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Dantone, Carrie Frances n r- J'"\ r- 1\ J r- , '- ".' ~,~ . --.or 'l::' _DADEt OUTSIDE EMPLOYMENT STATE~~]j _ PH I For Full-time County and Municipal Employe N 5 FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE efT Y CLERK '$ 01 EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for 1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K)(2) OF Tax Year Ending: 0ul\e. ;)D07 THE MIAMI-DADE COUNTY CODE. Name: Last FirsC . Middle DUn+o t\ f- Qrr.e f{t(llce.s Filing as a (check one): D Miami-Dad~ County Employee W Municipal Employee of: C//y of IJ1/QlYli 6each Position Title: I/UffI()f1 ~e.sourC-es ke-^ 1 County/Municipal Department: County/Municipal Division: 1!ulfltllltesOurLe~ cJ-~''0k..tI11q mt. !Se"e0h Y- ~''S.K fY\s.-nf. If your home address is exempt from public records pursuant Work Telephone: to Florida Statutes 9119.07, please check here: D 305-&73- 70;c-/ Mailing Address (Street Name and Number) Apt. # /tJOO gll) R-l tI /11- ~ City State Zip Code j}1fqrn " bea cA fL 53/3 ~ 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 Nature of the Work Amount of Money or Outside Income Performed Compensation Received S+-4rbuc..-K,s vY\O-ti ~ ise[l; 1\0 CD~ee.. ~/l.97~.'-13 9.51 lVesl-- Ave. m,'Qm' Beac.h) FL 33/3 9 as D~ 5/~o/07 I hereby swear (or affirm) that the aforesaid information is a true and correct statement. Signature of Person Disclosing Date Signed ~ F. ()aA. ,^_ ~ 6/r/07 o : 53 F ICE 10/26100