HomeMy WebLinkAboutExpense Report -01.2011-Gonzalez,TommyC ity of Georgetown
City Council Member Statement of 1Ex nses or Lost Income
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.v i<3nLd Member'sMember'sf:[ L..1�r {,�..t'S_ C=
For the montIn oT' t G vt i U,� t s he$ ' v certifythhat i have the
ollo vin expenses and/car lost income related to exercising my duties as a Council member,
EXPEN ESO
Please fill out sections a d d below and check taxable or nontaxable.
(a.) Phone expenses:
fib.}ate miles at �,R.S. ;aye: dJ der € :€e
(c.) Home office expense for area set aside for City busineSQ.
(d.l Other expenses r lease ftennize iselc r:
q)
W
-- ED
"These items can be reimbursed tion -taxable per 1RS guidelines when detailed rgeceipisz or mileage
reports are attached to this florrn.
ai<T INCOME
Hourly rate X hours spent. Lost ricoane
! -..r. 0
HL TOMALREINVIBURSENVIENT
in no case can the amount of reimbursement exceed $800 permonth,
ontir.
, ,
Signed on the day sit __�� .. � � GL � v 20 �
�w
si�nat�re
,0th
x
-- ED
"These items can be reimbursed tion -taxable per 1RS guidelines when detailed rgeceipisz or mileage
reports are attached to this florrn.
ai<T INCOME
Hourly rate X hours spent. Lost ricoane
! -..r. 0
HL TOMALREINVIBURSENVIENT
in no case can the amount of reimbursement exceed $800 permonth,
ontir.
, ,
Signed on the day sit __�� .. � � GL � v 20 �
�w
si�nat�re
,0th