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Harold Viera 2019MtAMHlADE. EEIi · 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 repo by July 1st of each year, in accordance with Section 2-11.1(k)(2) of the Miami-Dade County Code. Disclosure for lax Year Ending \Last Name 0+9 zozo \Hl(\ First Name Mailing Address - Street Number, Street Name, or P.0. Box 0Lo Middle Name/initial t1CH I00 LT6N city, State, Zip R.O 313 lf your home address is exempt from public records pursuant to Florida Statutes 5$119.07, please see note on the following page and check here.L_] Filing as an Employee (check one) ~ 1,,~ lj/r ~! ~l}I~ #di #} I 11¡¡1 f '-·, [K county [] Public Health Trust O Municipal (Municipality) Department Division [in Bnr F.€ cr 1Ip€ €Pnfm€NT Position or Title Employee ID Number l Work telephone [IF+Hr€ 20742 30 673 )13o 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. Ht continued on a separate sheet, check here. [] Name and Address Nature ot the Total Amount of Money or of the Source of Outside Income Work Performed Compensation Received GrL0 h uXv(-Y T'Y nvw1 I688 E1lv nv€ #los ! 80€% 9SS0In1€ &0- I0ok-+ I hereby swear (or affirm) that the information above is a true and correct statement. .& Ad. lu. Signature of Person Disclosing 7/%/» Date signed RECEIVED BY ELECTIONS DEPARTMENT; [] Hardcopy [ Electronic Coy rFCE USE ONLY Acted Y /N Detienr._ Processes Datenntals scaned aen. 138_01-22 COE201& a e/nUials: --------=::::- --s r7 @n1ppm,, Scanned with CamScanner