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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: L ] Hardcopy p aearoii«e co OEn „e, "Ut} cn,, 'ao2 O„, OF), "Ce6,ß!!/u éc6,34c Gs OFFICE USE ONLY Accepted: Y I N Deficiency: Processed Date/initials: Scanned Date/initials: 138 _01-22 COE 2016