Bryan Layton 20181411®� OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
Full-time County (including Public Health Trust) and municipal employees engaging in outside employment must file an annual disclosure report
by July 1st of each year, in accordance with Section 2-11.1(k)(2) of the Miami -Dade County Code.
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2018 .1 aN T
Mailing Address — Street Number, Street Name, or P.O. Box
113 `b O SW S7754 -
City, State, Zip
Ga 1qL 3 3330
If your home address is exempt from public records pursuant to Florida Statutes §119.07, please see note on the following page and check here. ❑
Filing as an Employee (check one)
❑ County ❑ Public Health Trust XMunicipal Oil f
(Municipality)
Department
Division
Pira +
5"Per fss,'o,,
Position or Title
Employee ID Number rk telephone
Pt-rt�t4 v4e r'
ROSj(073
( ga O 7 -74S
Please list the sources of outside employment (including self-employment), the nature of the work, and the IQIs) amounts of money or other
compensation you received for each source of outside employment. If no income or compensation was received from a particular outside
employment, enter zero (0) for that organization in the section below. If continued on a separate sheet, check here. ❑
Name and Address
of the Source of Outside Income
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
�3rowwrd � ���c.•. 2&W
ad jw.cr�— Zn %br
g S, 000
y
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
L/.�-7/i9
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
p Hardcopy
Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
tan 01.99 CAF 9n1R