Jonathan C. Brudzinski 2010 MIAMFDADE 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 D SCLOSURE REPORT BY JULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2- 11.1(K)(2) OF Tax Year Ending: 7--O \
THE MIAMI -DADE COUNTY CODE.
Name: Last First Middle
Filing as a (check one): El Miami -Dade County Employee
Municipal Employee of: C��`Y cSr V rv,=_ i .4,1
Position Title:
5(2_C.-e.. ry cV ?•5:
County/Municipal Depart ent: County/Municipal Division:
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If your home address rs exempt from aublic records pursuant Work Telephone: -2
to Florida Statutes § 119.07, please check here 30G- ,
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Mailing Address (Street Name and Abmber) Apt. #
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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:
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 afcresaid information is a true and correct statement. -^
Signature of P • • Ioging Date Signed
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10/26/00