Eugene N. Newton 2010 MIAMFD OUTSIDE EMPLOYMENT STATEMENT
For Full -time County and Municipal Employees
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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: 6; `0
THE MIAMI -DADE COUNTY CODE.
Name: Last First Middle
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Filing as a (check one): ❑ Miami -Dade County Employee
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V Municipal Employee of: 0 1 ,( +1 C 4- M t Ct� ;� -4
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Position T tIe:
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Countykdriicipal Departmen3 County/Municipal Division:: ;
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If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: ❑ (o9 5-3 F
Mailing Address (Street Name and Number) Apt. #
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City State gp 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. ff continued on a separate sheet, please check here: ❑ c) o
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Name and Address of the Source of Nature of the Work Amount ofibion `► XI
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Outside Income Performed Compensatip,RevecT
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing : S . )4� � �� � 1 �� Date Signed
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