Blanco, Luis A.RECEIVED
CITY CLERK'S DEPT.
JU 2 7 2007
sy
MI OUF SIDE EMPLOYMENT STATEMENT
~-
- or Full time County and Murnclpal Employees
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 pisclosure for
Tax Year Ending: o~DO ~
THE MIAMI-DARE COUNTY CODE.
Name: Last First ~ Middle A
Filing as a (check one): ^ Miami-Dade County Employee
Municipal Employee of: ~ • ~ ~,
Position Title:
/ ~~.G/~ioiv/(~ ~ ~.5~PJd.c. J"vR.
County/Municipal Department: County/AAunicipal Division:
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: ^ ~c~S = 3 9S'' - ~ 6 ,~y~
Mailing Address (Street Name and. Number) Apt. #
/low 7f ~'~ ~~ G~
Cdy Stat
~~~~ 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 hens: ^
Name and Address of the Source of
Outside income Nature of the Work Arnount of Money or
Pertormed Compensation Received
//~~
LOOL - G[,/a~/,e.. A~c, ~p~ ~/C. ~~.~/~c~e, ~' f6. CJOJ
/ro3'.~ ~~ ~.3 Ln.J G~,,,~~,,..y
/7JQ/Nr ^ _ ~~A - c~3/ 93
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
~o ~ 71 p~
iorzsioo