George Navarro OUTSIDE EMPLOYMENT STATEMENT
MIAMI•DADE
~ 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 1st of Disclosure for ~~~~
each year, in accordance with Section 2-11.1(k)(2) of the Miami- Tax Year Ending:
Dade County Code.
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Employee ID #: ~ ~, ~i,l
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Filing as (check one) ^ Miami-Dade Co. Employee
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Municipal Employee of: ~ 1 i-YYrI w~J~ ~ 1 d~
Position Title:
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County/Municipal Department: County/Municipal Division:
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If your home address is exempt from public records Work Telephone:
pursuant to Florida Statutes § 119.07, please see the
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note on the following page an ~ J
Mailing Address (Streef Name and Number) Apt. #
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City State Zip Code
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Please list the sources of outside employment, the nature of the work, 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 Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Per on Disclosing Date Si- ned
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COE, 2008