Dubbin, Murray H. 6/12/06
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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: 2-005
THE MIAM1-DADE COUNTY COOE.
Name: Last
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First
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Middle
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Filing as a (check one):
o Miami-~ County Employee
~nicipal Employee of: 1'-1 ~
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Position Title:
City
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6eumyfMunicipaJ Department:
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If your home address is exempt from public records pursuant
to Florida Statutes S 119.07, please check here: 0
Mailing Address (Street Name and Number)
33 lV.E=. 3d, ~~
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CountyIMunicipal Division:
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Work Telephone:
'3()S 576 ?-tJ-~
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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: 0
Name and Address of the Source of
Outside Income
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Amount of Money or
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. 'F) that the aforesaid informati9q is a true and correct statement. _,
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of erson DiSC;~i~ A' , Date Signed
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