Beltran, Julio G.
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.HlADEt OUTSIDE EMPLOYMENT S1rAIF.M,I;:~J-FicE
For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for ?VO ('
1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last First Middle G (
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Filing as a (check one): D Miami-Dade County Employee
IT"Municipal Employee of: Cd-:, 01= J--{ (f\M , l~ "-
Position Title:
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County/Municipal Department: CountylMunicipal Division:
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If your home address is exempt from publl5 records pursuant Work Telephone:
to Florida Statutes ~ 119.07, please check here: [g- 5>0$ - 0,3- l~( ()
Mailing Address (Street Name and. Number) Apt. #
City State Zip Code.
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. If continued on a separate sheet, please check here: D
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
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Signature of Person Disc~ wt I ----- DateSign~ -I,
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