Rojas, Maria O.
MIAMIDJet
OUTSIDE EMPLOYMENT STATEM~~'tERK'sDEPT.
For Full-time County and Municipal EmployeeJlJN 0 7 2005
FULL-TIME COUNlY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF
THE MIAMI-DADE COUNlY CODE.
Name: Last R 1.1"
By
Disclosure for Time
Tax Year Ending:
,.;t 00 if
Q. r{ ~
Middle
o.
Filing as a (check one):
o Miami-Dad~ County Employee
~unicipal Employee of:
1/ra~.~ &~.
Position Title:
ceo [( ,c/-- cflzA--;! 7C-
County/Municipal Department: /) . ~
adb.. C' . It /J, (r qy' .1{; /,<-
If your home a dress is exempt from public records pursuant
to Florida Statutes ~ 119.07, please check here: 0
Mailing Address (Street Name and Number)
1'7 6,j/[) AI Ctc-diC-- tf$!tb;1.
City .-;:::::'
~11111/['" ~TsA4 &c;-c~
CountylMunicipal Division:
I.: -ctAA..c.b 11 (?1~>hOlt,
Work Telephone:
'>OS'- ~ 7 5" --75 DS,
Apt. #
If-/L
State
Zip Code
5"~1 bo
Please list t sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. If continued on a separate sheet. please check here: 0
Name and Address of the Source of
Outside Income
Nature of the Work Amount of Money or
Performed Compensation Received
~n It:11IeceOc<-t /'A?c~
',: I 'Jt01Ylj nfl., 8/vee,
S UhJ1C .:Lr;;(!p" ~aJ( ff ~$lt()
f15"1~~",-{l~ 4~ =P 2,52>0 ~
"'--X;~ sl:Lfa...::,.
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Date Signed
6 7 OS
10126J1lO