Bruder, JasonRE ~ EI,VED
OUTSIDE EMPLOYMENT STATEMENT
MIAMFDADE
~~ For Full-time County and Municipal Employ ~ e
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Di8ClO8ure for
1ST OF EACH YEAR W ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMhDADE COUNTY CODE.
Name: Last
~ P~ U -~ ~ ~ First
~.~5°~ Middle
Filing as a (check one): ^ Miami-Dade County Employee
uniapal Employee of: ~ I ~~, 1 ;_~ ~' l ~~~L ~~
Position Title: ~_ ^ ~fTl ~~,-~;~ `
~~lM~ SG~ .=~,,,,,~
County/Municipal Department: County/Municipal Divisi
If your home address is exempt from public records ant W~ Telephone:
to Florida Statutes § 119.07, please check here: ~~ ~- G ~ ,~ - ~ ~ ? ~ ~"f ~" ~ ~3~-
Mailing Address (Street Name and Number) ~• ~
b0 w~s~l,~~ ~~~ '' _ ___-
City State ZP C.ode
Please list the sources of outside employment, the nature of the work and the amounts of rr~or~ey ~ other
compensation you received. ff cor-tirxied on a separate sheet, please check he-e: ^
Name and Address of the Source of
Outside Income Nature of the Work
Performed Amount of Money or
Compensation Received
~~ rr~ a ~ s~,~,~y ~s~ ~ ~~~i~ ~i,~ ~ .~ ~ ~ , ~7 H ~ - .
t~a~o ~~u.i~s ~~-
v ~~N~ ~ s~ ~ r3~~k ~ ~- _ ~3 3 t 6~
1 hereby swear {a affirm) that the aforesaid iMomiation is a true and corrsc.K statement.
Signature of P Disclosing Dat~e'`Sign~edQ
v
~orie~oo