HomeMy WebLinkAboutExp-02.2011-SattlerCity of Georgetown
City Council Member Statement of Expenses or Lost I
Council Member's Name: r �'
For the month of FE C5
MAR 0 1 2011
MN
120 ( , I 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.
(a.) Phone expenses:
(b.} L. miles at I.R.S. rate: $.51 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expenses - Please itemize below:
$ El El
$ 0 El
$ 0 0
"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
ll. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
x = 0.00 $
Ill. TOTAL REIMBURSEMENT $
In no case can the amount of reimbursement exceed $800 per month.
i
Signed on thei day of ( 20 E
signature