Eric Merced MIAMIDADE 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 13Y JULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last First Middle
Filing as a(check one): ❑Miami-Dade County Employee
gmunicipal Employee of:
Position Title:
S�'y.� �L�cT.c/GAC iir.S�ECTd.�
County/Municipal Department: County/Municipal Division:
4114A771 PA1)ic 001- Z)w'q
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes§ 119.07, please check here: 7g6 2575 /0,//
Mailing Address (Street Name and Number) Apt.#
S 33 —5G /53 10e-
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. tf 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 Compensatiod-tec0ed
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I hereby swear(or affirm)that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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