Dwayne Drury 2012 I % L I I N
M, 0 OUTSIDE EMPLOYMENT STATEN! FUR 19 P(' 2: 33
® For Full-time County and Municipal Employee
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
iITY CLERIK`S V FICE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(1)(2) OF Tax Year Ending: 6; � 02
THE MIAMI-DARE COUNTY CODE.
Name: Last First Middle
T)
Filing as a(deck one): ❑ Miami-Dade County Employee
ED/Municipal Employee at /r l i 4t-A/ i3c,4 C4,
Position Title:
County/Municipal Department: J County/Municipal Division:
Tee M,4m 1 s 1 :2 q O
If your home address is exempt from public records pursUaRV Work Telephone:
to Florida Statutes§ 119.07, please check here: [ 3 p! 7.3 7Ca)
Mailing Address (Street Name and Number) Apt.#
6
3,K 1 Cie—
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 here: ❑
Name and Address of the Source of Nature of the Work Amount of Money or
�/►� /�'__ Outside Income Performed Compensation Received
1 '1 `►"'�I -F�a�� C_D/1�9�- { i !Ll_. 1 /�94/✓�lhe/ � 1 1 419 3o/0
3 I eo 0 Ld I ICA s-V
1=L 3-5167
I hereby swear(or affirm)that the aforesaid information is a true and correct statement.
Signat a 6 Person Disclosing Date Signed
MOM