HomeMy WebLinkAboutExp-11.2010-SattlerCity of Georgetown
City Council Member Statement of Expenses or Lost Income
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Council Member'sName:� A T -z Z.
For the month of X14 ies 867XL1 , 20 14) , 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone expenses:
(b.) .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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reports are attached to this form.
e per IRS guidelines when detailed receh
11. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
0.00
III, TOTAL REIMBURSEMENT
In no case can the amount of reimbursement exceed $800 per month.
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