Isabell Y. Satchell
M~ro' OUTSIDE EMPLOYMENT STATEMEI'~11'JUL - I A I0~ 04
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 YIJ1R IN ACCORDANCE WITH SECTION 2-11.1(x)(2) OF Olsclosure for ~~
THE MIAMI-DADE COUNTY CODE. Tax Year Ending;
Name: Last First
~~` ` ~~ ~ Middle
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Filing as a (check one): ~ Miami-Dade County Employee
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Municipal Employee of: l1l -~/ ~ 1 ~!i I ~~G,a~ Q
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Position Title:
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County/Municipal Department:
n C~unty/Municipal Division:
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If your home address is exempt hom public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: ~
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Mailing Address (Street Name and Number} ~~ 67 ~ ' ~ ~`
Apt. #
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City
State Zip Code
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Please list the sources of outside employment, the nature of the work and the amounts of
compensation you received. ff continued on a se arate sheet, money or other
P Please check here:
Name and Address of the Source of Nature of the Work
Outside Income Performed Amount of Money or
(r' Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement. n ....--
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Signature of Person Disclosi
ng
Date S~i+gned
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