Dwayne Drury 2010 MIAM OUTSIDE EMPLOYMENT STATEMENT
For Full -time County and Municipal Employees
Y P P Y
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for �)
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2- 11.1(K)(2) OF Tax Year Ending: °C
THE MIAMI -DADE COUNTY CODE.
Name: Last First Middle
Ro Filing as a (check one): n Miami -Dade County Employee
Q41unicipal Employee of: C1 o
Position Title:
County/Municipal Department: County/Municipal Division:
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If your home address is exempt from public records pu ant Work Telephone:
to Florida Statutes § 119.07, please check here: records
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Mailing Address (Street Name and Number) Apt. #
City State Zip Code
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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 here: n
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement. p m
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Si ture of Person Disclosing Date Signed 5 I ■)
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10/26/00