Zeigler, James Patrick
RECE'IVED
CITY CLERK'S DEPT.
JUN 2 2 2005
.~ADEt
OUTSIDE EMPLOYMENT STAt~t.nENT
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.
206b
Name: Last 1 fbt
Firs~
CJ ~
Midd);
rA~~
Filing as a (check one):
D Miami-Dade County Employee
[0'"Municipal Employee of:
posit6~ ~\)(L- V~bl
coun~uln~ ~epa~e~Jh
If your home address is exempt from public records
to Florida Statutes 9 119.07, please check here:
Mailing Address (Street Name and Number)
( 00 S~ ~Ct ( D fl.
City
~{{{~\ (Qt~)
ec...%(L
c&:~~~nzz:.Di 'Sion~. PLvtn01
Work Telephone:
~6S - (,1~-lDtiJ fXf- b 1t.f1,
Apt. #
State
~?Ol
Zip Code
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 0
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
I hereby swear (or affirm) th he aforesaid information is a true and correct statement.
Date Signed
e-[ '"2:2 llO
10/261l1l1