HomeMy WebLinkAboutExp-04.2012-Meigs-Part1Citi of Georgetown
City Council Member Statement of Expenses or Lost Income
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Council Member's Name:
For the month of j 20 , 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member,
.Q
EXPENSES: x
Please fill out sections a - d below and check taxable or non-taxable.
X
o
(a.) Phone expenses: $**
(b.) miles at I.R.S. rate: $.555 per mile $ EJ F1
(c.) Home office expense for area set aside for City business: $ 0
(d.) Other expenses - Please itemize below:
$ F1 F1
$ Q F7
$ C7 F1
**These items can be reimbursed non-taxable per IRS guidelines when detailed recuts or mileage
reports are attached to this form.
(e.) ourly rate X hours spent = Lost Income
X _ °`` 0.00
$ Fx
IAO
111. TOTAL REIMBURSEMENT $ /
in no case can the amount of reimbursement exceed $100 per month.
Signed on the day of dL20/2�
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