HomeMy WebLinkAboutExp-06.16.2010 thru 07.15.2010-MeigsCity of Georgetown
City Council Member Statement of Expenses or Lost Income
Council Member's Name:
For the month of -, /` �} 20 , I hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
P. EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone expenses:
(b.)AoL,.2 miles at I.R.S. rate: $.50 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expenses - Please itemize below:
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$ r FV1 W
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$ r,
"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
111, LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
X _ 0.00
III, TOTAL REIMBURSEMENT
In no case can the amount of reimbursement exceed $800 per month.
Signed on the 8t day of
signature
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