HomeMy WebLinkAboutExp-03.2012-GarverCouncil Member's {Name:
George G. Garver
For the month ofE 20 I hereby certify that I have the
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following expenses and/or lost income related to exercising my duties as a Council member.
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CITY OF GEORGETOWN
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1. EXPENSES:
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Please fill out sections a - d below and check taxable or non-taxable.
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(a.) Phone expenses: $ ❑ D**
(b.) 208 miles at I.R.S. rate: $.555 per mile $ 115.44 0 FX
(c.) Home office expense for area set aside for City business: $ 51
(d.) Other expenses - Please itemize below:
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$ F E7
**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
0
0.00
111. TOTAL REIMBURSEMENT
In no case can the amount of reimbursement exceed $100 per month.
Signed on the _ 17th Day of April, 2012
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$ 100.00
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