Olson, Jamie Marie OUTSIDE EMPLOYMENT STATEMENT
MIAMFDADE
~~ 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 DisClOSUre fOi
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADS COUNTY CODE.
Name: Last First Mi~ddAle
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Filing as a (check one): ^ Miami-Dade County Employee
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Muniapal Employee of: Cf}'LI O°~ M1um~ 1~h
Position Title:
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partment:
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County/Municip County/Municipal Division:
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if your home address is exempt from public records pursuant Wa'k Telephone:
to Florida Statutes § 119.07, please check here: ^ `~~-~`~-'3= ~~ XC~rp~a
Mailing Address (Street Name and Number) Apt. #
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City State Zip Code
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Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you received. tf continued on a separate sheet, please check here: ^
Name and Address of the Source of Nature of the Work
Performed Amount of Money or
Compensation Received
Outside Income
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I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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