Betancourt, Francois
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MIAMD OUTSI,DE 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 200~
1ST 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
]3ErANcouer ~NCf.:VS
Filing as a (check one): o Miami-Dade County Employee
~unicipal Employee of: I1hlltn, 'BE~N
Position Tttle:
r;;Er:I6t"ITF~ JL
CountylMunicipal Department CountylMunicipal Division:
heE DEPT. '&E ?
REI/E/VTJ~v
If your home address is exempt from public recon:Is~l3uant Work Telephone:
to Florida Statutes 9 119.07, please check here: 78f4-276-j!~20
Mailing Address (Street Name and. Number) Apt.#
19t)j /1 (!PNff'f( DJtJve
L/wveNT/();V
City State Zip Code,
$l1f'11f 'BEAt'lI . FL 33/39
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. If continued on a separate sheet please check here: D
Name and Address of the Source of Nature of the Work Amount of Money or
Oul$idelncome Perfonned Compensation Received
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Home: ;,T("IID I/~B rt., r;~EIJI<,n5 -rRIIINIA/(, VA f II: ~
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I hereby swear (or affirm) that the aforesah;llotorrrultioh is a trt..~and correct statement.
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. Signature of perso: ..dOg 9 \ n \\\1\ 'jv Date Signed
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