Yoder, Michael Anthony~~~~~~
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~ OUTSIDE EMPLOYMENT STATEM,~NT
~ For Full time County and Munlclpai Employe
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUA! DISCLOSURE REPORT BY .JULY Disclosure for `1 ~ 0
1ST OF EACH YFAR iN ACCORDANCE WITH SECTION 2-11.1(x)(2) OF Tax Year Ending:
THE MWMI-DADS COUNTY CODE.
Name: Last First Middle
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Filing as a (deck one): ^ Miami-Dade County Employee
/
~Muniapal Employee of: uM t 2M i ~ e. °~ G
Position Title:
CountylMunici
pal Departmerrt: CountylMunicipal Division:
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If your home address is exempt fram public records pursuant Work Telephone:
to Florraa starures ~ ~ ~a o~, please check here: 3 °~ ~ ~ ? 3 , ~ ~ 7 ~
Mailing Address (Street Name and Number) Apt. #
City State Zip Code
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 Nature of the Work Amount of Money or
Outside Income Pertorrned Compensation Received
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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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