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Carlos A. Munoz 2014 • MIAMI.17i4DE 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 Munoz Carlos A. Mailing Address—Street Number,Street Name,or P.O.Box 8197 West 36 Ave. #2 City,State,Zip ID Number Hialeah, Fl. 33018 15420 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 d Municipal Miami Beach (Municipality) Department Division Parks & Recreation Rereation Position or Title Work telephone Recreation Program Supervisor (305) 861-3616 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 Miami Beach Police Athletic League Bookkeeping, Accounting 20,800.00 I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑Hardcopy ❑Electronic Copy ta./ Signature of Person Disclosing 6-3- ADDS Date signed _ I i a OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138_01-22 COE 2015