Robert L. JenkinsMIAMFDADE OUTSIDE EMPLOYMENT STATEMENT
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For Full-time County and Municipal Employees =-~
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
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EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for ~'~' -
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(x)(2) OF Tax Year Ending: c~
THE MIAMI-DADS COUNTY CODE. `.°, x,.
Name: Last
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Filing as a (check one): ^ Miami-Dade County Employee ~~~
~Muniapal Employee of: ~, ~ S ~ r ~l ~~ 1 -~rq~,'
Position T,i/t~le:
County/Municipal Department: CountylMunicipal Division:
1f your home address is exempt from public records pu anf Work Telephone:
to Florida Statutes § 119.07, please check hem: ~1 ~~ ' ~ ~7 ' Sr~Z..S
Mailing Address (Street Name and Number) Apt. #
City State Zip Code
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. if continued on a separate sheet, please check hem:
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
f hereby r (or affirm) that the aforesaid information is a true and correct statement.
Signature o ~P n i I 'ng Date ign
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