Mooney, Thomas
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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 /) U
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: ",W 1
THE MIAMI-DADE COUNTY CODE.
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D Miami-Dad~ County Employee
~nicipal Employee of: ~~
Filing as a (check one):
Position Title:
01
Middle
(I\l<lM\i &a c4
CountylMunicipal Division:
Work Telephone:
3C6-w7~-lcm K~ {'t \
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: D
Name and Address of the Source of
Outside Income
Nature of the Work
Performed
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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.
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Signature o~ Disci 'ng
10126100
Date Signed
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