Zeifman, Howard Phillip 6/5/6
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ED
.Q.~1~~.~!J:MPLOYMENT STATEMENT
For Fult-:tirili 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: ).00 ,
THE MIAMI-DADE COUNTY CoDE.
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First
H.ow
D Miami-Dade County Employee
~Municipal Employee of: C, or y 0 F J,{ IN'\ \. & E'" CI1
Middle
Name: Last
Filing as a (check one):
Position TiUe:
S .e.(lG.E.A~ ,.. Po uc.t..
County/MunicipaJ Department
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If your home address is exempt from public recon:Js--P'fSuant
to Florida Statutes ~ 119.07, please check hem: j2g
Mailing Address (Street Name and. Number)
, I. 00 W~~"I~'To'-') A" e:
City
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County/MunlcipaJ Division:
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Work Telephone:
()OS)'1'\~ 11(',,0
Apt. #
State Zip 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, If continued on a separate sheet, please check here: D .
Name and Address of the Source of
Outside Income
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Nature of the Work
Perfonned
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Amount of Money or
Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
P~IOS g
Dates:r~1 0'
101'l81ll0