Rodriguez, Enid ECEI,V~D
JUN 1 5 2007
MIAMFDADE OUTSIDE EMPLOYMENT STATEMEI~Tme
~ 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
11
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2
1 Disclosure for
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ST OF EACH YEAR IN ACCORDANCE WITH SECTION
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(K)(2) OF ,
Tax Year Ending:
THE MIAMI-DARE COUNTY CODE.
Nam
e:
La
st First Middle
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Filing as a (check one): ^ Miami-Dade County Employee
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Municipal Employee of: C I~ y oT 1`'~ I~A,N~t ~ ~~ h
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Position Title:
County/Municipal Department: County/Municipal Division:
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/f your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: ^ D 3 ~
3 0~5- 6-73 = 7
Mailing Address (Street Name and Number) Apt. #
80o Wes- ~veh~ ~ (d 3 3
City State Zip Code
Nl 1 CL-fiv~.'1 ~ ts~.c.~ ~L 3 3 13 °J
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: ^
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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