HomeMy WebLinkAboutExp-10.2011-SattlerCouncil Member's Name: i
For the month of 20 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
1. EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable.
x
(a.) Phone expenses: $ . El D
(b.) ' miles at I,R.S, rate: $,555 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expenses - Please itemize below:
EJ El
$ _ El
"These items can be reimbursed non-taxable per IRS guidelines when detailed rerecepis or mileage
reports are attached to this form.
11, LOST INCOME
(e.) dourly rate x hours spent = most Income
K - 0,00 $ l I
III, TOTAL REIMBURSEMENT
ENT
In no case can the amount of reimbursement exceed $100 per month.
Signed on the
NOV 0 8 2011
5
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