Gomez, Susana Falero
~~~E~X~9
JUN 1 2 2007
_TDEt
r~
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: Z,OO~
THE MIAMI-DADE COUNTY CODE.
Name: Last 90 JrJ e: ?:::
First
SiAs #VYltA.-
Middle
Fa/UVO
Filing as a (check one):
o Miami-Dade County Employee
~ Municipal Employee of: r; m; rrF M In 111/' &a ch
Position Title: .
Mcdrc:;L
County/Municipal Department: CountylMunicipal Division:
() (Oh1lY1tAYH~ ov\)
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes S 119.07, please check here: 0
Mailing Address (Street Name and. Number)
)5t.P J
Apt. #
;-& /./E
City
State
Zip Code.
.d3/:3i
o vef
[.
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
Outside Income
Nature of the Work
Performed
Amount of Money or
Compensation Received
.51.-1 (50 j.Yh C.
liS&. Nb iOI S+
yl"l/ttW\(' 5:hoft'J~:pL 33J3i
rtaf eJP-.1-c ICVVld!o~ iP reo-
(Jc (as'I6nd field.
Ivoduc:h dv1 ",..rav K.
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Date Signed
10I26lOO