HomeMy WebLinkAboutExp-06.2010-SattlerCouncil Member's Name: �� a � � - � t4 -j �t .. �
For the month of _ L) , 20 I hereby certify that I have the
following expenses and/or lost income related to exercising my clunes as a Council member,
EXPENSES*
Please fill out sections a - d below and check taxable or non-taxable,
�
-reports are attached to this form.
LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
0
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III, TOTAL REIMBURSEMENT
in no case can the ama .. - of a $800 per monj
day of
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20 f
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City of Georgetown
MemberCity Council of senses or Lost Income,
For the month of
AUS
, 20 % 0, 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
1. EXPENSES:
Qy X
Please fill out sections a - d below and check taxable or non-taxable.
X
co O
E— Z
(a.) Phone expenses: $ ® El
**
(b.) miles at I.R.S. rate: $.50 per mile $ El**
(c.) Home office expense for area set aside for City business: $
(d.) Other expenses - Please itemize below:
R
**These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
0 D**
(J 0**
0 El
11, LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
x = 0.00 $ a
III, TOTAL REIMBURSEMENT $ .
In no case can the amount of reimbursement exceed $800 per month.
J
Signed on the � day of � 0 7 120/0.
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signature
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