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Gabriela Freitas 2019OUTSIDE 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 Mailing Address -Street Number, Street Name, or P.O. Box First Name ·a�v·t e,l k. Middle Name/Initial C,,eci.l'-0-. 2-1 � f'-\W \2--4-h AVenv.L--, qoe City, State, Zip M\awt, f-L 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 an Employee (check one) D County □ Public Health Trust 0 Municipal C'Abt 0£ M \Clfvt-l BeC((..h (Municipality) Department ;pJanrung Division J).ep01 r+nil,tl-t- Position or Title Employee ID Number Work telephone o fh ce As&ou a--k :I:¥'72-743 3/h73-75Sb 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 ,he, Mlaflll DO () lfJS 6t1W CL 1>r. Nature of the Work Performed I hereby swear (or affirm) that the information above is a true and correct statement. 07-{3 -zo Date signed Total Amount of Money or Compensation Received RECEIVED BY ELECTIONS DEPARTMENT: D Hardcopy D X Electronic Copy OFFICE USE ONLY Accepted: Y / N Deficiency: __________ Processed Date/Initials: ______ Scanned Date/Initials: _____ _ 138_01 -22 COE 2016 Received July 13, 2020 Office of the City Clerk