Carol S. Graham 2010 MIAMF' 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
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2- 11,1(K)(2) OF Tax Year Ending:
THE MIAMI -DADE COUNTY CODE.
N ame: Last First Middle
\`t-A t-1di A R C�1. -- •
Filing as a (check one): U Miami -Dade County Employee
15zi Municipal Employee of: x C3' Ae'-1 .
Position Title:
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County /Municipal Department: County /Municipal Division:
7 S;
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: E. SOC ^ 3
Mailing Address (Street Name and Number) Apt. #
City State Zip Code
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 hem: E
Name and Address of the Source of Nature of the Work Amount of Money or
Outside income Performed Compensation Received
S -1 *0 1� \.1K., 1. Y •A SS A t Co o. 0 o
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
LAO S.)4;,': A i in
Signature of Person Disclosing Date Signed
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