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Papy, Donald
OUTSIDE EMPLOYMENT STATEMENT MIAMFDADE ~~ 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 Fir Middle ~ z .3 l~ ~ j Filing as a (check one): ^ Miami-Dade County Employee cr- _ Q ~ ~ ~~" ~~'`~' Municipal Employee of: C ~ ~ rn Position Title: /~ /Y ~'1/~~ Q~ Cr~ kiY/DV~'1'e~ m e County/Municipal Depart nt: ~} ~C ~ County/Municipal Division: /~ ~ ,~ e. t C I ~y-~(y i?G~~S V If your home address is exempt from public records pursuant Work Telephone: to~Florida Statutes § 119.07, please check here: ^ ~©S C~7~-7~70 Mailing Address (Street Name and Number) Apt. # ~'`~Si' Sw ~'~ .5+. City State Zip Code 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 Outside Income Nature of the Work Performed Amount of Money or Compensation Received ~.vl ~~ - v-C /~ ~ ~"-,; ~-~ ~ ~5 j zoo I hereby swear (or affirm) that the aforesaid information is a true and correct statement. Signature of P n Disclosing Date Si/gned ~O/ /~/Q v :7 T~ T1 - ,ori~oo