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Ashley Michel 2023tAMF OUTSIDE EMPLOYMENT STATEMENT oil 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(k)(2) of the Miami -Dade County Code. Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial d1oa- MICHEL ASHLEY Mailing Address -- Street Number, Street Name, or Ro. Box 150 NE 82ND STREET City, State, Zip MIAMI, FL 33138 If your home address is exempt ffafn public records pursuant to Florida Statutes §119.07, please see note on the following page and check hare. ❑ Filing as an Employee (check one) El County 0 Public Health Trust 0 Municipal CITY OF MIAMI BEACH (Municipality) Department Division MIAMI BEACH FIRE RESCUE PSCD Position or Title Employee ID Number Work telephone COMPLAINT OPERATOR 2 19205 �(305) 673-7901 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 zro (0) for that organization in the section below. If continued on a separate sheet, check here. ❑ Name and Address of the Source of Outside Income Nature of the work Performed Total Amount of Money or I Compensation Received MIAMI GARDENS PHYSICAL THERAPY AND REHAB NWMIAMCENTER 2259 N167TH ST, MIAMI GARDENS, FL PROVIDE THERAUP'ETIC TREATMENTS TO PATIENTS $3205 I hereby swear (or affirm) that the information above is a true and correct statement. Date signed RECEIVED 13Y ELECTIONS DEPARTMENT. Hardcopy ❑ Electronic Copy OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Datellnitials: 13001-22 WE 2016