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Azim, Alkareem A. (2)
MIAMFD~ OUTSIDE EMPLOYMENT STATEMENT ~ 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 for 1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: oZ00(o THE MIAMI-DARE COUNTY CODE. Name: Last First Middle ~ ~ ~ ~~~~ Filing as a (check one): ^ Miami-Dade County Employee Municipal Employee of: 1 ~ D~ M~~~~ ~~ Cr Position Title: County/Municipal Department: County/Municipal Division: M. ~z~ 5x if your home address is exempt from public records pursuant Work Teleph e: to Florida Statutes § 119.07, please check here: © 3 ~ ~ _ 7 ~ Mailing Address (Street Name and. Number) Apt. # ~c~c~ ~AsN~~~Y ~ ~~ COY 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 Na#ure of the Work Amount of Money or Outside Income Performed Compensation Received ~~~~~aNN~~~ s ~~ ~ay~~~~ ~f °~ °~~? d~vl~ R~ ~x~ h~~~ 5~c.~1~~ ~ a ~.30U -r ~ pA~/~c`. ~l- r- x.~ ._ x cn 'o O 3 T •• ITS I hereby swear (or affirm) that the aforesaid information is a true and correct statement. Sig t of Person Disclo ' g Dat Si ned / ,orze,oo