Clara La Rosa 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 La Rosa Clara
Mailing Address—Street Number,Street Name,or P.O.Box
8031 Abbott Avenue # 17
City,State,Zip ID Number
Miami Beach, Fl 33139
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 In Municipal City of Miami Beach
(Municipality)
Department Division
Office of City Clerk
Position or Title Work telephone
Office Assistant III (305) 673-7411
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
Perfect Gifts Retail Sales $10/hr.
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑Hardcopy
❑Electronic Copy
Signature o Person Disclosing
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65-A1-01S-Date sig d •6 t;
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OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_01-22 COE 2015