Luis A. Blanco 2014 MIAMI OUTSIDE EMPLOYMENT STATEMENT
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 1st of Disclosure for
each year, in accordance with Section 2-11.1(k)(2) of the Miami- Tax Year Ending: c7Q"
Dade County Code.
Last Name: `
First Name: ZU 00� Middle Name:
Employee ID#:
Filing as(check one) ❑ Miami-Dade Co. Employee
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Rj Municipal Employee of: £/t'/ O/ /a%,4 fr
Position Title:
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County/Municipal Department: County/Municipal Division:
If your home address is exempt from public records Work Telephone:
pursuant to Florida Statutes§ 119.07, please see the _ 7 a-0 note on the following page and check here: LI
Mailing Address (Street Name and Number),' Apt.#
cg�,l/
City State Zip Code
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: ❑
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
CCU L �/Q. . � e-424-7c7 USG p")® %'p Die 2o�-/i%ldL
I hereby swear(or affirm)that the aforesaid1inforrnation-is a true and correct statement.
Signature of Person Disclosing Date Signed
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COE 2014