Beatriz Munoz Outside Employment StatementMIAMFDADE OUTSIDE EMPLOYMENT STATEMENT
MM 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
2016 Munoz Beatriz A
Mailing Address – Street Number, Street Name, or P.O. Box
4011 N. Meridian #19
City, State, Zip
Miami Beach, FI 33140
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 E] Municipal Miami Beach
(Municipality)
Department
Division
Parks & Recreation
Normandy Pool
Position or Title
Employee ID Number
Work telephone
Administrative Aide 1
15788
(305) 993-2021
Please list the sources of outside employment (including self-employment), the nature of the work, and the total amounts of money or other
compensation you received for each source of outside employment. If no income or compensation was received from a particular outside
employment, enter zero (0) for that organization in the section below. If continued on a separate sheet, check here. ❑
Name and Address
of the Source of Outside Income
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
Mount Sinai Hospital
Caring for patients
7,000
I hereby swear (or affirm) that the information above is a true and correct statement.
t r—
Signature of Person Disclosing
/,5- /
Date signed
RECEIVED BY ELECTIONS DEPARTMENT-
❑ Hardcopy
electronic Copy
RECEIVED
JUN 16 2017
CITY CLEWt
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 01-22 COE 2016