HomeMy WebLinkAboutExp-05.2012-SattlerCouncil 6 Member's fame: . ,a t rrt
For the month of sf 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:
X
Please fill out sections a - d below and check taxable or non-taxable, r
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(a.) Phone expenses: EJ El
(b,) miles at I.R.S. rate: $,555 per mile �*
(c.) Home office expense for area set aside for City business:
(d.) Cather expenses - Please itemize below
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**These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
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11, LOST INCOME
ie.) Hourly rate X hours spent = Lost Income
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111, TOTAL REIMBURSEMENT
in no corse can the amount of reimbursement exceed $100 per month.
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Signed on the day of w u 20_t2-" -
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