Teodoro Enrique Carrasco II~~ OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMP!-OYMENT MUST FILE /W gNNUgI, pISCLOSURE REPORT BY JULY
1ST OF EACH YEAR iN ACCORQAWCE WITH SECTION 2-11.1(x)(2) OF Disclosure for
THE Mu~MM1-DApE COUNTY COpE. Tax Year Ending:
Name: Last
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Filing as a (check one):
Position Titl~e:~
" 1 vtX-c. re. vv~~-~-
First_ Middle
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^ Miami-faade Cocmty Employee
~Muniapal Employee of: '1~ lCc i/t.~ i ~j ~Q ~~
CouMy/Municipal Department:
!f your home addrm3ss is exempt from public n3corrls pursuant
to Florida Statutes § ? 19.07, please check hero:
Mailing Address (Street Name and Number)
l ZZ S. ~J . IL-t ~-( P ~c
city /~,,
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CouMy/Muniapal Division:
Work Telephone;
fo73 -7 caw k f~L3 c~
Apt. #
State zip Code
3 31'~,~
Please list the sources of outside employment, the nature of the worts and the amounts of
money or other
compensation you received. if continued on a separate sheet, please check here:
Name and Address of the Source of Nature of the Work
Outside Income Performed
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Amount of Money or
Compensation Received
~' 21 , ~ / c~ ,~
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
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