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Tiffany Dallas 2018 MIAMIan OUTSIDE EMPLOYMENT STATEMENT COUNTY For Full-time County and Municipal Employees Full-time County(including Public Health Trust)and municipal employees engaging in out§ide,em tlyment must file an annual disclosure report by July 1st of each year,in accordance with Section 2-11.1(k)(2)of the Miami-DaCIt~,Co(int (3edt ut 1,. Disclosure for Tax Year Ending Last Name First Na a MiddlepName/Initiall 2018 Dale-�;�` I� ; C`!MIC_ Mailing Address—Street Number,Street Name,or P.O.Box ' -7-5 2 5 � n, +'rr4 cc City,State,Zip 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 0"Municipal M (3 eAC1-1 (Municipality) Department Division 0V) ' r C(j-r,✓Itzfi+i CMI De1,e.lofu'i44 Position or Title Employee ID Number Work telephone Gc�ucK+0V) C¢:1,p I✓ : 4+4ttf--- ii/r 2 3�3 Z 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 Nature of the Total Amount of Money or of the Source of Outside Income Work Performed . Compensation Received 1V15—KCCti� 9h✓/r Lt 1 >"s131 1�1 2-0 1,tifr " > G-6,01 I iQ- 4-i I Lvev� �, - 54741.16 I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: _T ❑Hardcopy 4 ❑ Electronic Copy oh,A 4 Sign ur of Per'so 'sclosingct J w scanne -- Date signed f 7 ;`7! V l 11i E: .Z U7 OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138_01-22 COE 2016