HomeMy WebLinkAboutExp-03.2012-SattlerCouncil Member's Name:
Georgetown City of .,
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For the month of C hF 120 1 , f hereby certify th t I ha vaiIhOF GEOFRC `'
following expenses and/or lost income related to exercising my duties as a Council member.
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EXPENSES: X
X
Please fill out sections a - d below and check taxable or non-taxable.
X
X
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(a.) Phone expenses: $ D El
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(b.) 30 miles at I.R.S. rate: $. per mile $ 1'2,7= El ®**
(c.) Home office expense for area set aside for City business: $ Ex I
(d.) Other expenses - Please itemize below:
$ El F**
$ F-1 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
X = 0.00 $
Ill. TOTAL REIMBURSEMENT � � $
In no case can the amount of reimbursement exceed $NO per month.
Signed on the day of 20
III
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