HomeMy WebLinkAboutExp-11.2011-MeigsCity of Georgetown
City Council Member Statement of Expenses or Last Income
Council Member's Name:
For the month of I ' °' L 120 , 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
1. EXPENSES:
X
Please fillout sections a - d below and check taxable or non-taxable.
X
ru o
(a.) Phone expenses: $ El 0**
(b♦) miles at 1.R.S. rate: $:555 per mile $ Q**
(c.) Home office expense for area set aside for City business:
(d,) Other expenses - Please itemize below:
*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.}, . ourly rate X hours spent = Lost income
X �
0.00 $
Ill. TOTAL REIMBURSEMENT
in no case can the amount of reimbursement exceed $100 per month.
Signed on the 6 day of 20 ! .
signature
FX I
D El
F1 F1
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