Cronin, John C.
MIAMFDADE OUTSIDE EMPLOYMENT STATEMENT
~ 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
F
1
2
2
11
Disclosure for ~~~
(K)(
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1ST OF EACH YEAR IN ACCORDANCE WITH SECTION Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last ~l~ ,,
C ~NI First , ~
J 9 Middle
(/-'
Filing as a (check one): ^ Miami-Dade County Employee
.Municipal Employee of: ~ 1 ~_ri (JcJ~~
Position Title: _
~r~ ~ ~` J ~~ ~ ~L~~ `f~
County/Municipal Department:
t County/Municipal Division:
If your home address is exempt from public records ursuant
to~Florida Statutes § 119.07, please check here Work Telephone: _ /[
3~~~6 73-' ~~~ lE~~ g3
Mailing Address (Street Name and Number) Apt. #
7 a~ C~~. v Q~ /~ ~, C~-r ~ -~
City State Zip Code
l C~ f (~-v ~ ~ t3Z
Please list the sources of outside employment, the nature of the work and the amounts of money or other
please check here:
If continued on a separate sheet
ou received
nsation
,
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y
compe
Name and Address of the Source of
Outside Income Nature of the Work
Performed Amount of Money or
Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Pe on Disclosing Date Signed
6 ~2f~ld 7
-,
MIAMFDADE
~ OUTSIDE EMPLOYMENT STATEMENT
~ For Full-time Count and Munici al Em to ees
Y P P Y
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-DARE COUNTY CODE.
Name: Last~~ ~~ l First ,~ I Middle
Filing as a (check one): ^ Miami-Dade County Employee ~
,,Municipal Employee of !Cd/f-2 c ~d4~
Position Title:
County/Municipal De~rtment:
t~,l County/Municipal Division:
if your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here;;
3~ - G 7 3 -~ 0~ 0 ,~,~ ~`l3
Mailing Address (Street Name and Number) Apt. #
City - State Zip Code
(~ c ~~ ~~-~
. 33/3
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
Outs
id
e I
n
come Nature of the Work
Performed Amount of Money or
Compensation Received
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of P rson Disclosing Date Signed
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