HomeMy WebLinkAboutExp-01.2011-SattlerCity of Georgetown
City Council MemberStatement Expenses or Lost Income
Council Member's Name: 2: I Lir SPV 1 � e Imo...
For the month of W f `Z-�u L),#f, , 20 , 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
I. EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone expenses:
(b,)pj miles at I.R.S. rate: $.50 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expenses - Please itemize below:
W x
-
X
a
t- z
$ Q
$ �-- 0 FE
$ Z 1
I
"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
il. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
X = 0.00 $ 51
451
III. TOTAL REIMBURSEMENT $ L'�~+
in no case can the amount of reimbursement exceed $800 per month.
Signed on the day of i- 1 2011
signature
Eli*