HomeMy WebLinkAboutExpense Report-05.2011-Gonzalez,TommyCity of
Georgetown
City Council Member Statement of Expenses or Lost Income
Council Member's Name:
For the month of , 20 , 1 hereby certify that I have the
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(b.) miles at I.R.S. rate: $.51 per mile
(c.) Home office expense for area set aside for City business:
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"These items can be reimbursed non-taxable per IRS guidelines when detailed receipts or mileage
are attached to this form.
Il. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
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X =
TOTAL REIMBURSEMENT $
In no case can the amount of reimbursement exceed $800 per month.
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Signed on the day of k�i 20
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