David Jose De La Espriella C?UTSIDE EMPLOYMENT STATEMENT
MIAMFDADE
~~ For Full-time Coun and Munici al Em 'lo ees
tY P P Y
FULL-TIME COUNTY AND MUNIC1PAt EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY .IULY DiSC108ure fOi
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(x)(2) OF Tax Year Ending:
THE MIAMhDADE COUNTY CODE.
Name: Last First Middle
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Filing as a (check one): ^ Miami-Dade County Employee ='°r~
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~Muniapal Employee of: C~ t r or µUt-~.[ Dt~ ~ r
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Position Title:
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~1tulENM~I~ of- I~.lu~ ~' 3
County/Municipal Department: County/Municipal Division: -,-, ••
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}~~ Llc.~ .1~c~MU rimer C'_(4tlt~,,tl .~Jdi-iiiW-nor ~~',
tf your home address is exempt imm public records p uant Work Telephone:
to Florida Statutes § 119.07, please check here: ~ 3pS- (0'13- 77 7 ~ X $~t( "~
Mailing Address (Street Name and Nurnber) Apt. #
(1no W~l~t-~6io~l ~r
State Zip Code
Ciry
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1 ~Frl \ 0 rh~-N I'L 333 tis
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. tf continued on a separate sheet, please check here:
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Pertormed Compensation Received
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DJ~1~-iG- Cti 333 t,~ ~~0~! `~~>`12
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I hereby swear (or affirm) that the aforesaid information is a true and cornett statement.
Signature of Person Disclosing gned
Date S
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