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Philip Patrone Outside Employment StatementMIAMI•DADE� OUTSIDE EMPLOYMENT STATEMENT EM 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 ?1:47 -Gw ?_• -2 Mailing Address — Street Number, Street Name, or P.O. Box CLOOL It Cit , State, Zip .,A" l.. 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. [�K Filing as an Employee (check one) ❑ County ❑ Public Health Trust MMunicipal W"et (Municipality) Department Division O 0- S clic 1�5So-Ssr+-��TS O Position or Title Employee ID Number Work telephone GrA,,%.esv11tke,VA aok5s 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 Gn►+►�+.�SS�rJ ©a =�O�' ► FoZ \ *.Q 6 N$O¢C� w�Q�'i Aeje�nC � G ALEiP O 0- S clic 1�5So-Ssr+-��TS O "b %J A -c- 162-0 GrA,,%.esv11tke,VA aok5s I hereby swear (or affirm) that the information above is a true and correct statement. Signature of 1 O ate signed RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 13801-22 COE2016