George Varon 2022MIAMl·DAD E- EG
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 Juy 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
DAL o First Name o6 Middle Name/Initial
Mailing Address - Street Number, Street Name, or P.O. Box
13ab A lu? 4·
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. O
Filing as an Employee (check one)
[] county â–¡Public Health Trust [Kínunicial Cay o ara al
(Municipality)
Department cc Division
/av.
Position or Title .ft ~ Employee ID Number Work telephone
0u 0fl & (s5o 30 ·673.-7900
Please list the sources of outside employment (including self-employm ent), 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
Kt [Casar k{carv a 79 /hu ooo upo 441 39' hvoo, 1í 33oo /
IS-a rue and correct statem ent.
07-? 22a
pate signed
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy
O Electronic Copy
RECEIVED
JAN 18 2022
CITY OF MIAMI BEACH
OFF ICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/Initials: Scanned Date/initials:
138_01-22 COE 2016