Judy Hoanshelt IAMFp OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
1ST OF EACH YEAfi W ACCORDANCE WITH SECTION 2-11.1(IC)(2) OF
' DisGlOSUfe for Q~
Tax Yeaf Ending' ~ "
T
HE MuwhDADE COUNTY CODE.
Name: Last
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FiNng as a (check one): ^ Miami-Dade County Employee
~Muniapal Employee of: 0'x`1 ~'" f"Vl t 14-fvl(. ~~~~ f
Position Title: -gyp
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CountyMlunicipal errt: County/Municipai Division:
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H yr7ur hovrle address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: ~ ~'~S-~~~j- ~L~b ~, (~~
Mailing (Street Name and Number) qpt, #
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Please lint the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. li continued on a separate sheet please check here:
Name and Addn~ss of tfie Source of
Outside Income Nature of the Work
Perfonfied Amount of Money or
Compensation Received
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t hereby swear (or affirm) that the afon~aid information is a true and correct statement.
Sigrl>3rture on Di losing p~ ~~
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