Tacao, GiselaRECEIVED
OUTSIDE EMPLOYMENT STATEMEN`~N ~ 9 200
MIAM FDADE
~
For Full-time County and Municipal Employees By
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last ~/~,~
~~1 ~"~ v First ~ /~,,
~~ U"~ Middle
'"`
Filing as a (check one): ^ Miami-Dade County Employee
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^~Municipal Employee of: ~~~ lJT ~Il~ ~~ ~ ~.°~~~~
Position Title:
P~-~ ~~~ ~~~~ST
County/MuniMcipAal Dgepa~rtm~~ent: c~ ~ ~pn ~,
~~t'll" V~ 1~~it"~K~ '~~/~,(,~~i 1~`illj !'nl~~ County/Mun~ic~iypal~Dii Ision: pf,
~ VGl It/ ~ ~ ~ VCS
If your home address is exempt from public records pursuant
to.Florida Statutes § 119.07, please check here: ^ Work Telephone: 2
~~Qr?jQl ~ D2~3
Mailing Address (Street Name and Number) APB
City y~ • State Zip CoQd~e
I ~1,~~ 1 ~~ ~ ~~~~- 1
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
Outside Income Nature of the Work
Performed Amount of Money or
Compensation Received
KA~NN~ ~~~ , ,~ N~ ~ ~-~r(,~ C;Qc~-12~%IU~%5 VA1'.co(IS
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Si ed
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