Martinez, Candelario Adolfo
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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: ;t (] a .If-
THE MIAMI-DADE COUNTY CODE.
Name: Last
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First
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Middle
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Filing as a (check one):
D Miami-Dade County Employee
~Municipal Employee of: C 'LI Y 0 t: M. ~ It I'Y\~ BE-A €-A
Position Title:
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CountylMunicipal Department:
c...~-ry C)fr 1\I\.=:4M:;X C/i,Ac.1I 8v;II..()I.~b
If your home address is exempt from public records pursuant
to F/orida Statutes 9 119.07, please check here: ~
Mailing Address (Street Name and Number)
CountylMunicipal Division:
k lli:. ~ TA 2 '-Ai..
Work Telephone:
5P5-f:,)3 1000 (XI L:.l'1l
Apt. #
.
City
State
Zip Code
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 ofthe Source of
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing
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Date Signed
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101261D0