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Del Sol, Orlando~~~~~~~IF~} STATEMENT OUTSIDE EMPLOYMENT MIAMhDADE ~~ . For Full-time County and Municipal ~p~o~~s`~i~S OFF ICE. FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY 1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Disclosure for Tax Year Ending: ,~©~~ THE MIAMI-DADE COUNTY CODE. Name: st First Middle B ~ ~i~~ ~ Filing as a (check one): ^ Miami-Dade County Employe/e~ ,~~ /_ ~ Municipal Employee of: C, / ~ ` ~~~y7 ~~~'~• Position Title: ~• County/Municipal De artment: County/Municipal Division: ~~ ~~ If your home address is exempt from public records pursuant Work Telephone: to Florida Statutes § 119.07, please check here: ^ ~?. ~s ~~ ~_ ~Jr(p~ Mailing Address (Street Name and Number) Apt. # ,~a~/3 ~~ /~i ~ City State Zip Code. " ~IMr t /• ~I~LP 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 ,~l ~vA~~Fs ~'ooG ~ Luc. • r~ ,,~E~v'~c~ ~ ~~,9i ,~~ Odd D~ ias~.~ ~. w ~a C ~~ ,~,~-i,~ ~ 3~ l ~ ~ I hereby s or affirm) that the aforesaid information is a true and correct statement. Si ure of P Disc Date Signed . L -i~/ o ~