King, Luis Arturo OUTSIDE EMPLOYMENT STATEMENT
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~~ For Full-time Coun and Munici al Employees
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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-t1.1(K)(2) OF Disclosure for
Tax Year Ending: 20~
THE MU1MI-DADS COUNTY CODE.
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FiNng as a ( ): ^ Miami-Dade County Employee
Muniapal Employee of: ` ~~ i n 1
Positi Title:
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County/Municipal Department: County/Municipa! Division:
1f your home address is exempt fro public recorris pursuant Work Telephone:
to Florida Statutes § 119.07, please check hers: "3 ~ ~`~ ~ ~ ~
Mailing Address (Street Name and Number) ~• #
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City State Zp Code
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Please list the sournes 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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I hereby swear (or affirm) that the afon~aid information is a true and correct statement.
Signature of P n Disclosing
,_ ~ Oats igned
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