Donald Mark Papy •
MIAM4DADE OUTSIDE EMPLOY 1 STA ENT
� For =uII -time County l`G alb i es
FULL -TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN O � L € t\ S OFF 4C,
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT (W./JULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2 - 11.1(K)(2) OF T Year Ending: '2 U
THE MIAMI -DADE COUNTY CODE.
Name Last ('-) FirsL Middle
1--- e y uo ( rhairK
Filing as a (check one) [} Miami -Dade County Employee
E Employee of C /41 04 /
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Position Title
ai/e 4 :47 Cry 4,
County/Municipal Department. County/Municipal Division
( •( "7 41-ki'h9y O4`&€
If your home address is exempt from public records pursuant Work Telephone.
to Flonda Statutes § 119 07, please check hems 1 1 ?c-.)._S- 6 73 7f. ,
Mailing Address (Street Name and Number) Apt #
S Sw S"G 5-I-
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 i 1
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
'Ul I I/ &�, 4 o f / ( ,1 .0 Y, 3SZf --
I
•
1 hereby swear (or affirm) that the aforesaid information is a true and correct statement
Signature of P rson Disclosing Date Signed
,Y71,74, i k- - 1012e/00
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