Erica Marshall 2014 D OUTSIDE EMPLOYMENT STATEMENT 1
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M I A M FDADE.;%:�
.= For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES.ENGAGING IN OUTSIDE ..--_
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for /- (...54 0
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last �, Fi st Middle
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Filing as a(check one): ❑ Miami-Dade County Employee
[ Municipal Employee of: \'{ IQflhi 00eQc-k.
Position Title:
At\ri N. 6-Ticek, ,
County/Municipal Departm nt: fl County/Municipal Division:
1 VA etinri'l 1. .(t 0,( v if your home address is exempt from public s pursuant Work Telephone:
to Florida Statutes§ 119.07, please check here:n
Mailin. Addrese ,treet-NY�m`e and Num..-r,l - - - _ __- Apt:#- -
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City . State Zip Code
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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, please check here: n
Name and Address of the Source of- . Nature of the Work - Amount of Money or
Outside income . Performed Compensation Received
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I hereby swear(or affirm)that the aforesaid information is a true and correct statement. -`
Sign re of Person Di l o s i n g Date Sign
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10/26/00