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INVIAN RIVER COUNTY <br />CHILDREN'S SERVICES ADVISORY COMMITTE <br />RE14BURSEMENT REQUEST- FY25.26 <br />A�iicy Program <br />AdJius, Phone <br />Err iji, =ax <br />REQUEST it <br />71ayment <br />Date <br />F, ayvi" "Venjor <br />Pay Period <br />Gross Salary <br />*Remove sick. PTO, <br />amd;Gr Holidays not <br />recognized by the <br />Count -, - <br />Tax Employer <br />Contribution <br />Retirement Employer <br />Contribution <br />'f: rn cor.trib u- j-, <br />reflected in gross <br />Total <br />Calculated <br />Percentage <br />ofTotal tobe <br />Requested <br />TotatRequ2sted <br />S <br />K-01, <br />S <br />S <br />10011-c <br />S <br />1001%� <br />S <br />S <br />1+ CIA: <br />S <br />S <br />1013, . <br />S <br />S <br />$ <br />S <br />S <br />S <br />S <br />S <br />S <br />S <br />S <br />5 <br />S <br />S <br />S <br />S <br />S <br />r. <br />*Expenses must in--Lude ttelfillUd UfIgAldl ti-vuicc and .-uccipt ui Lai celed clwL* ij� puLpr ul pdyrtluri.. <br />*Salaries must Show a breakdown the hours paid by type (e.g., regular, sick, vacatu.i. Please note the County will NOT ReimbLusu rLj- SICK arVACATION <br />tlr* so those must be deducted from the request prior to submitting <br />