HomeMy WebLinkAboutExp-12.2010-Garverori
Ia E PEP S€So
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone expenses:
(b.) 680 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:
W
D
w X
r- Z
$ 340
$ 200 �
�"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
l€. LOST INCOME
(e.) Hourly rate X hours spent = Last income
Ill. TOTAL REIMBURSEMENT $ :5W00- �rc
in no case can the amount of reimbursement exceed .$800 per month.
Signed on the,. __. day of
signature
20J. _.
1:1 DI
El 0
El 0
Council Member's dame.
For the month of
I hereby certify haat I have the
Fallowing expenses and/or
lost income
related to exercising my
duties as a Council member.
Ia E PEP S€So
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone expenses:
(b.) 680 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:
W
D
w X
r- Z
$ 340
$ 200 �
�"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
l€. LOST INCOME
(e.) Hourly rate X hours spent = Last income
Ill. TOTAL REIMBURSEMENT $ :5W00- �rc
in no case can the amount of reimbursement exceed .$800 per month.
Signed on the,. __. day of
signature
20J. _.
1:1 DI
El 0
El 0