Raymond H. Morris OUTSIDE EMPLOYMENT STATEMENT
M~~ For Full-time County and Munlclpal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
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2 Disclosure for
~®~g
ST OF EACH YEAR iN ACCORQANCE WITH
ECTION
) OF
-
.
(x)( Tax Year Ending•
THE MWMhDADE COUNTY CODE.
Name: Last First Middle
0~4R i S >q~ />70 ~'- b
Filing as a (check one): ^ Miami-Dade Courrty Employee
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Muniapal Employee of: lam/ ~ ~/ ~ ~ /" /~ f f/J~
Position Title: d r- r-
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COUnty/MUnicipal Departmerrt: CountyJMUnlClpal DivlSlon: ~' "O
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!f your home address is exempt froth public reconrs ursuant Work Telephone: ~ ~ ~
ra Flonda statures § ~ ~s.o;; please check nen3: ~ 365- 6 7 3 _ ~ / 3 O
Mailing Address (Stn3et Name and Number) Apt. #
d 7$O S w • 1~a2 S .
City State Zip Code
~~ 1 FL - 3 316-5
Please list the sources of outside employment, the nature of the Work and the amounts of money or other
compensation you received. ncontinued on a separate sheet please check he-e:
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Perfon~ned Compensation Received
$G~OO~ ~ T FIRE ''' ~+'~ V112w~w~s~~~ ~
Sci ~•~ C~ s
I hereby sw~r (or affirm) that the aforesaid information is a true and correct statement.
Signature arson Disclosing
~ Date Sig
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