Kyle White 2022MIAMF
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 A (k) (2) of the Miami-Dade County Code.
Disclosure for Tax Year Ending
2022
Mailing Address — Sbwt Number,,
Last Name
Name
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First Name
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Middle NamInitial
City, State, Zip
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lf your home address is exempt from public records pursuant to Florida Statutes §119,,07, please see note an the following page and check here,, El
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Position or Tithe
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Employee ID Number
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Work teleph ne
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 Gutfi& kw=
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Nature of the
work
hereby swear (or affirm) chat the infmmmfion above is a true and coffect statement
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Date signed
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Total Amount of Money or
Compensation Received
0
RECEWO BY &% DEPMTAUNT6.
Hardeopy
iBecftnic Copy
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