Ramirez, Otto J.
MIAM. OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FUlL-TIME COUNly N<<J MUNICIPAl EMPLOYEES ENGAGING IN OUTSIDE
EMPlOYMENT MUST FIlE IW ANNUAL OtSClOSURE REPORT BY JuLY DlsclosuN for 2DD)
1ST OF EACH VEAR IN ACCORDANCE Wlnf SECTION 2-11.1(1<)(2) OF Tax Vear ending:
THE MIAMI-OAoe CouNTY CoDE.
Name: Last First MidcIe
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Rling as a (check one): o Miami-~ County Employee
(lI Municipal Employee of: 6T'< Dr }-\'N\\ () 1\-
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Position TItle:
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CountylMunicipal Department: CountyJMunicipal Division:
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If your home acfdress is exempt from public records pursuant Work Telephone:
to Florida Statutes ~ 119.07, please check here: fi] - 7> 7tGS
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Mailing Address (Street Name and Number) ~(L\Jif Apt. #
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City State Zip Code
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f-L Please list the sources of outside employment, the naIwe of the wort and the amounts of money or other
compensation you received, If continued on 8 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
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I hereby swear (or affinn) that the aforesaid information is a true and correct statement.
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Signature of Person D<<eV:~/Or
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