HomeMy WebLinkAboutExp-05.2012-GarverCouncil Member's Name:
For the month of May , Iaereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
I® E PE SES&
Please fill out sections a - d below and check taxable or non-taxable. a
X
M o
(a.) Phone expenses:
(b,) 198 miles at I.R.S. rate: $,555 per milea 109.89 EJ L^___W
(c.) Borne office expense for area set aside for City business: $ E
(d.) Lather expenses - Please itemize below:
I
I
"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
Ills LOSS' INCOME
(e.) Hourly rate X hours spent = Lost Income
a
0.00
III, TOTAL REIMBURSEMENT
In no case can the amount of reimbursement exceed $1001 per month.
Signed on the _ 11th of Jane, 2012
signature
fiv
For the month of May , Iaereby certify that I have the
following expenses and/or lost income related to exercising my duties as a Council member.
I® E PE SES&
Please fill out sections a - d below and check taxable or non-taxable. a
X
M o
(a.) Phone expenses:
(b,) 198 miles at I.R.S. rate: $,555 per milea 109.89 EJ L^___W
(c.) Borne office expense for area set aside for City business: $ E
(d.) Lather expenses - Please itemize below:
I
I
"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
reports are attached to this form.
Ills LOSS' INCOME
(e.) Hourly rate X hours spent = Lost Income
a
0.00
III, TOTAL REIMBURSEMENT
In no case can the amount of reimbursement exceed $1001 per month.
Signed on the _ 11th of Jane, 2012
signature