Carol Savarino Graham OUTSIDE EMPLOYMENT STATEMENT
MIAMFDADE
~~ For Full-time Coun and Munici al Employees
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FULL-TIME COUNTY AND MUNICIPAL EMPLOYEESENGAGING IN OUTSIDE
EMPLOYMENT MUST FlLE AN ANNUAL DISCLOSURE REPORT BY .iULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(Kj(2) OF Tax Year Ending: ~4~G(
THE MIAMhDADE COUNTY CODS.
Name: last First Middle
Filing as a (check one): ^ Miami-Dade County Employee ._., ~°
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®Muniapal Employee of: w~..iw ,r. i ~ ~3c ~ ~ c = ~=-
Position Title: l~~
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CountylMunicipal Department: County/Municipai Division:
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!f your home aridness is exempt from public s ursuanf Work Telephone:
to Florida Statutes § 119.07, please check here: ~ _ ~~ _ -~
Mailing Address (Street Name and Number) Apt. #
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City State Zip Code
r^~ ~•; ,3 c 1F~-- 331-3
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. !f continued on a separate sheet, please check hens:
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Perfo
rmed Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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