Elise Spine Taylor 2010 RCFIVFf
MIAMIDADE OUTSIDE EMPLOYMENT STATEMEMT9 AM t0 c5
For Full -time County and Municipal Empl , ees
.L WWE'S OFr Ic;F
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.
Name: Last First Middle
1 a y /dr /s e spi
Filing as a (check one): L Miami -Dade County Employee
Z Municipal Employee of: C 1 y (2 fY) /9/ . mC",
Position Title:
De) -j e / Po /'CI? o Fr 'c et
County/Municipal Department: County/Municipal Division:
/ Q ,--, D a c 'C� /M;a e1 Bead c T 0
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: P4 3 o- 6 73 – 777 ., STS 3
Mailing Address (Street Name and Number) Apt. #
Ho o 1 \-)a c/ti r ? 40p ,4 ve-, e
City State Zip Code
fY 1 33/3g
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
carlos ,4I i2v Ui;vetJ>1>/ A951,,,C4 Pf,opfjnr $a, iffeo pe-
173 Iv t,.) q9 A \Pn /e ctQ�S
an /0 1, , F6 3 3 ! 7
Pre rear -e D t DV ca fi -, Q / P( vide 43 or Per
erycAo l 0,9 ca L se,- ✓, ceS i n Eci vea ) 1, o v
Gbo .Sw 30 ST, 43'o/ ✓v�CeS
FT Lcivderda 6e, F . 333L.r
1 hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature o Person Disci • Date Signed
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