Anthony ScalloM
~ 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
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(x)(2} OF Disclosure for ~ ~' O
Tax Year Ending'
THE MWNhDADE COUNTY CODE.
Name: Last
Sc q l 1 ~ ~ First
f9~~ ~w Middle
Fi{ing as a (check one): ^ Miami-Dade County Employee A (''/~J
$~~
~Muniapal Employee of: ~T /'~ ~l~/ ,
Position Title:
~~ ~; ~ h rr~~~
CountytMunicipal Department: County/Municipal Division:
~,ec: r I~~ j o~,1'
if your home address is exempt hnm public records pursuant
to Florida Statutes § 119.07, please check bane: ^ Work Telephone:
3 ~S-~~~ ~ 7 ~ Z
Mailing Address (Street Name and Number) ' Apt. #
Boa Rs ~.-~f-/e ~~5~ wQ
City State Zip Code
~ar~e ~/orf ~ ~' 1 33yyq
Please list the sources of outside employment, the nature of the work and the amourrts of money or other
compensation you received. !f 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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p 0
8~ 12S ~G ke 1nJoi~ rZ.d `
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1 hereby swear (or affirm) that the aforesaid information is a true and carec.K statement.
Signature o n Disciosi ~ ~
~a. z ~ ~nr o4aa Date Signed
~/L3/~0 .