HomeMy WebLinkAboutExp-08.2010-SattlerCity of Georgetown
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council Member's Name: it 'L.-
3
For the month of L'%� , 20, 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
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1. EXPENSES:
ar x
Please fill out sections a - d below and check taxable or non-taxable.
X
M o
I— Z
(a.) Phone expenses: $ ® El
(b.) L miles at I.R.S. rate: $.50 per mile $- , D 0**
(c.) Home office expense for area set aside for City business: $' Sr `Ex I
(d.) Other expenses - Please itemize below:
$� 9
"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
Q Fx
D El
ll. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
X = 0.00 $ ED
Ill. TOTAL REIMBURSEMENT $
in no case can the amount of reimbursement exceed $800 per month.
signed on the day of, h Y 20 .
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