Yoder, Michael Anthony
.~ADEt 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 :1 C) 0 L/
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Las~ First" . Middle
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Filing as a (check one): D Miami-Dade County Employee
~ Municipal Employee of: j'1 " Q (\"\. ; G c.- c.. c... ~
Position Title:
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County/Municipal Department: County/Municipal Division:
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If your home address is 'exempt from publiC records pursuant Work Telephone:
to Florida Statutes 9 119.07, please check here: ~ ]05-(.,7)-7 I 7~
Mailing Address (Street Name and Number) Apt. #
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City State Zip Code
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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
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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