HomeMy WebLinkAboutExpense Report-12.2011-Gonzalez,TommyCouncil Member s Name -
For the month of � ; �. � �` `u ®"A 120 I hereby certify
following expenses and/or lost income related to exercising my duties as a Council
have t -
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Please fill out sections a - d below and check taxable or non-taxable. � r
ID a
Ia,j Phone expenses:
b,) miles at 1.R.S, rate- $355 per resile
(c) Home office expense for area set aside for City business-,
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0**
El 0**
(d.) Other expenses - Please itemize bele;
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*These items can be reimbursed non-taxable per IRS guidelines when detailed recce or mileage
reports are attacked to this form.
D D° -
IL LOST INCOME
(e•) Dourly sate X hours spent = Lost Income
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0,00 ' X n
Ill. TOTAL REIMBURSEMENT
in no case can the amount of reimbursement exceed 00 per mends.
Signed an the day of r'x' 2
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signature