Yolanda M. Valdes MIAMw 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: 0 /
THE MIAMI -DADE COUNTY CODE.
Name: Last First Middle ' a
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Filing as a (check one): 51 Miami -Dade County Employee r" cw -,-,
fl Municipal Employee of:
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Position Title: -; r
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County/Municipal Department: County/Municipal Division:
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: n
Mailing Address (Street Name and Number) Apt. #
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City State Zip Code
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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 her ; ' or a ) that ,ii; -� aforr ' information 's a true and correct statement.
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Signature of Person Di osi • Date Signed
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