Jeanette Quijano 2021M IA M l•DAD E. &II OUTSIDE EMPLOYMENT STATEMENT
For Full-tim e C o unty and M unicipal Em ployees
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 Q U IJA N O JE A NE T TE
Mailing Address - Street Number, Street Name, or P.O. Box
98 56 S W 15 9 C T
City, State, Zip
M IA M I, FL 33 19 6
lf 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 O Public Health Trust E] Municipal C ity of M iam i Beach
(Municipality)
Department Division
M IA M I BE A C H P O LI C E D E P A R T M E N T CR IM IN A L IN V E S TIG AT IO NS
Position or Title Employee ID Number Work telephone
PO LI C E O F F IC E R 19 823 (305) 673-77 76
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. []
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
F LO R ID A C A P IT A L R E A L T Y R E A L E S T A T E A SS O C IA T E N/A
I hereby swear (or affirm) that the information above is a true and correct statement.
~n msclosing
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
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138 _01-22 COE 2016