Sarria, MarvinRECE sVED
FAIAM tJUTSi~DE EAAPLOYMEIVT STAT 007
For Full-time County and Municipal E
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAA;ING iN OUTSIDE
EMPLOYMENT MUST FlLE AN ANNUAL DISCLOSURE REPORT BY JULY
9ST OF EACH YEAR iN ACCORDANCE MATH SECT~N 2-11.1(K)(2) OF Disclosure for
Tax Year Ending: ~p~
THE MIAMI-DADE COUNTY CODE.
Name: Last i
rs
F
t Middle
~ ~C ~C \ (
~
(
~
~ ' \ O``f` J
Filing as a (check one): ^ Miami-Dade County Employee
1~
~Municipai Employee of: ~.1 ~'-'~ O~ y`~ ~~ C'~r~~ ~~-~~.
Position Title:
~
~
~
~
v
,_, C
C
v ~ ~~Cv
CountylMunidpal Department: County unicipal Division:
~\ c- S ~ ~
if your home address is exempt from public reoorMs rsuanf Work Telephone:
to Florida Statutes § 119.07, please check hens: ~ 3 ®"5, ~- 6 '- '`~,~ '~ ~ °Z
Mailing Address (Street Name and Number} Apt. #
~ 2 C~~ S~ ~\. ~
Cry State Zip Code.
'C~\ ~ G ^M ~ '~
Please list the sources of outside employment, the nature of the work and the amounts of money or other
compensation you n3ceived. if contbtued on a separate sheer; please check here: ^ .
Name and Address of the Sour9ce of Nature of the Work Arnount of ltAonsy or
Outside income PerFonned Compensation Received
~~_~-~ tlvw ~,~~ ~~. _.
I hereby swear (or affirm) that the aforesaid intnrmation is a true and coned statement.
Signature of Person Disci ing Data Signed
G ~~ f2-D
h