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Jessica Gonzalez 2019MIAMI-DADE-GI!mi1 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 2019 G. City, State, Zip red FL Q':)\ First Name Middle Namennitial 3' SS\C 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. D Filing as • Employee (check one) D County □ Public Health Trust Employee ID Number Work telephone �o ··B 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. D Name and Address of the Source of Outside Income �1rr-j Uriwe.,y9 ·WO Ne Nature of the Work Performed 1-each·1 \i\cU,Y o,dl/4..AJ-€. �ooY Total Amount of Money or Compensation Received I hereby swear (or affirm) that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: D Hardcopy DX Electronic Copy OFFICE USE ONLY Accepted: Y I N Deficiency: __________ Processed Date/Initials: ______ Scanned Date/Initials: _____ _ 138_01-22 COE 2016 Received July 13, 2020 Office of the City Clerk