Papy, Donald M.
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.. OUTSIDE EMPLOYMENT STATEMENT:~ .~'"
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For Full-time County and Municipal Employees r',.) ".
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FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE -0 <
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY ......;.". r'l
Disclosure for C,:.i
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: ZoQi) r:-i' r".
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THE MIAMI-DADE COUNTY CODE. - c.o
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Name: Last P qpy First Middle
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Filing as a (check one): o Miami-Dade County Employee
~ Municipal Employee of: C/~ 0.-( /0/~/- ~ch
Position Title: C0,"e f ~C~ jJIkr~7
CountylMunicipal Department: CountylMunicipal Division:
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If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes 9 119.07, please check here: 0 Jo~ b 7}-)'/70
Mailing Address (Street Name and Number) Apt. #
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City ~j~/' State Zip Code.
('/l- 55 Jy ']
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: 0
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Perfonned Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Sig~enon Disclosing ~ Date Signed
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