Nowell, Wayne 05/06
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OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FULL-TIME COUNlY 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:
THE MIAMI-DADE COUNTY CODE.
Filing as a (check one):
D ~mi-Dade County mployee
Q1" Municipal Employee of: L; 'f
Middle
-
Position Title:
G-{brSc-HfeN/- O(('tCe--1L
CountylMunicipal Division:
S Jt:EEi-
Work Telephone:
C)S~673-~<.{S3
Apt. #
!/Uc
-0:e
Zip Code.
3 3<:9~
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: D
Name and Address of the Source of
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
101261OO