HomeMy WebLinkAboutExp-05.18.2010 thru 06.15.2010-MeigsCity of Georgetown
City Council Member Statement of Expenses or Lost income
Council Member's Nam,
For the month of
:ertify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
�la 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.) Nome office expense for area set aside for City business:
(d.) Other e_,Cpenses - Please itemize below:
$ _ 0
"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
11. LOSS" INCOME
(e.) jHourly rate X hours spent = Lost Income
X `� _ 'a 0.00
$ }{
III, TOTAL REIMBURSEMENT$ k� 1
In no case can the amount of reimbursement exceed $800 per month.
Signed on the day of .:," 20
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