Joseph Pierre 2018MIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT
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
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Mailing Address — Street Number, Street Name, o P10. Box
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City, State, Zip �(17r
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It your home address is exempt trom public records pursuant to Florida Statutes §119.0/, please see note on the tollowing page ana cnecK nere. LJ
Filing as an Employee (check one)
County Public Health Trust Municipal V I 1�'W
(Municipality)
Depqrtinent
Division
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Position or Tit
Employee ID Number
Work telephone
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2-2l �
3cy� 6 7 - 7f 75
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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
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I hereby swear (or affirm) that the information above is a true and correct statement.
Si na ure o Perso Disclosing
1
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic CEIVED
JUL —8 2019
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 01-22 COE2016