Christopher Dwayne MitchellMIAMFD
~ OUTSIDE EMPLOYMENT STATEMENT
~ For Full-time Coun and Munici al Em '!o ees
tY P P Y
FULL-TIME COUNTY AND MUNfGIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY .IULY DISCIOSUre ifOf
1ST OF EACH YEAR iN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending- a ~ ~ ~
THE MIAMI-C7~4DE COUNTY CODE.
Name: Last First Middle
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Filing as a (check one): ^ Miami-Dade Courrty Employee
Muniapal Employee of: ~~~ ~ i ~ ~ ~~`~.-rt-
Position Title:
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County/Municipal Department: CountylMunicipal Division/
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If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check her13: ~ ~~W ~J ~ I
Mailing Address (Stroet Name and Number) Apt. #
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Ci#y State Zip Code
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Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. if contirwed on a separate sheet, please check here: ^
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct staternerrt.
Sig f P n Disclosing Date Signed