Nowell, Wayne
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OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
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FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISClOSURE REPORT BY JULY
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF
THE MIAMI-DADE COUNTY CODE.
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Disclosure for A." 1 ~.
Tax Year Ending: () :;~)
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First
Middle
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Filing as a (check one):
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D Miami-Dad~ County Employee
D Municipal Employee of: Ci'+
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CountylMunicipal Division:
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Work Telephone:
Mailing Address (Street Name and Number)
63 0 Aj.LA).
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3tJs-67'5 -
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Apt. #
330s
Zip Code
ue
3dS6
Please list the sources of side 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
Nature of the Work
Performed
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Amount of Money or
Compensation Received
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b 70 I C o( ('jJj 111/c:-
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
10126/00
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