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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