Eduardo Victor Carranzo 2012s
MIAMFDADE 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(x)(2) OF Tax Year Ending:
THE MIAMI-DADS COUNTY CODE.
Name: Last First Middle
Filing as a(check one): ❑ Miami-Dade County Employee
, Tn
Municipal Employee of: ° `fey O� ;
Position Title:
1/1
CountylMunici I County nicipal Division:
Cr or �iA�? Fcl Ca4 fuoaui , NI Am 8064
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes§ 119.07, please check here:❑ >673.E (c4(,F_ 01350
Mailing Address (Street Name and Number) Apt.#
1161 N ,) - __�9 C /A,-�
City eeftbV)o 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: ❑
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
�C�yr_57�V W41
1 hereby swear(or affirm)that the aforesaid information is a true and connect statement.
Signatu of P rson Disclosing Date Signed
16 � �/-