Donald Papy Outside Employment Statement 2016COE 2014
OUTSIDE EMPLOYMENT STATEMENT
MIAMI•DADE
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:
Dade County Code.
Last Name: P
Q
First Name:rG J�
Middle Name.
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Employee ID #: f V070
Filing as (check one) ❑ Miami -Dade Co. Employee
Municipal Employee of:
Position Title:
i e -F ()V
County/Municipal Department:
County/Municipal Division:
( I 'k 41+O& � 0 -C-C/ c
If your home address is exempt from public records
Work Telephone:
pursuant to Florida Statutes § 119.07, please see the
note on the following page and check here: ❑
� os . 7 3.75�7d
Mailing Address (Street Name and Number) Apt. #
tjyS/ S w 86 S�-
City State Zip Code
A-1 "C' ; f5 ' �_3
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
(.iv1 /ti &-S-,O T"' ((b*, . I
u 4*
! D!
! iiG� SL h ca (
�Si l L 33l�
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing
-A
Date Signed
1
C�57_' -
7)
COE 2014