Vivian Lopez 2018M I A M DOUTSIDE EMPLOYMENT STATEMENT
Em 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
2018 Lopez Vivian
Mailing Address—Street Number, Street Name, or P.O. Box
8004 NW 154 St, #333
City, State, Zip
Hialeah, FI 33016
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 City of Miami Beach
(Municipality)
Department
Division
Miami Beach Police Department
Public Safety Communications Division
Position or Title
Employee ID Number
Work telephone
FCIC Agency Coordinator
22830.
(305) 673-7000
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
City Of Hialeah
83 E 5 St, Hialeah, FI 33010
Police Dispatcher
$40/hour
hereby sweX.,pUffirm) that tl}-infiprmation above is a true and correct statement.
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Inidals: Scanned Date/Initials:
130_01-22 COE2016