Manuel A. Moraga('7 N
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OUTSIDE EMPLOYMENT STATEMENT = °'
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For Full-time County and Municipal Employees u' ~
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE _~
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 K 2 OF
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Disclosure for ~
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THE MIAMI-DADE COUNTY CODE. Tax Year Ending:
Name: Last
o~~~~ First
~-1,9~v~L Middle
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Filing as a (check one): ~ Miami-Dade County Employee
~llunicipal Employee of: L~/ p /j~l~!?( ~~h ,
Position Title:
County/Municipal Department: unty/Municipal Division:
If your home add-~sss is xempt from public records p ant Work Telephone:
to Florida Statutes § 119.07, please check here: `~ Q ~ ~ ~ ~ ~ _ -~ ~ a j
J
Mailing Address (Street Name and Number)
Apt. #
~ ~ wASh In ~~ ~i~nae
Clty fate
~l~ r ~lc U) ~ Zip Code
Please list the sources of outside employment, the nature of the vuork 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
Outside tmcome Nature of the Work
Performed Amount of Money or
Compensation Received
/YI/~Yn~lt CRnine ~05~ y ~~ ~PrvX ~l~~ooo
D~ ~e~wf~n d~~~~~d Sep ~ E x pQ~c~s .
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t hereby swear )that the aforesaid information is a true and correct statement.
Signet n Disclosing D
a
te
Signed
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L ' J O L
10!26/00