Kevin Poutauru 2019MIAMl·DADE. &E7
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
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First Name
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Middle Name/Initial
Mailing Address - Street Number, Street Name, or P.O. Box
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City, State, Zip
lf your home address is exempt from public records pursuant to Florida Statutes $119.07, please see note on the following page and check here. []
Filing as an Employee (check one)
D County [] Public Health Trust E-. Municipal C·o- • aw ac
(Municipality)
Department Division ...e Ye gaza Ose
Position or Title Employee ID Number Work telephone
Lyssa4a T 2084 {1114 -
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. O
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
\k.Qteo Pe @es4esa5 .ade:
(14 co«s A "a; ea¡ AA ri d to re\ t-««d ) <35
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