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