Williams, AlisonMI
DAnE OUTSIDE EMPLQYMENT STATEMENT
~ For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING tN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF DisClOSUre for
Tax Year Ending' ~Ofl7
THE MIAMI-DADE COUNTY CODE.
Name: Last
W I ~~ l i'I~1 S First
~U~t/M-dw Middle
Filing as a (check one): ^ Miamf-Dade County Employee
~
Muniapal Employee of ~"'~ ~"M ~~
Position Title:
A eP,~u~~
CounrylMunicipal Department: County/Municipal Division:
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It your home address is exempt from public records pursuant Work Tele one:
to Florida Statutes § 919.07, please check here: ^ ~15 . (v~3 , ~ ~ u (Q(~ p 8
Mailing Address (Street Name and Number) Apt. #
I ~ 0.0 ~n~~~.+rw ~i 1YV I ~v 3 `~ ~~~
City State Zip Code
~
~
r
~~ 33131
Please list the sources of outside employment, the nature of the worts and the amounts of money or other
compensation you received. if oontrnued on a separate sheet, please check here: ^
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
t',~ vi~~a/ ?-n ~cn-~ ~n- ,~ ~" Z"n.s><r~-~~cY 151 0, to ~
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l hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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