Francisco A. Arbelaez 2014 •
MIAMI-DADE 21,_ 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 Arbelaez Francisco Andres
Mailing Address–Street Number,Street Name,or P.O.Box
13778 SW 118 Ter
City,State,Zip ID Number
Miami, FL 33186
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)
El County/Public Health Trust la Municipal Miami Beach
(Municipality)
Department Division
Planning Department
Position or Title Work telephone
Planner (305) 673-6519
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
3TCI Autocad Tech $3,045
C) N
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS-DEPA DENT:_.
❑Hardcopy
i ❑ Electronic Copy r—
•
Signature of Person Disclosing / ,1
o/45
Date signed
OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_01-22 COE 2015