Brooks, Kathie Gene 6/29/06
_K>Tt 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 cQOO 5
1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K)(2) OF Tax Year Ending:
THE MlAMl-DADE COUNTY CODE.
Name: last First Middle
~A.oe~s \ <: (~ Tl-I I G;. q. ~\4 ~
Filing as a (check one): ~iami-Dad~ County Employee
G Municipal Employee of: t1 , A 10-(1 B E:;ACA-\
Position Title:
J:> I a.. e.c... TO a...
CountylMunicipal Department: CountyIMunicipal Division:
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If your home address is exempt from public records pursuant WorX Telephone:
to Florida Statutes 9119.07, please check here: 0 3oS- - ~'1~ -/0\ 0
Mailing Address (Street Name and Number) Apt. #
l '700 COWVf:::, NT 10"-1 CG r...}T6 It.. !::>~ \ " G, .5TG 4-00
City State I Zip Code
_K I A fY\ , f6 G. A c.."'+4 Fl- 3~,~q
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 Nature of the Work Amount of Money or
Outside Income Perfonned Compensation Received
~1""'T'- RG.-AL.. G- STATe. ~~IOOO ,00
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;'000 5U"-15&\ f4-~~R
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I
11 t-t SA,.s.\-\ Ote..6 VI ~iO\..iS Boo \(. "-G6t) I..:) ~
$ p,e:.oPG~ ~ 0 -DO
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I hereby swear (or affinn) that the aforesaid information is a true and correct statement.
~~~~ Date Signed
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