Laura Ferrer 2016MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT
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
201L0 Ferrer Laura Teresa
Mailing Address — Street Number, Street Name, or P.O. Box
15580 SW 141 St
City, State, Zip
Miami FI 33196
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)
E] County Public Health Trust ❑ Municipal Dade County
(Municipality)
Department
Division
Building
Mechanical
Position or Title
Employee ID Number
Work telephone
Chief Mechanical Inspector
20500
(305) 925-3265
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
self employee
15580 SW 141 St, Miami FL 33196
Revise, sign and seal mechanical plans
$ 800.00
I hereby swear (or affirm) that the information above is a true and correct statement
Signature of Person Disclosing
A -)(",b7
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
13801-22 COE 2016