George Varon 2010 MIAMID� 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: l
THE MIAMI -DADE COUNTY CODE.
Name: Last First e tev Middle
1/0171A /J Filing as a (check one): ___ County Employee ,; L�
Municipal Employee of: (.4.-1-14 T7
Position Title: 0/4-76L-a-- .
County /Municipal Department: County /Municipal Division:
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If your home address is exempt from public record •ursuant Work Telephone:
to Florida Statutes § 119.07, please check here: :41 3'96 . -.? 3 0 C7
Mailing Address (Street Name and Number) Apt. #
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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 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_
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Signature of Person Disc - Date Signed
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