Papy, Donald M.MIAMbDADE 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: ~~C?y~7
THE MIAMI-DADE COUNTY CODE.
Name: Last
~~ ~~ First
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Filing as a (check one): ^ Miami-Dade County Employee
,~ Municipal Employee of: ~ ~ ~7 ~~`~~ ~ "' ' ~ ~~ `" ``
Position Title: c ; ,~,,
County/Municipal Department: County/Municipal Division: r-' ~ rys
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/f your home address is exempt from public records pursuant Work Telephone: <.-' -~ ;`~.
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to Florida Statutes § 119.07, please check here: ^ _ _
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Mailing Address (Street Name and Number) T pc181. # `"'
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City ~ 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 Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
Go~~l ~filt~ ~ JAG ~C{.~,; --1c'~.,;.~.,~
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing
'1~~i~r~'~ ~i~ Date Signed
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