Loading...
Papy, Donald Mark _DADEt OUTSIDE EMPLOYMENT STATEif4EbI.+---- For Full-time County and Municipal Emplo~ - FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for 2. 00 Y 1 ST OF EACH YEAR IN ACCORDANCE WITH SeCTION 2-11.1 (K)(2) OF Tax Year Ending: THE MIAMI-DADE COUNTY CoDE. Name: Last Pc::,(y F~ Middle I Qrb' P, 'It-' J:.. Filing as a (check one): D Miami-Dad~ County Employee o Municipal Employee of: C/~ of A/~(' ~LL.. Position Title: ch/e f ~p. Ci fy A-Hf/I-ney CountylMunicipal Department: O~'UL County/Municipal Division: c:: ('~ A-#oyn~5 If your home address is exempt from public records pursuant Work Telephone: to Florida Statutes ~ 119.07, please check here: 0 305" 073-77-'70 Mailing Address (Street Name and Number) Apt. # e;y')( SL-v f' Sf: City /L1i~/' IZ-e Zip Code '$3JV] Please list the s.ources of outside employment, the nature of the work and the amounts of money or other compensation you received. If continued on a separate sheet, please check here: 0 Name and Address of the Source of Nature of the Work Amount of Money or Outside Income Performed Compensation Received U ....illtni.f, 0 f'1L, ;a--.: I Mv -I uc..t-u ~ t,,/}oog$!... Co"....",/ G-AW~J) Pi- I hereby swear (or affirm) that the aforesaid information is a true and correct statement. Signature of Person Disclosing ~ Date Signed ~~. /?A- G,/I)/OS" ...... r:aGeS\V.EPT' .ejTV' ~l!R~S DEr . JUN 1 ~ 2Q05 10126100