Rojas, Maria O. 6/19/06
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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 AccoRn.w:e WITH SEcTION 2-11.1(K)(2) OF YaYearEndlng:
THE MIAMI-DADE COUN1Y CoDE.
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Middle
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Name: .~
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First
Filing as a (check one):
o M~ County Employee
~icipaI Employee of: ~ . .
eCt. c ~
Position Tille:
CC OUA.-l 'cU II-'
CountylMuniclp8l Dep&rbnent
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If your home Bdd1ess is ftotn public t8C01ds--f1U'SU8'"
to RotId8 Statutes f 119.07, please check hete: U
MailJng Add.... (SI1eet Neme and. NumbeI1
17' 20 12
CIy " Zip Code.
illll v 9L >~ b-o
Pfease list the SDIIf'C8s of ouIaide employment. the nature of the work and the amounts of money or other
compensation you received. If continued on a separate sheet, please checIc heir. 0 '
~ and Add..... of the Source of N8ture of the Work Amount of Money or
0uIPIe Inc:ome P.ronned CompensatIon R8cet#8d
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I SI S-u n'1 ::tc;'~ B{ tiel '
s~>!" n f:t~ 3160
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I hereby ... (or affirm) that the aforesaid information is a true and COIT8Ct statement.
,.Signature of
1l1/21M1O