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Taylor, Elise Spina .'DADEt 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 1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K)(2) OF Tax Year Ending: a (:)o~r THE MIAMI-DADE COUNTY CODE. Name: Last First Middle TCt. y Ie I j-"j /s C ,'S' ;--:> I /) C{ Filing as a (check one): D Miami-Dade County Employee o Municipal Employee of: (,+V rT'1I'f/y,1 !3 {:' q c), , Position Title: Po II C e Del tc -/;' V~ County/Municipal Department: County/Municipal Division: (Y) I Cf /YJ J /3et1 el, po /1 (C J)( II, en /V//1Q / I;., vfJJJ qqhc/J,J If your home address is exempt from public recorfJs pursuant Work Telephone: J to Florida Statutes S 119.07, please check here: ~ .3or-6/3- )/ -) 6 "y-y:- IL(~ Mailing Address (Street Name and Number) Apt. # I) 00 (/J q 11-, //1 q fv /) -4 v f/l v e City State Zip Code (3 ? . F. c. 3,3/,] 9 f'l J ?L-Yl I . t 4 C I, 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: 0 Name and Address of the Source of Nature of the Work Amount of Money or Outside Income Performed Compensation Received r:L PeP/- of C A 1/1:1 rt--1 , 1-4/Y1;/'U R-eC;fJl reD fo/~ ,- () 9/01 /OJ t t-rv/r, SOuth Fe 0( PI ' I tr-4 f~:f ~Hf~ f'fyU,oloJ Y ,(, '(tJ,fvrf. N 08'/3/ /0 b I d. 01 0 0 /\./ tv 'f oft-, A vf/J ve -- -------- I-/l'+- LI C J-U. 1- }J-t;. {/~ () $<;000 for /..... Iq,.-,., ,', Pc 3J/2 "/ YeQ r /j')oO /~~ pe (' /l1 (}~,-Yh < .~/~/' .-/' I hereby swear (or affirm) that the aforesaid information is a true and correct statement. Signature of p~ Date Signed ~/7 ~_ () Cf-;l- t:7j- / c/ 10/26/00 NATURE OF WORK I am completing hours required for licensure in psychology. The position pays $6,000 per year. I will be in the internship between September 1, 2005 through August 31, 2006. The duties include the following: Provide diagnostic and forensic evaluations, individual and group psychotherapy, rehabilitation services, family counseling, and substance abuse programs.