Milton Davila 2019OU T S ID E E M P L O Y M EN T S TAT E M E N T
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
2019
Mailing Address - Street Number, Street Name, or P.O. Box
I i 7e
First Name
.TOKI
Middle Name/Initial
0
City, State, Zip
'/au , 3333
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. O
Filing as an Employee (check one)
D County D Public Health Trust
Department
Fie
Division
Employee ID Number
78/7
Work telephone
35
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
of the Source of Outside Income
, FE7 o.a
/2
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
I hereby swear (or affirm) that the inform ion above is a true and correct statement.
Date sil&nea
RECEIVED BY ELECTIONS DEPARTMENT:
D Hardcopy
[] 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