Jason Bruder OUTSIDE EMPLOYMENT STATEMENT
M~~ For Full time County and Municlpai Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Di8Clo8un3 for
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1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending'
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THE MiAMhDADE COUNTY CODE.
Name: Last First Middle
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FiNng as a (check one): ^ Miami-Dade County Employee
Muniapal Emplayee of: f_ v Ty O(1 M I/~M Rim N d~ T"- _
Position Title: ~--
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County/Municipal Department: C 1'C ~ O ~ M ~~l11 ~ CouMylMunicipal Division: =^
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!f your home address is exempt from public records purl of Work Telephone: ~ ••
to Florida Statutes § 119.07, please check hers: ~ ~` ~
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Mailing Address (Street Name and Number) Apt. #
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City State Zip Cafe
NI V -M t Q~~ I~' FL - .S ~ 1
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you recenred. !f continued on a separate sheet, please check here:
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
C ley o~ SvNN~f SSc~czS a~l+ '~f~1=,NG- ~Nf~'^~Mrrz~ ~ S -$ 7 P~ ~~~~~..
$ ~,~~y ~ s ~-'~ S i3 ~ c 4i , ~ • 3 3 - G o ;,T'M~ZS'T I G~ i ~ r/, (~-1 ovl~~ 1/~+r-~f' )
I hereby swear {or affirm) that the afonssaid information is a true and correct statement.
Signature of Pe isdosing Date Signed
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