Elvis Rodriguez 2019MIAMl·DADE- EI7
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
fol4vE 2019
First Name { lo Middle Name/Initial
Mailing Address - Street Number, Street Name, or P.O. Box
l 0 s00 91
City, State, Zip
3os
Y, 334
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 O Public Health Trust [wumniceial 04a ! !Ai Bwch
I (Municipality)
Department Division keseu Fo Oe4
Position or Title 9u+ E Employee ID Number Work telephone
(8%44 36- 73-2%/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 Performed Compensation Received
rty ck a, runt-l 'ks4v4, p22rw ' }„.O pe to 36of Re,dg os¢; sh ew} ob KA pelt , Rau. Fl j L,o A lA , , I .
I hereby swear (or affirm) that the information above is a true and correct statement.
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
D Hardcopy
[ Electronic Copy
OFFICE USE ONLY Accepted: Y I N Deficiency: Processed Date/Initials: Scanned Date/Initials: _
138_01-22 COE 2016
Received 27 August 2020
Office of the City Clerk