2021-22 Salary and Benefits Reimbursement Summary - Orleans Perkins Consortium

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3	Perkins V - Orleans Parish Consortium 2021-22 Salary and Benefits Reimbursement Summary
4	Employee Name	Annual Salary	Number of Pay Periods Per Year	Payroll Date (include each payroll date separately)	Total Pay This Payroll	Benefits: Insurance (can only be charged on salary that is Perkins-eligible)	Benefits: Medicare (can only be charged on salary that is Perkins-eligible)	Benefits: Retirement Plan (can only be charged on salary that is Perkins-eligible)	% Time Allocated from Perkins for Payroll Period (should match PAR)	Total Cost Allocated to Perkins This Payroll	Notes
5	ex.: Jane Smith	$45,000.00	24	ex: 08/15/2021	$1,875.00	$250.00	$27.19	$497.75	20.0%	$529.99
6					#DIV/0!					#DIV/0!
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10										#DIV/0!	Total Salary Requested for Perkins Reimbursement
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