Carlos Alberto Munoz OUTSIDE EMPLOYMENT STATEMENT
MIAMw
~~ For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY .1ULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(x)(2} OF Tax Year Ending: v2~ ~
THE MIAMhOADE COUNTY CODE.
Name: Last First Middle
Filing as a (check one): ^ Miami-Dade County Empkyyee
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Muniapal Employee of: t~i T~ D ~ ~%~i~li ,p P~C.~i
Position Title:
~~eg r; o ~/ pD~o GR ~ ry! Sv~r2 vi S o R
County/Municipal Department: County/Municipal Division
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/f your home oddness is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check hens: ^ 3 QS- 6 ~ 3 ~ ~ 7 ( 6
Mailing Address (Street Name and Number) ~• #
City State Zip Code
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Please list the sources of outside employment, the nature of tt-e work and the amounts of ma~ey 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 Performed Compensation Received
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t hereby swear (or affirm) that the aforesaid information is a true and correct statement. r ~
Signature of Perso Disctasi Date Signed ~ ~
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