Donald M. Papy 2015 i r '
MIAMFDADE 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 Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: 2°45-
THE MIAMI-DADE COUNTY CODE.
Name: Last ^ First Middle
Filing as a(check one): ❑ Miami-Dade County Employee
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Municipal Employee of:
Position Title:
County/Municipal Department: County/Municipal Division:
C Jcy AfIDv s O i4 e
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes§ 119.07, please check here:1-7 3 , 73. 7Y70
Mailing Address (Street Name and Number) Apt.#
cg 51 S - % 5+.
City State Zip Code
/�►;�`''-�'; 3 3/53
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 hem: ❑
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
Co►-4l Gees/f-2
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1Ehereby swear(or affirm)that the aforesaid information is a true and correct statement.
cgignature of Person Disclosing Date Signed
C -wA,(44/ 27\ 47/A.4//‘
10/28/00