Genaro Morillo 2018 •
• MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT
COUNTY 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 NamepFirst
,Name
p� Middle Name/Initial
2018 Itch � G OAVO
Mailing Address—Street Number,Street Name,or P.O.Box
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City,State,Zip
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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.0
Filing as an Employee(check One)
County Public Health Trust [lMunicipal C\d\ M\AMi c;,_QGI
(Municipality)
Department Division
Position or Title Employee ID Number Work telephone
CA`s.\W3 s GAL-0 \\7j V15-l~?M-NS201
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
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑Hardcopy
❑Electronic Copy
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OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date-lirdials: G)
138_01-22 COE 2016