Jaime Rojas 2019MIAM l·DAD E- Em
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()(2) of the Miami-Dade County Code.
Disclosure for Tax Year Ending Last Name
a0ro Roí5
First Name
l
Middle Name/Initial
W-hr ef
Mailing Address - Street Number, Street Name, or P.O. Box
1000 {3e- J9a
City, State, Zip
33132
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.Dl
Filing as an Employee (check one)
t
Hunicial ·A of ]av-ti 0, D County [] Pubic Health Trust e[Ai
(Municipality)
Department / Division p« 2sc F«e OCe r fes• e 0
Position or Title Employee ID Number Work telephone
l(eco>d I 2345 3cs13}¥/4
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 Performe d Compensation Received
fi/err) 8! ule« kr-d
Roo life on+r $20o
I hereby swear (or affirm) that the information above is a true and correct statement.
ign ature of Person Disclosing
7/4/2s7o
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy
O Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: _
138_01-22 COE 2016
Received 27 August 2020
Office of the City Clerk