Rivera, Edwin
.~~
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:
THE MIAMI-DADE COUNTY CODE.
''', \..
i \ ')'
. :j'
Orp
Name: Last
First P /I '
L.UUJI,J
Middle
Filing as a (check one):
D Miami-Dade County Employee
~MunicipaIEmployeeof: C ,/,.,. v/' 1Jl,con,"bac4
Position Title:
/,~ tu r)tf~ s
If your home address is exempt from public records pursuant
to Florida Statutes 9 119.07, please check here: D
Mailing Address (Street Name and Number)
/ .)-0/ Z S (.-<./ I Y DiP f7.. r-
CountylMunicipaJ Division:
S!fCO~1r
Work Telephone:
:Jor G 75 7<02 r-
Apt. #
/U{~.. ,.
~
Zip Code
J'S/9
City
State
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
fJ l!t ~I.)((' /IoJ/"l.~ t ~ 6/lOdf'1.
c; i'OS. ;i.Je-J J"G -1.1
S.oi7€ ;; / /
,
S:4~ (kc(k_
Ff 10.33,
~oc/.,,-
G:,~
o
C\
. formation is a true and correct statement.
Date Signed
101261OO