HomeMy WebLinkAboutExpense Report-12.2010-Gonzalez,Tommy1, JAN 0A 2011
City of Georgetown
City Council Member Statement ent of Expenses or lost I cor
City Secretary
oc€eaber's Name;iZ4-
For the month of � ->V!/, e r 20 ' F i hereby certify fat 1 have the
following expenses and/or lost income related to exercising my duties as a Council membery
9%is
Please fill out sections a o d below and check taxable or on-taxablel
a.) lone expenses:Li
If`
(b•);Z Q miles at €.11.x. rate: $,50 per mile
b V '
(c.) home office expense for area set aside for Citybusiness: su E
TOTAL REIMBURSEMENT _ g c
in no case can the amount of reimbursement exceed 00 per month,
Signed on the day of � � � � � 20 ILL,
signature