Rodriguez, Freddy
_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 d06,
1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1 (K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last First Middle
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Filing as a (check one): o Miami-Dade County Employee
~ Municipal Employee of: C; I )' "./ /hi 1414t ( J) I' 4"- 1.
Position Title:
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County/Municipal Department: County/Municipal Division:
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If your home address is exempt from public records pursuant Work Telephone:
to. Florida Statutes 9 119.07, please check here: 0 J,S- G'1J )61,/
Mailing Address (Street Name and Number) Apt. #
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City 11- State Zip Code
I-Io~~}';'t:.'~c/ 3JcJ?5
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 Performed Compensation Received
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756 b:- 0-.(; tr
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Si~re of Person Disclosing Date Signed
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