Rozenblit, Daniel Max 6/16/06
.. OUTSIDE EMPLOYMENT STATEMENT
For Full-time 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: 200)-
THE MIAMI-DADE COUNTY CODe.:
Name: last First Middle
KOLeNBL7:-r DANIef JGf4 X
Filing as a (check one): o Miami-Dade County Employee
~ Municipal Employee of: C:Z-1Y OF- t/2/1M.L BeAC#
Position TiUe: N tTf:1L
ANAL I/S;-
CountylMunicip81 Department~ CountylMunicipal Division:
, !AIl..K2J0&- ADM:uJ
If your home address is exempt from pubflC recotrIs pursuant Work Telephone:
tD Flotida Statutes 6 119.07. pleasB check here: D 30)-673-74'00 . Exr 6271C
Mailing Address (Street Name and. Numbetj Apt.
'203LJO 5.i,J. 5 I'll 57/( e-er
I ~MP,I<O/<U 9~6 State Zip Code.
rL' 33029
Pfease 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 Nature of the Work Amount of Money or
Outside Income Perfonned Compensation~ed
AWC;501~C" ~AD;;z.;vG-' ~,<jLl!5" . a,
$ '16; (}CQ.. ()()?..J
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I hereby swear (or affinn) that the aforesaid infonnation is a true and correct statemenl
"Sign~/Iof p~n Disclosing Date Signed
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