HomeMy WebLinkAboutExpense Report-04.2012-Gonzalez,TommyLz
71401ty of
Georgetown ow 3jj °".^ .�. jj
fS 3}{"'
1t y Council Member Statenient of Expenses or L st Inc m
1I M
I 'A e 5 9012
Co�unciI Member's ?cane= (� f; e�
c + CFFY C 6a rr i4
For the month of 20 1 hereby c��i` that 3 have t1;
following expenses and/or lost income related to exercising my dutles as a Council member,
EXPENSES.
E ;
r, Please sill out sections a - d below and check taxable or nor, taxable.
(a.) Phone expenses:
fb- piles at 1.11,S. rate: $.555 per wile
(c.) HHome office expense for area set aside for pity business:
(d.) Other expenses - Please iternize below:
ro
a 0
z
J
�T
. € hese items can lie re imbu r sect nnn-taxab€e per I€RS gu idelfin es when ,detchled receipts or ;-nileage
I reports are attached to this Berm.
ll, LOST INCOME
(e.) Hourly mate X hours spent = Lust incorne
is
0,00
Ill, TOTAL REIMBURSEMENT
In no case can the amount of reimbursement exceed $00per month.
s,§
Signed on the day of
re