HomeMy WebLinkAboutExp-03.2011-SattlerCity of Georgetown
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Council Member's Name: 1&4L -
For the month of 1C. , 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.) 10miles at I.R.S. rate: $.54 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expenses - Please itemize below:
$ ti r -;Z] El
$ wED0
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("These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
It reports are attached to this form.
0 0
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ll. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
X = 0.00 $ 51
Ill. TOTAL REIMBURSEMENT $
In no case can the amount of reimbursement exceed $800 per month.
Signed on the € day of A P r-1 120
signature
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X
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$ ti r -;Z] El
$ wED0
Q
("These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
It reports are attached to this form.
0 0
F"I El
El EJ
ll. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
X = 0.00 $ 51
Ill. TOTAL REIMBURSEMENT $
In no case can the amount of reimbursement exceed $800 per month.
Signed on the € day of A P r-1 120
signature