Aifa Alvarez 2010 MiAm 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 O
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2- 11.1(K)(2) OF Tax Year Ending: 20 I
THE MIAMI -DADE COUNTY CODE.
Name: Last A I First Middle 0 -
Filing as a (check one): ❑ Miami -Dade County Employee
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Municipal Employee of: CFI v AA-1 per^ Y)i2_‘;--e)2
Position Title:
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County/Municipal Department: County/Municipal Division:
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If out home address is exempt from public records rsuant Work Tele one:
to Florida Statutes § 119.07, please check here: ❑ 3o S )3 .) ( f_ S
Mailing Address (Street 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: n
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 Person Disclosing / Date Signed
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10126/00