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Williams, Allison R. MIAM. OUTSIDE EMPLOYMENT STATEMENT For Full-time County and Municipal Employees FULL-TIME COUNTY AND MUNICIPAl EMPLOYEES ENGAGING IN OUTSIDE EMPLO'tNENT MUST FIlE AN ANNUAl DISClOSURE REPORT BY JULY Disclosure for atroLf. 1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: 1 THE MIAMI-DADE COUNTY CODE. Name: Last Wtlr, AiJ-' First Af1" ~ Middle It Filing as a (check one): o Miami.~ County Employee o Municipal Employee of: Llt~' ~ Position Title: 'rMtdaJ. I/YJ County/Munlcipal Department: -t:=iM~(L; CountylMunlci~1 Division: ~h~ WOfk Telephone: ~". (,73. 1~ X (,,~o, Apt. # ~ tJ .t:t D#'I If your home address is exempt from public recorcki pursuant to FloridB Statutes S 119.07, please check here; 0 Mailing Address (Street Name and Number) ~~ 00 . ~ City I I~ State tL. Zip Code ~~ 13'" 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 Outside Income Nature of the Work Performed Amount of Money or Compensation Received .41 ~~ Sl.c.lIJ' (..&.. -e- Ro,,'k I"t'L (JfH"l4~ Ins h ",-c,-fn" -e- ~fe4 ~ ~ I hereby swear (or affirm) that the aforesaid information is a true and correct statement. Date Signed (p 30 J.OO~ 1012G/00