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INDIAN RIVER COUNTY <br />CHILDREN'S SERVICES ADVISORY COMMITTE <br />RE94BURSE MENT REQUEST - FY25 26 <br />AdJiess <br />Erroll <br />F" rrrt�r! <br />P�:eru� <br />REQUEST t� <br />payrlMtm <br />Date <br />Pay Period <br />Groan Salary <br />'ke rove sick, PTO, <br />aAd,l or Holidays not <br />recognized bythE <br />C au ntv. <br />Tax Empbyer <br />ContrfbuRion <br />Retirement Employer <br />Contribution <br />`Employee's contribution k <br />reflected in grass <br />Total <br />: alculated <br />Percentage <br />of Total to be <br />Requested <br />Totai Requasted <br />S <br />1001: <br />S <br />S <br />1001}. <br />5 <br />S <br />1001.;1 <br />5 <br />S <br />1W0 . <br />S <br />S <br />100't <br />S <br />S <br />100, : <br />� <br />[S <br />5 <br />S <br />1 <br />J <br />3 <br />S <br />S <br />S <br />S <br />S <br />S <br />S <br />r <br />r <br />S <br />S <br />"Expenses r rust in,lude itemized original invoice aad receipt or carceled cheek as proof of paymen.. <br />"Salaries must Shaw a breakdown Me hours paid by type (e.g., regular, sock, vacatioa). Please note the County wilt NOT Rel mburse for SICK or VACATION <br />time so those must be deducted from the request ;riot to submitting <br />