Del Sol, Orlando
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OUTSIDE EMPLOYMENT STATEMENT
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
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K}(2) OF TaxYearEnding:;)f)Ot,.
THE MIAMI-DADE COUNTY CODE.
Middle
Filing as a (check one):
D Miami-Dade County Employee
~unicipal Employee of: c,.
'~h.
Position Title: 1-
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Cou~tylMU icipal_Dr~artment
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If your home address is exempt from public records pursuant
to Florida Statutes ~ 119.07, pleas~ check here: D 305"'--
Mailing Address (Street Name and, Number)
. .w. lB
State
A.
Zip Code,
~I~'
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 shee~ please check here: D
Name and Address of the Source of
Outside Income
Nature of the Work
Perfonned
Amount of Money or
Compensation Received
Ot.Rviu l /1!-?Aie1 ;.q 000. vD 'f"
th the aforesaid information is a true and correct statement.
Date Signed
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