Del Sol, Orlando ECEIVED
CITY CLERK'S DEPT.
JUN ~ 4 2008
MI~- OUTSIDE EMPLOYMENT STATEMEN
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 pisclosure for pr
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending: ?~~O
THE MIAMI-DARE COUNTY CODE.
Name: Last First Middle
Filing as a (check one): ^ Miami-Dade County Employee ,
v •
Municipal Employee of: /~~
Positi/o~n Title:
/~i ~ ~ ~ ~
Coun /Municipal Dep mer-t: County/Municip I Division:
A
If ur home address is exempt from public records pursuant Work Telepho •
to Florida Statutes § 119.07, please check here: ^
Mailing Address (Street Name and Number) Apt. #
""r / 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 sheep please check here: ^
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Pertormed Compensation Received
~ va- vctT - Cool r u Luc.
Ids-3 5.~. ~~, y~- .
Mr ate,. ~=1. 33~g~ ~~~ ~,~ _ ~ ~~~~vo,D~
1 he%" - - 7-r ~~~ that t~e aforesaid information is a true and correct statement.
Date
,aze+oo