William Jaime Collado
~ OUF SIDE EMPLOYMENT STATEMENT
~ or Full-time County and Munlcrpal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
1ST OF EACH YEAR IN ACCORDiANCE WITH SECTION 2-11.1(Kj(2) OF Disclosure for r1 fn ` N1
TaX Year EDding: s`V 1 V
THE MIAMhDADE COUNTY CODE.
Name: Last rr ~
C~ l_-1_~~ ~ First
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Filir-g as a (check one): ^ Miami-Dade County Employee 1
Q Municpal Employee of: ~ ~'"1 ~ 1 ~ ~~C
Position Title:
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County/Municipal Department:
N~~ ~ ~ ~~~ C ~~ ~~ ~i ~ Cou /Municipal Division:
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If your home address is exempt hom public recor+rs p rsuant
to Florida Statutes § 119.07, please check here: ~ Work Telephone:
3(~ j - ~ ~3 _ ~ ~~
Mailing Address (Street N~
me and Number) Apt. #
~j
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City State Zip Code
~~~1 ~~-- 33i`7~
Please list the souroes of outside employment, the nature of the work and the amourrts of money or other
compensation you received. tf continued on a separate sheet, please check here:
Name and Address of the Source of
Outside income Nature of the Work
Performed Amount of Money or
Compensation Received
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1 hereby swear (or affirm) that the aforesaid information is a true and corriec,K statement. n ~
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Signature of Person Disclosing
~ Date Signed
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