Mooney, Thomas
RECE.IVED
CllY CLE!RK'S DEPT.
IIi!iI'DADEt
OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees ~me
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for '1 ()^ I
1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K)(2) OF Tax Year Ending: tX tit:'
THE MIAMI-DADE COUNTY CODE.
Name: Last M(O ~ ~
First t ~M itS
Middle
D Miami-Dade County Employee
~niciPal Employee of: ~\.t\
Position Titlebes ~ V\ cJ. <e5~\)ahe..
County/Municipal Department:
Filing as a (check one):
J O'\.D.I": ~ec.cM
County/Municipal Division:
Work Telephone:
3<16.,,, ?J-~ J'6cCl(
Apt. #
If your home address is ex pt from public recor~uant
to Florida Statutes ~ 119.07, please check here: l.!::J
Mailing Address (~O~aml qr S~7)
City t&tcJ Caubl~5
State
fl
Zip Code
"3.1 It
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
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
:t (~OO. ()O
4. 7 )0. ao
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person isclosing
Date Signed
6'" 3-0
10/26/00