HomeMy WebLinkAboutExp-05.2011-SattlerCity of Georgetown
Citv couPr S Puent of • # s
Council Member's Name:f 4_71
For the month of �- 120 H , I hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone expenses:
(b.) 2 miles at I.R.S. rate: $.56 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expenses - Please itemize below:
F1 =1 c. C. er, it C� i �c ".
X
v x
g F-
o
F- Z
® F]
$- El FA
*
$ 0 El
$ EJ El
"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 $
III. TOTAL REIMBURSEMENT $
In no case can the amount of reimbursement exceed .$800 per month.
Signed on the a day of r= , 20 N
signature