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 .
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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