Francsco Arbeaez 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
2016 Arbeaez Francisco Andres
Mailing Address — Street Number, Street Name, or P.O. Box
13778 SW 118 Terrace
City, State, Zip
Miami FI 33186
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 ❑ Municipal Miami Beach
(Municipality)
Department
Division
Planning
$20 per Hr.
Position or Title
Employee ID Number
Work telephone
Senior Planner
20669
(305) 673-6519
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
3TC1, Inc
12211 SW 19th Ct, Miami FL 33186
CAD Drafting
$20 per Hr.
I hereby swear (or affirm) that the information above is a true and correct statement.
� A _�_
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 01-22 COE 2016