HomeMy WebLinkAboutExp-07.2011-SattlerCity of Georgetown FD
E EDCity Council Member Statement of Expenses or Lost lncom
2011
Council Member's Name:-
Cir,' OF GEORGE; &AJI l
For the month of �s :`' 20 , 1 hereby certify that I h
following expenses and/or lost income related to exercising my duties as a Council member.
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t. EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable.
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(a.) Phone expenses: $ 6D —� 1 ^- 1 El
(b.) miles at I.R.S. rate: $.51 per mile 5A $ **
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(c.) Home office expense for area set aside for City business: $ F
(d.) Other expenses - Please itemize below:
$ 0 ❑**
$ El 0**
F EJ
**These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
11. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
X = 0.00 $ ED
III, TOTAL REIMBURSEMENT $'7��
In no case can the amount of reimbursement exceed $800 per month.
Signed on then. day of `'` r 20 (( .
signature