Anderson, Shawn Christopher~r:~K VED
MI
~ OUTSIDE EMPLOYMENTS T
~ For Full-time County and Municip
FULL-TIAAE COUNTY AND MUNICIPAL EIII~LOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY .IULY Disclosure for
1ST OF EACH YEAR IN ACCORDdWCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending' ~ 7
THE MIAMhDADE COUNTY CODE.
Name: t_ast First Middle
Filing as a (check one): ~ Miami-Dade County Employee
v~Muniapal Employee of: h~ tkvln ~ ~ ECctl~ .
Position Title:
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Municipal Department: County/Municipal Division:
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If your ho a address is exempt from public records p rsuant Work Telephone:
to Florida Statutes § 119.07, please check here: ~ ~ g S (g ~3 ' -~ ~ 1 ~
Mailing Address (Street Name and Number) Apt. #
City State Zip Code
Please list the sources of outside employment, the nature of the worts and the amourrts of money or other
compensation you received. Jf 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 aforesaid information is a true and cameo statement.
Signature'pf Person Disclosing Date Signed
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