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Meshach Froster 2018 PMIAMI 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 Name First Name Middle Name/Initial 2018 /✓as�i/5 /if15 Mailing Address—Street Number,Street Name,or P.O.Box 7 )4 AW ` P/e >_ City,State,Zip r-� 1 d .- i=i- 3a3/ 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) 0 County 0 Public Health Trust Municipal %�iy (YE Al 14 B'c - - J (Municipality) Department Division Pte, P ,- (, PetA 46 Position or rule Employee ID Number Work telephone R.rlc,nJ 1111.4.- 11,4 -7___1 ce/3 45-- 73 761® 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. 0 Name and Address Nature of the Total Amount of Money or of the SourceAof Outside Income Work Performed Compensation Received 1 13-04v--J5 Un-4ar ,N✓%c..�J/t io cpam' L 1/5 S-A-n r oAts Aw fvhl-1.w049c,),1L r-4-, 333o 1 Avbyt/�0r. /`&..1-. 11cChM"?i'c it Ar I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy (ileiivy ."..)7,7 ❑ Electronic Copy gnature of Person Disclosing Date signed OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138_01-22 COE 2016