Williams, Allison R.
MIAMD
OUTSIDE 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:
THE MIAMl-OADE CoUNTY CODE.
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Name: Last Will r ~~ First Middle
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Filing as a (check one): o Miaml-Dad~ County Employee ~
~uniCipal Employee of: \
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Position Title:
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CountylMunicipal DepartllJent:
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CountyJMunicipal Division:
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Work T ephone:
.305'. '3. t~ Y 'bOr
Apt. #
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)
1100 ~ ~ lJ.U JJ Clo~
City
J...I;~
J:L
State
Zip Code
3313&J
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 Nature of the Work
Outside Income Perfonned
Amount of Money or
Compensation Received
RdVl'4A I1lk~J UniV A-J ~J- Itl~l-Yw.W
l~aJo .00
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing
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