HomeMy WebLinkAboutExp-07.2010-SattlerCity of Georgetown
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Council Member's Name:
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For the month of TL,) , 20 / e,1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
�1. EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable,
(a.) Phone expenses:
(b.) 61�D miles at I.R.S. rate: $.50 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expenses - Please itemize below:
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j "These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
It. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
91
0.00
kid
C
Ilio TOTAL REIMBURSEMENT $
in no case can the amount of reimbursement exceed $800 per month.
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Signed on the day of LO 20 .
signature
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�- Z
v®"
$` -o El #*
$
j "These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
It. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
91
0.00
kid
C
Ilio TOTAL REIMBURSEMENT $
in no case can the amount of reimbursement exceed $800 per month.
ff s 12t
Signed on the day of LO 20 .
signature