HomeMy WebLinkAboutExpense Report-06.2011-Gonzalez,TommyR
Council Member's Name:
For the month of , 20 ,1 hereby certify that I have the
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Please fill out sections a - d below and check taxable or non-taxable.
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(a.) Phone expenses: $ EJ
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(b.) miles at I.R.S. rate: $.51 per mile $ m **
(c.) Home office expense for area set aside for City business: $
(d.) Other expenses - Please itemize below:
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are attached to this form.
II. LOST INCOME
(e.) Hourly rate X hours spent = Lost Income
X = $
TOTAL REIMBURSEMENT �E
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In no case can the amount of reimbursement exceed $800 per month.
Signed on the P day of ` _ , 20
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