Carlos Alberto Muñoz 2010 - ..
MIAMID OUTSIDE EMPLOYMENT STATEMENT
For Full -time County and Municipal Employees
Full - TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUT SIDE
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: 40'0 /e
THE MIAMI -DADE COUNTY CODE.
Name: Last 1 First Middle
/W/Po S ee �-o
Filing as a (check one): ❑ Miami -Dade County Employee
KMunidpal Employee of /yhi"/14/ 8e-,9C#
Position Title:
,4 CAP-47; oN AO 6 e, '► &'free ' 4'0
County/Municipal Department: County/Municipal Division:
/6ALACS 6 /2�c., r o' c/2.447-7
If tf your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: ❑ 3 05 6 j 3- 79 66
Mailing Address (Street Name and Number) Apt. #
3/9 7 G4/.e -Sr 36 /We. -
City ��// State Tip Code
/77 4-1 h 330/8
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 hem: ❑
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
/4)4714/ 6e4cH
• 'oz.: co fJ- THGeTi C 900/04e1pi * 4 k/P G
h ry
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•
C'1 C �
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7
I hereby swear (or affirm) that the aforesaid information is a true and correct statement. rl
Signature of Person Dl n Date Signed a
‘/2471-p/d2/
10128100
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