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Javier Matias 2016V COE 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: 2016 Dade County Code. Last Name: Matias First Name: Middle Name: Javier N/A Employee ID #: 15638 Filing as (check one) ❑ Miami -Dade Co. Employee ❑■ Municipal Employee of: City of Miami Beach Position Title: Police Sergeant County/Municipal Department: County/Municipal Division: City of Miami Beach Police Department If your home address is exempt from public records Work Telephone: pursuant to Florida Statutes § 119.07, please see the the following and check here: El 305-673-777695015) note on page Mailing Address (Street Name and Number) Apt. # 1100 Washington Ave City State Zip Code Miami Beach, Florida 33139 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 Miami Dade College School of Justice Adjunct Instructor $200.00 (Police Academy) I h r by ar (or ffirm) that the aforesaid information is a true and correct statement. ,P SiAnaure of P n Di sing Date Signed 06/28/2017 V COE 2014