Villareal, AndresRECEIV;
JUN 2 5 ZOG'1
ey
~NIIQ
M C)UTSlD~ EMP~~YM~NT ST~T~MENT'
® For Full-time County and Municipal ~mpioyees
FULL-TIME COUNTY AND MUNICIPAL Et~iPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY dlscloSUre for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: 06
THE MIAMI-DARE COUNTY CODE.
Name: Last First Miririle I
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Filing as a (check one): ~ Miami-Dade County Employee
p Municipal Employee of:
Position Title:
C'nr ~nfir ~.,i,.:.,.,t n,..._~
- I ~.vunryimun~crpal uivision:
/f your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here._
O - - o ~'~ ~ 6.55 /
Mailing Address (Street Narne and Number) Apt. #
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 Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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G oN S7`R Ut~`I dA/ CovS~!/t~ ~ ~ o o• • •~ ~.r. y~
I hereby swear (or affirm) that the aforesaid information is a true and con'ect statement.
Signature of
Date Signed
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