HomeMy WebLinkAboutExp-07.16.2010 thru 08.15.2010-MeigsCouncil Member's Name:
For the month of , 20 1 hereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
1. EXPENSES*
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone xpenses:
(b.) 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:
v
X
a, x
x �
0
$ F-1 D**
$
$
"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.) Eiouriy rate X hours spent = lost Income
X .00
EJ
0 El
p
IL $ EE
Ili, TOTAL REIMBURSEMENT $ � f� . fl
In no case can the amount of reimbursement exceed $800 per month.
Signed on the H day of 4,,( ZO IC
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9