HomeMy WebLinkAboutExpense Report-05.2012-Gonzalez,Tommyn �f u o rgi #
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i b Council Member Stateiment of
Expenses o
x en e r Lost in conIP0,€i
'Council Member's Name
For the month of
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ver d V that i have the ----- -_.
following expenses and/or lost income related to exercisingmy duties as a Council niernber,
L EXPE ~ tE;
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Please fill out sections a - d Deieuv and check taxable or nori- axa ie. �
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(a.) Phone expenses:
( miles at 1. .S, rate, $.555 per mile � � t
(c.) rime off=ice expense for area set aside for Citi, business. l
(fl Other expenses - Please itemize below;
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"These items can be reimbursed non-taxable per IRS guidelines when de ghled i gec ts o milia e
reports are attached to this fol -m.
1111p LOST INCOME
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(e.) Hourly rate X hours spent = Lost Income
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X 000
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III, TOTAL REIMBURSEMENT
1n no case can the amount of reimbursement exceed $1010 per month.
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Signed on the a day of