HomeMy WebLinkAboutExpense Report-02.2012-Gonzalez,TommyGeorgOf c
C.ity Council Member Statement of Expenses or I_os=_
�_.ouncil Member's Name:
r"`ry
For the month of .,r. 4T,"` ` 20 ' i_ , I hereby certify that ! have the
following expenses and/or lost income related to exercising my duties as a Council member.
le EXPENSES:
Please fill out sections a - d below and check taxable or non-taxable.
(a.) Phone expenses:
(b.) miles at I.R.S, rate: $$.555 per mile
(c.) Horne office expertise for area set aside for City business:
(d.) Other expenses - Please itemize below:
X
x
X
r—
X �
res O
F
$_ D Elx*
*'ihese 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
El El
E D
F-1 Fx
S t X
I€i, TOTAL REIMBURSEMENT
In no case can the amount of reimbursement exceed $100 per month.
r A
qi ned on the I I
g day 20 ,
si