Lazaro De La Noval GarciaDocusign Envelope ID:37E9F893-7FA2-47E9-A225-B2EE1B8DC642
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OUTSIDE EMPLOYMENT STATEMENtrif±
For Fu-ume county and Municipal Edit8\ye9 9
MI1:33
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
2021 Do La oval Lazo M\re.l
Mailing Address -Street Number,Street Name,or P.O.Box
2477 Uw 10 4 ,I
City,State,Zip
@ l
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.D
,MIAMl·DADE-&EmI
Filing as an Employee (check one)
□County D Public Health Trust
Department
woioat Cf/of0m'ch/(Municipality)
Division
$+
Employee ID umber
2.4375
Please list the sources of outside employment (including self-empoymnent),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 Nature of the Total Amount of Money oroftheSourceofOutsideIncomeWorkPerformedCompensationReceived
•Manall hi4a scl/lh6 5cal,0y/&3o vat"y
I hereby swear (or affirm)that the information above is a true and correct statement.s=-siark#oreGrrson Disciosmo
0714/20t
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
D Hardcopy
D Electronic Copy
RECEIVED
JUL 31 2024
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted:Y /N Deficiency.Processed Date/initials:Scanned Date/initials:138_01-22 COE 2016