Brooks, Kathie GeneMIAM OUTSIDE EMPLOYMENT STATEMENTR~~,
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For Full-time Coun and Munici al Em "lo ees . !
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FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE ~g P
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY Jw.Y DiSClosur@ fof e~T
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1sT OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(KK2) OF Tax Year Ending: ~
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THE MIAMI-DADE COUNTY CODE.
Name: last First Middle
1"3i2ookS K ATH 1C-, G-E N E
Filing as a (check one): ^ Miami-Dade County Employee
Muniapal Employee of:
Position Title:
1J 12 Ec-so 2,
CountyiMunicipal Department: County/Municipal Division:
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p yrwr home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check hero: ^ 3as' - 6 ~ 3 -~ p 1 O
Mailing Address (Street Name and Number) Apt. #
Coo 3 ~ ~. A Dort G G .]) 21dE.
City State Zip Code
m-arv,~ e~c..q~N F~ 33140
Please list the sources of outside employment, the nature of the work and the amourrts of money or other
compensation you received. If oorrtinued on a separate sheet please check hens: ^
Name and Address of the Source of Nature of the Work Amount of iplbney or
Outside Income Performed Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a tn,e and correct statement.
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Signature of Person Disclosing Date Signed
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