Yarbul Gonzalez 2019M IA M l·DAD E- EIE7
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 Nam e First Nam e Middle Name/Initial
2019 Go7AZ {A2 0 L r
Mailing Address - Street Num ber, Street Name, or P.O. Box
34q NO 12 0D A Ar 212
City, State, Zip I
)1P I • 3312o
It your home address is exempt from public records pursuant to Florida Statutes $119.07, please see note on the follow ing page and check here . ~
Fili ng as an Em ployee (check one)
[] county [] Public Health Trust E]íunicipal CITY 0 M1A £R
(Municipality)
Departm ent Division
Ft2 OCr) s Cu E
Position or Titl e Employee ID Number W ork telephone
Lye G0AD I
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
Nam e and Address Nature of the Total Amount of Money or - of the Source of Outside Incom e W ork Performed Compensation Received
l!.)
-1Cree [pweD] 00D9 Sue P O f
111 F S1e ROAD
HALAN)DA A R
)e1T4 0 M IPA-I ERA LIGUA- I
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I hereby swear (or affirm) that the information above is a true and correct statement.
Slgnat~g
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy
O Electronic Copy
O FFIC E USE O N LY A ccepted: Y I N Deficiency: Pro cessed Date/Initials: Scanned Date/Initials: _
138_01-22 COE 2016
Received 27 August 2020
Office of the City Clerk