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HomeMy WebLinkAboutExp-10.16.2010 thru 11.15.2010-MeigsCouncil Member's Name For the month of -ertify that I have the following expenses and/or lost income related to exercising my duties as a Council member. v I, EXPENSES: Please fill out sections a - d below and check taxable or non-taxable. L° r X M 0 (a.) Phone expenses: $ O El ** (b.) miles at I.R.S. rate: $.50 per mile (c.) Home office expense for area set aside for City business: $ OX (d.) Other expenses - Please itemize below: $ Cl ED "These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage reports are attached to this form. II. LOST INCOME (e.) Hourl¢y$y rate X hours spent = Lost Income Xa,. 09 ` 111. TOTAL REIMBURSEMENT In no case can the amount of reimbursement exceed .$800 per month. Signed on the day of 20 0 $ o.00 Ex I .A.-� � $�%'6.00 � 151 l a w+ c IN