HomeMy WebLinkAboutExp-04.2011-SattlerCity of Georgetown
i i i • ,j i i,'
Council Member's Name: '
For the month of 14 to #11 L...
, 20 1 ( , I hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
I. EXPENSES: X
Please fill out sections a - d below and check taxable or non-taxable.CU
C
X
M o
F- Z
(a.) Phone expenses: $ Ex
3L miles at I.R.S. rate: $.54 per mile $ z � : di F]
(c.) Home office expense for area set aside for City business: $ E
(d.) Other expenses - Please itemize below:
$ El EJ
$ EJ El
$ 0 ❑**
**These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
lie LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
f3
0.00
111. TOTAL REIMBURSEMENT $
in no case can the amount of reimbursement exceed $800 per month.
Signed on the 7 day of 04 120 11
signature
Ful