Inirio, Eduardo David
_I-DADEt
OUTSIDE 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.
Name: Last
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First
Middle
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Filing as a (check one):
D Miami-Dade County Employee
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[jMunicipal Employee of: /vi. ( 0 Yh I ~ a,o t:. n
Position Title:
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County/Municipal Department:
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Co nty/Municipal Division:
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Work Telephone:
If your home address is exempt from public records pursuant
to. Florida Statutes 9119.07, please check here: ~
Mailing Address (Street Name and Number)
Apt. #
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State
Zip Code,.
3"1'/68
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7.
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
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Nature of the Work
Performed
Amount of Money or
Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Date Signed
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