Beltran, Julio
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OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
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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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Filing as a (check one): D Miami-Dad~ County I;:mployee H IJVt l. R_ A,~l
g-Municipal Employee of: C ;+'1 of "-
Position Title:
SLec:fr-tcA L r ~ s r>ecJ1o.'<.
CountylMunicipal Department:. CountylMunicipal Division:
- l)L,nl-DlrJ6. ~T, EleC'TILI~ D IV .
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes 9 119.07, please check here: ~ 30~- (f,7 :>,-7b, 0
Mailing Address (Street Name and Number) Apt. #
City State . Zip Code
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 Amount of Money or
Outside Income Perfomted Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
s~natu~~~ Date Sign! ~
13> 2-1 f)7
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10126/00