Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Barbaro Perez 2010
MIAMWADE 11 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(KX2) OF Tax Year Ending: C) THE MIAMI -DADE COUNTY CODE. Name: Last First I Middle Age Z /e/l/Q �3� j?v Filing as a (check one): 0 Miami -Dade County Employee El Municipal Employee of: ,e/.9.o/ /5,4f4v /9,/i4c icF'/ Position Title: foOC /Cf County/Municipal Department: County/Municipal Division: /Weft // AIWA 4;/, � f/X If your home address is exempt from public records pursuant Work Telephone: to Florida Statutes § 119.07, please check here: © S2c - 791i Mailing Address (Street Name and Number) Apt. # J/4/7 Le%ef /a .t, City State Zip Code ,4y f1/ / 4./f,9 /j,' /7 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: Name and Address of the Source of Nature of the Work Amount of Money or Outside Income Performed Compensation Received nA e S41/ 4 exdjv( byir 1//94 r- r— :7 r*► I m I hereby swear (or affirm) that the aforesaid information is a true and correct statement. U, $ < in Signature of P n Disclosing Date Signed T 0 10/18000