Diana M. Fontani Martinez 2014 MIAMI 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 '�3G4 VIARVIj 2 JD r
Mailing Address—Street Number,Street Name,or P.D.Box
I 030 34 N DRLV
City,State,Zip ID Number
v-t-vm--ta L I.‘ ct
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 1314unicipal SIT O f t t I-1 Q E 4 c-f"1
(Municipality)
Department Division
CLP fik
Position or Title Work telephone
pig LTC c P [.is-r- 360 61-7. 707 f
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
Fl ward pro . rites Rem o —CD Nvi kss (0vL
%001 Oki "��er Rd.44S1 �e.s q,
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
f- ❑ Hardcopy
❑ Electronic Copy
Signature of son Disclosing A `` 3
CO 02, :6 Nnr g i 'z
Date signed
OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_01-22 COE 2015