Carlos Munoz 2019MIAMI-DADE- EIE OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
RECEIVED
AUG 5 2020
gyy -,
Full-time County (including Public Health Trust) and municipal employees engaging in outside employment must file an annual disclosure pa#CH
by July 1st of each year, in accordance with Section 2-11.1(k)(2) of the Miami-Dade County Code. L.ERK
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2019 Muñoz Carlos A.
Mailing Address - Street Number, Street Name, or P.O. Box
8197 West 36 Ave. #2
City, State, Zip
Hialeah, Fl. 33018
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)
[] county □Public Health Trust El Municipal City of Miami Beach
(Municipality)
Department Division
Parks & Recreation Recreation
Position or Title Employee ID Number Work telephone
Recreation Program Supervisor 15420 (786) 236-2280
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 (O) for that organization in the section below. If continued on a separate sheet, check here. D
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
Miami Beach P.A.L. Bookkeeping $448.00 I Week
999 11 Street Miami Beach, Fl. 33139
I hereby swear (or affirm) that the information above is a true and correct statement.
7-Y 2020
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
□Hardcopy
[ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials: _
138_01-22 CO 2016