Martinez, Paul DavidRECEIVED
CITY CLL~iK'S DEPT.
JUN 2 8 200?
MIAMIDADE OUTSIDE EMPLOYMENT STATED
~~ For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE Disclosure for
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY .JULY ~~
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADS COUNTY CODE. _
Name:
Z
Filing as a (check one):
First
~C'~ l.1
Middle
Miami-Dade County Emplo
~~~° C ~, 1
Municipal Employee of: ~ ~ 1 Gti 4til ~ _
Posit'en Title: ~ :----
~~~~ (~~
..
~4 ~ ~ ~ `~' i ~'
CountylMunicipal Department:
!f your home address is exempt from public recorcls pursuant
to Florida Statutes § 119.07, please check hem:
Mailing Address (Street Name and Number)
.,, v
Ciry
County/Municipal Division:
(' ,% ire
Work Telephone: l C.~ _
l Apt. #
State Zip Code
.~
%_v~~-
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. !f continued on a separate sheet, please check here: ^
Name and Address of the Source of
Outside Income
~~
S S `~ ~: c5 ~~1~
~-~i C~ ~ ('(~~ ~. '~t ~'~(~ 1 j
Nature of the Work
Performed
~~~~
~'7ca rv~ ~ n~/
Amount of Money or
Compensation Received
~; r -~ we ~ r c.,°,
1 hereby swear (or affirm) that the aforesaid information is a true and cort+ect statement.
~-
~~~~
~.^., / ~ ~2 / U~
,~~