Horgan, James Ellsworth
RE~.. ~.'c~"EO
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. >',cRK'S DEPT.
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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 Tax Year Ending: ZooS
THE MIAMI-DADE COUNTY CODE.
Name: Last
!
Firs~bl~0 Midgll~
Filing as a (check one):
D Miami-Dade County Employee
D Municipal Employee of: Ai~""'~ ~
Position Title:
He-u~t:-
County/Municipal Department:
F\re,
CountylMunicipal Division:
C[
Work Telepho e:
7os~6r?~~{'i
Apt. #
If your home address is exempt from public records pursuant
to Florida Statutes 9 119.07, please check here: D
Mailing Address (Street Name and Number)
d-/1:6 7t.V d-6 \::"" ~
City \
{\l~ (
Srt
Zip Code
77/77
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
Outside Income
G,efJ..,W tM..~~{ Itt!1 \eftc-
~"'-L€,
Nature of the Work
Performed
Amount of Money or
Compensation Received
G fLrAe QttLA (
~bW i)I&F
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Date Signed
()6- --0)
101261OO