Carlos Bello 2016DocuSign Envelope ID: 63B9A673-2B5D-4267-822F-48B0C586F47F
MIAMHlADE- &IEI
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(k)(2) of the Miami-Dade County Code.
Disclosure for Tax Year Ending I Last Name First Name Middle Name/Initial
2016 Bello Carlos A
Malling Address - Street Number, Street Name, or P.O. Box
6240 N.W. 37 Terrace
City, State, Zip
Virginia Gardens, Florida 33166
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.DJ
Filing as an Employee (check one)
[] county [] Public Health Trust EC] Municipal City of Miami Beach
(Municipality)
Department Division
Fire Department PSCD
Position or Title Employee ID Number I Work telephone
Radio Systems Adminitrator 23349 (786) 815-9175
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. 0
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
City of Hialeah Fire Department Public Safety Communications Analyst None so far at time
of this Application.
04/11/2024
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
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RECEIVED BV ELECTIONS DEPARTMENT:
O Hardcopy
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APR 12 2024
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y I N Deficiency. Pr ocessed Date/initials: Scanned Date/initials.
138 01-22 COE 2016