Harrington, CindyMFDADE OUTSIDE EMPLOYMENT'STATEMENT
M1=' For Full-time County and Mun p P
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-DADE COUNTY CODE. IVllddle~~-"
First ~
Name: Last r ~~ J
Miami-Dade County Emplo a ~I ~ ~~ `
Filing as a (check one): ^
~unicipal Employee of:
Position Ti ~ ` ((
~~ ~ v + ~ ~ ~ l ~ I Division:
1 (`nunh//MunlCl a ~ ~
~~
` I ° ~' v Work Telephone:
If your home addres is exempt from public records pursuant ~ ~~ ~~
to, Florida Statutes § 119.07, please check here: ^ ~ ^l ^-
Apt. #
Mailing Address (Street me nd b r)
~--' ~~~" ~ Zi Code
7 S to p
City
`~ ~ ~~~ l
or other
Please list the sources of outside employm nna, sees ate sheet pease check here: u^ of money
compensation you received. If cont-nued o p
Nature of the Work Amount of Money or
Name and Address of the Source of Performed Compensation Received
Outside Income
^~~ . ~
~~
_~ ` ~,
~y~~
~-~ :~
~: ~, ~,
a ,~
3
.-, ~ ,-n
I hereby swear (or affirm) that the aforesai information is a true and correct statemen . T
Date Signed ~,~; ~
Signature of Perso i closing ~, `` ,~/`~
~ (~ / /
~~
,orzsiao