Javier Matias 2010 MIA s 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: G— 0 / 0
THE MIAMI -DADE COUNTY CODE.
Name: Last First Middle
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Filing as a (check one): 0 Miami -Dade County Employee
Q M u n i c i p a l Employee o f : I ! # IAA j& C- 113 / C e
Position Title:
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Coun /Municipal Department: j County/Municipal Division:
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If your home address is exempt from public records " ►rsuanf Work Telephone:
to Florida Statutes § 119.07, please check hem: IN 305 tin 3 r7 � /
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,efmoney or other
compensation you received. If continued on a separate sheet, please check here: P1
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 he - • := (or 1 t aforesaid information is a true and correct statement.
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