Ireland, Delroy Anthony
OUTSI,DE 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.
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Name: Last
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Filing as a (check one):
D Miami-Dade County Employee
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~niciPal Employee of:
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Position Title:
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CountylMunicipal Department
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County/Municipal Division:
/fyour home address is exempt from public records pursuant Work Telephone:
to Florida Statutes ~ 119.07, plea~ check here: 0
Mailina A,.Idress (Street Name and. Number)
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City . State
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Apt. #
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: 0
Name and Address of the Source of
Outside Income
Nature of the Work
Perfonned
Amount of Money or
Compensation Received
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swear (or affirm) that the aforesaid information is a true and correct statement.
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Date Signed
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10126<<lll
MIAMI{)ADEt
OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
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o Miami-Dad~ County Employee
~~nicipal Employee of: C H ~
FULL-TIME COUNlY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K)(2) OF
THE MIAMI-DADE COUNlY CODE.
Name: Last
~2fI!~ J
Filing as a (check one):
~tio~ Title:
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CountylMunicipal partment:
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If your home address is exempt from public records pursuant
to Florida Statutes 9119.07, please check here: 0
Mailing Address (Street Name and Number)
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City
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Disclosure for
Tax Year Ending:
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CountylMunicipal Division:
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Work Telephone:
305. {o')3 - 5-0 c:
Apt. #
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State
P"L
Zip Code
951 'I I
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
Name and Address of the Source of
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
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J hereby swear (or affirm) that the aforesaid information is a true and correct statement.
10126100
Date Signed
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