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Dessiree A. Kane 2014 MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT COUNTY For Full-time County and Municipal Employees Full-time County(including Public Health Trust)and municipal employees engaging in outside employment must file an annual disclosure report by July 1st of each year,in accordance with Section 2-11.1(k)(2)of the Miami-Dade County Code. Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial 2014 �s���e� A . . Mailing Address-Street Number,Street Name,or P.O.Box l —1—1 1 �c � A--VinU& / City,State,Zip ID Number nr aim ( be -3315n ) AEI If your home address is exempt from public records pursuant to Florida Statutes§119.07,please see note on the following page and check here.❑ Filing as an Employee(check one) County/Public Health Trust ria Municipal C t-4 (iQvn I &-er l (Municipality) Department Division VI/ YXN/ tair) S9c3r C9-gmLe- Position or Title Work telephone 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,check here. ❑ Name and Address Nature of the Work Performed Amount of Money or of the Source of Outside Income Compensation Received SlG- eel b2--r)C-CD. to f3 313 e S Jo °i i (9a . ao I hereby swear(or affirm that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy Signature of rson Disclosing ;:'{ ,� ,'(y �� W!�) All") (.01 kfd 310Z Date sighed 5 .'' OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138_01-22 COE 2015