Lee, Robert A
MIAMD 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 'Zt:J 0 ~
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 Middle
LEE- (-Zo6~ -A -
Filing as a (check one): o Miami-Dade County Employee " G~-f{
~nicipal Employee of: C/ry of H( 1t"M-{
Position TiUe:
C8 ~.'E- Ce CVl ~f..- ( IJfIJ Gt, (S)Fn~ L.
CountylMunicipal Department County/Municipal Division:
CC~1 Dr- 1'-( , A-M' l l?J...~.c{--f
- 'I-
If your home address is exempt from public reco~uant Work Telephone:
to Florida Statutes ~ 119.07, please check here: 3"S=-c:'75~- -7tJO-o X6fi?j
Mailing Address (Street Name and. Number) Apt.#
City State 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: 0 .
Name and Address of the Source of Nature of the Work Amount of Money or
Oul$ide Income Perfonned Compensation Received
, .....
C<-r; ef- M (f'rfV\' geac:&, LeDE (bM~t~
,
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
.s~na~3t;2 Date Signed
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