Rangel Guerrero 2019. ' MIA~HlADEI E
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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 First Name Middle Name/Initial
2019 oeo „..I T
Mailing Address - Street Number, Street Name, or P.O. Box U -
City, State, Zip
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. ff
Filing as an Employee {check one)
[] county D Public Health Trust íwonear ily 2 /Ar E2..L
{Municipality)
Department
+ Position or Title
L- ±
Division
0.ecv»
Employee ID Number
23317
Work telephone
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
of the Source of Outside Income
[,wpo-o $u
Nature of the
Work Performed
,l l,4oè
Total Amount of Money or
Compensation Received
518,45/-
(e, L1kc40.-" 5108.13/.
I hereby swear {or affirm) that the information above is a true and correct statement.
a.s =
$'4'2020
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy
O Electronic Copy
RECEIVED
/ SE? 222020
\__
CITY OF MIAMI BEACH
OEr 7 -»LRK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/initials:
138_01-22 COE 2016