Carlos Munoz 2021MIAMI - 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
2021 Munoz Carlos A.
Mailing Address — Street Number, Street Name, or P.O. Box
8197 West 36 Ave. #2
City, State, Zip
Hialeah, Fl. 33018
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. ❑
Filing as an Employee (check one)
® County ❑ Public Health Trust E] Municipal Miami Beach
(Municipality)
Department
Division
Recreation
Parks & recreation
Position or Title
Employee ID Number
Work telephone
Recreation Program Supervisor
15420
(786) 236-2280
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 (0) for that organization in the section below. If continued on a separate sheet, check here. ❑
Name and Address
of the Source of Outside Income
Nature of the
Work Performed
Total Amount of Money or
Compensation Received
Miami Beach P.A.L.
999 11 Street
Miami Beach, FI. 33139
Bookkeeping
$448.00 / week
I hereby swear (or affirm) that the information above is a true and correct statement.
4 -
Signature
— 4&4 of Person Disclosing
s- Jaz
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
RECEIVED
JUL 07 2022
CITY �'*" MIAMI BEACH
OFFIr" ; ,I='WF CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_01-22 COE 2016