HomeMy WebLinkAboutExp-06.2011-EasonCity Council Member Statement of Expenses or Lost Income
Council Member's name:
For them h of
following expenses a
I. EXPENSES:
20 , 1 hereby certify that I have the
F
lost income related to exercising my duties as a Council member.
Please fill out sections a - d below and check taxable or non - taxable.
(a.) Phone expenses:
(b.)
/ a
miles at I.R.S. rate: $51 per mile
(c.) Home office expense for area set aside for City business:
(d.) Other expe s s - Pleas term below:
O
�— z
MM
"These items can be reimbursed non - taxable per IRS guidelines when detailed receipts or mileage
are attached to this form.
(e.) Hourly rate X hours spent = Lost Income
X
F W
in no case can the amount of reimbursement exceed $800 per month.
Signed on the day of q 220
X
�
x
o
�— z
MM
"These items can be reimbursed non - taxable per IRS guidelines when detailed receipts or mileage
are attached to this form.
(e.) Hourly rate X hours spent = Lost Income
X
F W
in no case can the amount of reimbursement exceed $800 per month.
Signed on the day of q 220