Robert L. Jenkins 2010 MIAM OUTSIDE EMPLOYMENT STATEMENT
For Full -time County and Municipal Employees
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: 2- 1 117
THE MIAMI -DADE COUNTY CODE.
Name: Last First Middle
580 K 1 4 s R s/z
Filing as a (check one): 0 Miami -Dade County Employee
® Municipal Employee of: C' � 'oP N / ,4 M / 9 c q
Position Title:
P G 1 2 K , Ai G G P,c f P �-
County/Municipal Department: County/Municipal Division:
PIA 0 -1C,4.) k A6/0A
If your home address is exempt from public records pt1rsuanf Work Telephone:
to Florida Statutes § 119.07, please check here: - j b (c,3
Mailing Address (Street Name and Number) Apt. #
(44 g � Z pL,
City State Zip Code
t; Q•P✓'- C l n 33 3 Z)
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: I I
Name and Address of the Sourc3 of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
! 1 dVvi l e0M::. C U Lt � �'°"� c 2 c
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1 hereby swear (or affirm) that the aforesaid information is a true and correct statement. n
Signatu • • : M n ►iscl ► 'ng Date Sign
,(1/28/00