Marcias, Fernando
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MIAMD
OUTSI.DE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST ALE 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: ;J..<:rd
THE MIAMI-DADE COUNTY CODE.
Middle
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Filing as a (check one):
D Miami-Dade County Employee .
~MunicipalEmployeeof: ~~. .&P'~
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Position Title:
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C~unty/Municipal Division:
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!fyour home address is exempt from public ~~rsuant
to Florida Statutes ~ 119.07. please check here:blJ
Mailing Address (Street Name and Number)
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City
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State
Work Telep~e:
C?~ b 7.3 --.k:v ~/<
Apt.'
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Zip Code.
I
33/
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
Oul$ide Income
Nature of the Work
Perfonned
Amount of Money or
Compensation Received
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rm) that the aforesaid information is a true and correct statement.
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