Antelo, Henry
MIAM.
OUTSI.DE EMPLOYMENT STATEMENT
For Full-Ume County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCI 0S11RE REPORT BY JuL. Y Disclosure for
1ST OF EACH YEAR IN AccoRoANce VIIITH SEcTION 2-11.1(K)(2) OF Tax Vear Ending: ;loo6
THE MIAMI-DADE COUNlY cooe.
Name: Last
ht\e..\o
First
Middle
----
Fling as a (check one): 0 Miami-Dade County Employee
[B'Municipal Employee of: C,"t 0 r M \AMLBE4cAf
Position Tille:
~ {\(U(\r-J G ~'torvce.MuJl.svf~ ISO (..
CountylMunic1p81 Deparbnent: County/Munlcipal Division:
~1\~vJ 5 . ef"'\" A (\~V\JG ~,J~""
If your home addtess is exempt WIll public I8COIds ~ Work Telephone:
to Florida statuIes J 119.07, pIeas8 check bent: U '7 8 (;~ '-//2. -: ft7! 6
Mailing Address (Street Name and. NumbeI'J Apt. #
. . ,~~ 3 S. OC&lfN .D~. '7 J 0
City State Zip Code
\-\#\\'.F\~~~\-e ~tAoI --'loft-IdA :.300 .
PJease 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 sepamte sheet, please check here: 0 .
Name and Add..... of the Source of Nature of the Work Amount of Money or
OUt8ide Income Performed Compensation Received
~ fA oPeN 50 'iW tl.1T'f ~ .v1U1'1D
<;t~IUSI J:NG'
.L.\ \ 4 tN. ~~ Pc..J S ,liTE :#0 200
k.\.~~\ ~ 3)1).. 7
. \J \ t.e f uS I JeJJT
A- D N\ ,.J ,>/i'l.k1O R.
\- ))\~oF of~~s.
*50JGtt>. ~
A leAl
I hereby swear (or affirm) that the aforesaid information is a true and correct statement
1C112l111O