Leggett, James E.
"~ADEt
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 i-
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: ~tJO
THE MIAMI-DADE COUNTY CODE.
Name: Last
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D Miami-Dade County Employee
!Xl Municipal Employee of: U/ 11M /
Middle
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Filing as a (check one):
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Position 1'12. ~[,/) tit.
County/Municipal Department:
IL
CountylMunicipal Division:
If your home address is exempt from public reco~ursuant
to Florida Statutes 9119.07, please check here:~
Mailing Address (Street Name an~ r;umber) I-
Jo AI e. &'H ,fhee1
City
HI cfth~~
Work Telephone:
3C;O:-~75- 7a:?Gi K 0/0f::>
Apt. #
State
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Zip Code.
e771:::8
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
Performed
Amount of Money or
Compensation Received
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t hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature 0 e on DiSC~ .
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