Javier Matias I'AMFDADE OUTSIDE EMPLOYMENT STATEMENT
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 Disclosure for `~ ~~
1ST OF F~1CH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF
THE MIANIhDADE COUNTY CODE. Tax Year Ending: [-r
Name: Last
A ~~S First
~V7 ~~ Middle
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Filing as a (check one): ^ Miami-Dade County Employee
' Q Muniapal Employee of: t7 Q)~ 1~4I~t~ ~~rj~
Position Title:
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County/Municipal Dce~partment:
~~~ w- ~ ~/ ~ P ~ County/Municipal Division: , /
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If your home address is exempt from public records rsuanf
to' Florida
Statutes § 119
07
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ch
k h Work Telephone:
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ere: ~ ~ ~~
Mailing Address (~St,,re/et N~ame~and Number) Apt. #
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City St~ Zip Code
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Please list the sources of outside employment, the nature of the work and the amounts of money or.otFier '
compensation you received. !f 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 Perforrned Compensation .Received
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I he by r (or hat th aforesaid information is a true and comec.K statement.
Signa r of Person Disclos Date Signed
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