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Erbs, Robert L. 6/6/6 .Jt&t OUTSI,DE 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: THE MIAMI-DADE COUNTY CODE. Name: Last First ~cw1 Middle ~W L--- Filing as a (check one): o Miami-Dade County Employee rgJ Municipal Employee of: ~.~ Position Title: ~ ~ 1 -- CountylMunicipaJ Department CountylMunicipal Division: Me:>. Vp.-(?t.- If your home address is exempt from public recon::Is pu~uant Work Telephone: to Florida Statutes 9 119.07, please check here: ~ ~<) lo'7~ I , 'l. S Mailing Address (Street Name and, Number) Apt. # ''7--~~ ~lrJL~"'e:.- V~ City State Zip Code. /1,1"0..(2;;> YL- '3'J I ~ c;' 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 Nature of the Work Amount of Money or Oul$ide Income Perfonned Compensation Received .. ~f~ OW- Q\0~(tVd ~~ ,,--0 I hereby swear' (or affirm) that the aforesaid ~~n ,is a true'and' correct statement. ,','. ",i"I , Signatu~iSCIOSing <3 \ :8 \;j \j I \ill .;1,,' Date rignE~ ,.oj'\ "', t ',: '. I ,', t,; CJ ., fiV -"" ...... ,"..,;; 1012M10