Navarro, George
MIAM~
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OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FUlL-TIME COuNTY AND IMJNaPAL EMPLO'I'EES ENGAGJ<<; IN OUTSIDE
EMPLO\'MENT MUST FIlE AN ANNUAl. DISClOSURE REPORT BY JULY DI8cIosunt for
1ST OF EACH VEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF ToY.. Ending: :;'(X)'5
11iE MIAMI-DADE CouNTY CODE.
Name: Last
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First
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D Miam~ County Employee
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Municipal Employee of: --I-J-' ~ MY) \
Middle
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Filing as a (check one):
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"your home address is exempt from public I8COfds
to Florida Statutes ~ 119.07, please check here:
MaIling Address (Street Name and Number)
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City
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CountyJMunicipal Division: nl.&:-
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Apt. #
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State
Zip Code
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Please list the sources of outside emp/<7fment, the nature of the work and the amounts of money or other
compensation you received. If continued on a separate sheet, please check hem: 0
Name and Add..... of the Source of
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and COIT8Ct statement.
Signature of ~ ~ng
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101211100