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Taylor, Ellise OUTSIDE EMPLOYMENT STATEMENT MIAMkD ~~ For Full-time County and Municipal Employees FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE ORT BY JULY -~;~-- EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REP 1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF DiBClosure fOi Tax Year Ending: DC3" THE MIAMhDADE COUNTY CODE. ~~; ~~ ~ ~ low First r ll~~ Middle s ~'-, ~ Filing as a (check one): ^ Miami-Dade County Employee ~Muniapal Employee of: ~ / TV Dt /'7 - G/'~ / (.~ eGC~I Position Title: / o l~•c` e n ~-~•ce~ ~ e fec~~~~- County/Municipal Department: County/Municipai Division: r~')I~aM; 3e~ch ~o/irC' De ~• ;1~ Cr•,.~„'-.Gl ~/ivf;fl5• Q~•D-r.s J + If your home address is exempt from public s pursuant Work Telephone: to Florida Statutes § 119.07, please check he 3tZ~ = (~~j - ~~ ~ 6 XJ .1~ 3 Mailing Address (Stn3et Name and Number) ~• # 1 1 0 0 W a J' ~'„ n /9'~ v e State ~P Code City ,~;a~-,; i3cGcti I=mo 33J~3 ~ Please list the sources of outside employment, the nature of the worts and the amounts of money or other compensation you received. ff continued on a separate sheet please check hero: ^ Name and Address of the Source of Outside Income Nature of the Woik Performed Amount of Money or Compensation Received cG~~osAlbiw Un-vers~•~y A d'vnc~ iQ~o~'essv $a,~©o a i ~ ,~ N w g 9~ ~ ~e^ tee. fie G c~ ,'~ y ~, ~tey t? M i U M l~ ~ 1- CDV~~Q. 0 ~~ a -~ -"' O n t~'t r- n r'r'a N ~ ~ 1 hereby swear (or affirm) that the afon~aid information is a true and oomec.~t statement- o ~ -T ; Signature of Person Disclosing Date Signed ~_, o , N ~r~-~~-0~ ~1~/ O~ T} ,~ Ti ~~