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Octavio Rabelo 2022MIAMI Em1 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()2) of the Miami-Dade County Code. Disclosure for Tax Year Ending Last Name a0z be6 First Name Middle Na Mailing Address - Street Number, Street Name, or P.O. Box I3, Su> 5Tere 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. Filing as an Employee (check one) [] county [] Public Health Trust 9~on«ea CH {las! ~call ' d iior@iciai Department R Ice Division Position or Title Employee ID Number 2 35 -67 .-772 Please list the sources of outside employment (incl uding 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. D Name and Address Nature of the Total Amount of Money or of the Source of Outside Income Work Performed Compensation Received (esc elr s u (Le Bros<nu4s $4,66721 36_ Mot«¢ Bv>, Ske 2,, Mb Beal Gros 331O ove is a true and correct statement. Signature of Person Disclosing Date signed RECEIVED BY ELECTIONS DEPARTMENT: D Hardcopy [] Electronic Copy RECEIVED JUN 15 2023 CI TY OF MIAM I BE A CH FEI- Cr'or IT CLERK O FFIC E US E ON LY A ccepted: Y / N Deficiency: Pro cessed Date/Initials: Scanned Date/Initials: _ 138_01-22 COE 2016