Reig, Rafael
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OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal E",~===
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for
1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K}(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: ~ ~f#~[ Middle
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Filing as a (check one): D Miami-Dade County Employee
I5a Municipal Employee of: U T1 ot: l'1-1/,4[VJI &E4 ell
Position Title:
1/ /" E. b c//-f'/2iJ
County/Municipal Department: fJ t2 € K.b:!5'(..,v.e CountylMunicipal Division: . /~
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If your home address is exempt from public records pursuant Work Telephone: 77/~ /
to Florida Statutes 9 119.07, please check here: D 305 & 73
Mailing Address (Street Name and Number) Apt. #
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City State Zip Code.
A / GIVI cJb4 rz.- 33180
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 Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
0.77 OJC ;;.-er t4-1Vl>E~Dt4'Uf /3. ~<./~."
rll2~ ZlU6dE j)~?T. L;;:g c,c//fRj)/r/6
o etA;"; /2u c,/ Ii- P)V, I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
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Signature of Person /~"". Da6/;;jS
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101261110
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