Javier Fernandez 2020uocuSign Envelope ID: A0243FA6-D$14-4D38-BF37-79FS69A(;9BF4
' OUTSIDE EMPLOYMENT
For Full-time County anupSTATEMENT
Fiji -time County {Inciudlrtfl NtMic Health Trust) and rtruntcl i
by July 18t of each year, in accordance Aloyees en�afl�g m "Ide employment must file an
with SecrJ'on 2-11.1(k)(2) of the Miami -Dade annual disclosure report
lMwslesun for Tax Year Ewfnp last iris"
2020 first 1Yama
Fernandez+rnRf.r
AdQreea - SVeet iYttmbar, Stmt Javier
Wma, srr P0. Boz
4237 SW 154TH CT
lMIAMI,FL,33185
If your home add t _ i
Tess is ewemPt from pubEic recx0rds Pursuant � Fiarlda Statutes 115.0),
§ Please see note on the following Pafle and check bene.
wig as aRu
0 County 0 Public Heaftfh Treat
Muniicilpat fvtiatni Beach Fire Department
'Qepergnant ���� -�
Fire Department D"
I1'oaltlon
of TIN Rescue
Firefightser / Paramedic I�PbYee10 Ntanper Mals iefepirone
19537 (305)673-7118
Please list the sources Of outside err
pleas'
you recetwed saimeent (including self -em
�PPensatian for each outside errpbYme It no r�eture of the work and
file 1 amounts of money or other
oYmeM, anter q (0) far that apanizabon In the section below. ff antlered an a me or tion was received from a Particular outside
Pa Sei, Check here. C3
Mame and Addraas
M fore Source of amide Inrxr:ae �Nhrra of the
W Teta) Amount at Money cr
utssaver TrairMng C W"Weatton ReNtwd
4237 SW 154TH Gr Teaching nwficai and survival classes Such as
�_ Mmmi,FL331eb CPR. First tid. stop If16 bleed. AVERT our ; $10,000-12,000/yr
i 1
I
y h
i hereby swear for affirm) that the information abmre is a trust and correct statement
r4r+a of 0lat<ro y �a�
ARIAS .
178.ai-2
! C<7E2at8�T +�xePrerl Y i N 17aeti�rKy;�
ROM= BY EU6101" Witt N1 ,
r] Itardeopy
Cl Beckanic COPY