Check <br />$ <br />$ <br />$ <br />TOTAL SALARY <br />Fringe <br />Position Title Employee Name <br />Performance Period or <br />Fringe Rate <br />Fringe Total Amount <br />Payment Type <br />Check # or CC <br />Proof of <br />Amount <br />Date Completed <br />(%of Salary) <br />Amount Paid <br />Date Paid <br />Used <br />Type (If <br />Payment <br />Claimed <br />applicable) <br />Provided <br />Example John Doe <br />1112119 - 3110119 <br />15.00% <br />$ 315.00 $ 450.00 <br />313012019 <br />Check <br />24589 <br />Cancelled <br />$ <br />315.00 <br />Check <br />0 0 <br />0 <br />$ <br />1/0/1900 <br />0 <br />0 <br />0 <br />$ <br />0 0 <br />0 <br />$ <br />1/0/1900 <br />0 <br />0 <br />0 <br />$ <br />0 0 <br />0 <br />$ <br />1/0/1900 <br />0 <br />0 <br />0 <br />$ <br />0 0 <br />0 <br />$ <br />1/0/1900 <br />0 <br />0 <br />0 <br />$ <br />0 0 <br />0 <br />$ <br />1/0/1900 <br />0 <br />0 <br />0 <br />$ <br />0 0 <br />0 <br />$ <br />1/0/1900 <br />0 <br />0 <br />0 <br />$ <br />TOTALFRINGE <br />Indirect <br />Description of Indirect Costs <br />Performance Period or <br />Indirect Rate <br />(%) of Salary <br />Indire <br />Amount] <br />Elligible]A--nDates <br />Utilized <br />Fringe <br />IncurrEXAMPLE <br />Amount& <br />- Printing and postage <br />1112119 - 3110,19 <br />500% <br />$ 120 <br />$ 12075 <br />$ - <br />TOTALINDIRECT <br />R2114 - Exhibit C Page 3 <br />