Loading...
Jesus Sola 2014 MIAMIDAOE _ OUTSIDE EMPLOYMENT STATEMENT CQUNTX r:;` For Full-time County and Municipal Employees 1 I 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 j ut S Mailing Address—Street Number,Street Name,or P.U.Box o 10 T"oJ emE& -6121 ✓E City,State,Zip ID Number f.( 11714 t ‘231 ---igatilLI 0 43 5S-- 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 s Municipal (4714 d f ✓ ' ' (Municipality) Department Division F/ /QC-SCLIE SupPi2E-s5I0, Position or Title Work telephone ( alici ,3O5 6)75- 71/8 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 q5o kko AO Sr, 14(11-714( ,19776 C44,61icalt. dooRopokThe 44-refifwbt& � l 7i { �I I hereby swear(or affirm)that the information above is a,true and correct statement. RECEIVED BY ELECTIONS.DEPARTMENT: ❑Hardcopy ❑Electronic Copy _..,... Signature afTerson Dis losin ' 461A t Date signed f`` ' ` 20 :01 F ' Si A ,,Wq!nZ OFFICE USE ONLY Accepted: Y/N Deficiency: Processed Date/Initials: --Scanned Date/Initials:'": 138_01-22 COE 2015