Teodoro Enrique Carrasco IAM OUTSIDE EMPLOYM ENT STATEM~~jL _~ Phi ~
® For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSID E
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JU ~ Y DisClOSUre fOi
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(x)(2) O F Tax Year Ending: ~(~
THE MIAMhDADE COUNTY CODE.
Name: Last First i Middle
~arfasc.o le+coafo ~ fL~v: ®.~2
Filing as a (check one): ^ Miami-Dade County Emplo yee
~Munidpal Employee of: C I
;~,, of I~tia~ui d~cuc(,~.
Position Title:
~1 rouxewteu.~ ~'~~~wa-~cv-
CountytMunicipal Department: County/Muniapai Division:
1~oncare.vu~u.~-
!t your home address is exempt from public rrrcon~s pursuant
to Florida Statutes § 119.07, please check hens: ^ Work Telephone:
~~t-~ (o'I 3 - ? ~ ~ D
Mailing Address (Street Name and Number) Apt. #
3tz2 S.t~, l~l~E P~ac ~,
City State Zip Code
VylA.a ~-t ~t. 3 3 (-7 S~
Please list the sources of outside employment, the nature of the ~ Norlc and the amounts of money or other
compensation you received. ff continued on a separate sheet p lease check hero: ^
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Perform ed, Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and oomect statement.
S' ure n I
i Date Si ned
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,arie~oo
~~ 33 n3 m.~ O~t
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