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HomeMy WebLinkAboutExp-02.2012-GarverCity City Council Member Statement of Expenses or Lost Inco AR 14 2112 Council Member's Name: George G. Garver ------�..e._. 4V+ $b((("" ss.%wlu a. Ui O'F/h For the month of�� 12 1 hereby .w.ORE ..r.w F certify that I have the 120 , following expenses and/or lost income related to exercising my duties as a Council member. v EXPENSES: v X Please fill out sections a - d below and check taxable or non-taxable. X X 0 � o (a.) Phone expenses: $ F1 F** (b.) 230 miles at I.R.S. rate: $.555 per mile $ 100 F] 0** (c.) Home office expense for area set aside for City business: $ F] (d.) Other expenses - Please itemize below: $ F1 0** $ 0 0** $ 0 F** **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.) Hourly rate X hours spent = Lost Income X = 0.00 $ F 111, TOTAL REIMBURSEMENT $ 100.00 In no case can the amount of reimbursement exceed $100 per month. signature