HomeMy WebLinkAboutExp-01.2012-GarverCouncil Member's Name:
For the month of
George Garver
Januar 20 12 , i hereby certify that 1 have the
following expenses and/or lost income related to exercising my duties as a Council member.
aj
1. EXPENSES: as Y
Please fill out sections a - d below and check taxable or non-taxable.ro
r
X C
0
Z
(a.)Phone expenses: D **
(b.) miles at I.R.S. rate: $.555 per mile $ 100 D D**
(c.) Home office expense for area set aside for City business: X
(d.) Other expenses - Please itemize below:
$ _ _ _ D E]
El 1**
D El**
**These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form. _
IL LUST INCOME
(e.) Hourly rate X hours spent = Fast Income
X _. 0.00 $EXI
Ill, TOTAL E! URS ENT"
1n nes case can the amount of reimbursement exceed $100 per month.
Signed on the . 17t ,lay of February 2012
signature
`l
Council Member's Name:
For the month of
George Garver
Januar 20 12 , i hereby certify that 1 have the
following expenses and/or lost income related to exercising my duties as a Council member.
aj
1. EXPENSES: as Y
Please fill out sections a - d below and check taxable or non-taxable.ro
r
X C
0
Z
(a.)Phone expenses: D **
(b.) miles at I.R.S. rate: $.555 per mile $ 100 D D**
(c.) Home office expense for area set aside for City business: X
(d.) Other expenses - Please itemize below:
$ _ _ _ D E]
El 1**
D El**
**These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form. _
IL LUST INCOME
(e.) Hourly rate X hours spent = Fast Income
X _. 0.00 $EXI
Ill, TOTAL E! URS ENT"
1n nes case can the amount of reimbursement exceed $100 per month.
Signed on the . 17t ,lay of February 2012
signature