Muñoz, Beatrizh11A
M ~ OUTSIDE EMPLOYMENT STATEMENT
_ For Full-time County and Municipal Employees
FULL-TIME COUNTY ANO MUNIGIPAL EMPIOYE~S ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNWIL D13CLOSURE REPORT BY JULY
1ST OF EACH YEAR IN ACCORLWNCE WITH SECTION 2-11
1(x)(2) OF plgClosure for
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TFIE Mwa+-DaoE CouNrr CopE. Tax Year Ending:
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Filing as a (ct-eck one): ^ Miami-Dade County Employee
~ Munippal Employee of: _~~ '~ ~ •~ M.,tAt~n. ~
Position Title:
Co(u~ntytMunicipel Dep~a}rtment: County/Municipal Division:
If your home address is exempt from public records pursuant Work Telephone:
to Florida Statutes § 179.07, please check bore: ^ ~'~~, ~ -~3 -~ --) s O
Mailing Address (Street Name and Number) A~_ ~
City State Zip Codf>
Please list the aoun~s of outside employment, the nature of the work and the amounts of money or ocher
compensation you received, ff continued on a separate sheet, please ci-eck here:
Name and Address of tfie Source of Nature of the Work Amount of Mon®y or
Outside Income PerFormed Compensation Received
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I hereby swear (or affirm) that the aforesaiA information is a true and cormct statement. -n v
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Signature of arson D 'ng
,- Date Signed
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