Martinez, Francisco
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 lMTH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADE CouNTY ~
~006
Name: Last
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First
Middle
to.
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Filing as a (check one):
o Miaml-Dade County Employee
~uniciPal Employee of: rG
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CountyJMunicipal Department
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If your home addresB is exempt from public teCOIds ~
to Florida Statutes J 119.07, please check here: U
Mailing Address (St18et Name and. NumbeI1
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City "r ' ~
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State F G
Zip Cod&:;)
33/ bi
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: 0
N81ft8 and Address of the Source of NlIture 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
Date Signed
7-lj-ol.p
1CI/28lIIII