Laserfiche WebLink
INDIAN RIVER COUNTY <br /> CHILDREN'S SERVICES ADVISORY COMMITTE <br /> REIMBURSEMENT REQUEST-FY25-26 <br /> REQUEST I <br /> Agiency Program <br /> Address Pttone <br /> Errail zan. <br /> ayrnent Tax Empbyer Retiretvent Employer Total Percentage <br /> Payee/Vendor Pay Period Gross Salary of Total to be Tot al Requested <br /> Date Contribution Contribution Caiculated <br /> Requested <br /> 'Remove skk,PTO, <br /> 3ach'or Holidays not 'Employee's contribution <br /> recognized by the reflectd in gross <br /> County. <br /> 100(4: S <br /> TONS <br /> 10Ot4x $ <br /> 10G% S <br /> 5 1012kCS <br /> 1OO4 S <br /> S $ <br /> 5 <br /> S <br /> 5 <br /> 5 <br /> S S <br /> Expenses must inilude itemized original invoice and receipt or carceled check as proof ot payrnen:. <br /> Stars must shcw a breakdown tie hours paid by type[e.g.,regular,sick,vacatioo).Please note the County will NOT Reimburse for SICK or VACATION <br /> tirr!?so those must be deducted from Me request prior to submitting <br />