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Kimberly a. McCoy IAMFDADE OUTSIDE EMPLOYMENT STIa-TEMENT ~ For Full-time County and Municipal Employees FULL TIAAE COUNTY AND MUNICIPAL EN~LOYEES ENGAGING IN OUTSIDE EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY 1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(ICj(2) OF DISCIOSUre fOf~~~~j Tax Year Ending' ~y - THE MIAMI-DARE COUNTY CODE. Name: Last M~ Fi ~i~n bw Middle FiFing as a (check one): ^ Miami-Dade Courtly Employee _ 3 ~ /f ~~ 1~Muniapal Employee of: ~ ~ vU -< < ~~C~~ ~ ~ Position Title: ~,, J ~-~he `~ Sr ~~" . . County/Municipal Department: CountylMuniapal Division: ua o S If your ho address is exe from public records pursuant Wor1c Telephone: to Fior-~ statures § T~s.o~, please ~hea~ nets: ^ ~5 `7 3 -1 ~7 'b Mailing Address (Street Name and Number) Apt. # 1 vrh R~U~C-~,. ~ City State Zip Code -~ Q~I, woad ~ 3~ Please list the sources of outside empk~rmeM, the nature of the work and the amounts of rrloney or other compensation you received. !f oorltrnued 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 t ~ ~ 4 ~.1.. 2 4~f l.~ ~1.~ g u 1^C~ ~r~o Do ~ a ~1/" . ~ I hereby swear (or affirm) that the resaid information is a true and correct statement. Si P Date Sig I l~ U " .-' '~~