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Held, Gary M.nr-rC;IVF'i1 MIAMw ~ OUTSIDE EMPLOYMENTS 1~1 ~~5; ~ ~ ~ ~~~ ~ ye For Full-time County and Municipai FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE ~' I ~ Y ~ EMPLOYMENT MI;1ST RLE 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: /2"3l - O? THE MIAMhDADE COUNTY CODE. Name: Last ff~l~ First ~!t f ~ Middle /1i1 . Filing as a (check one): ^ Miami-Dade County Employee urna Em ayes of: ~~~~~ ~ ~ ~~~~ 'pal pl Position Title: ~~ ¢ t~s ~. G•~ d~~rn / County/Municipal Depart meat: County/Municipal Division: !f your home address is exempt irom public records pursuant Work Telephone: to Florida Statutes § ??9.07, please check here: ^ 3., f ~ ~? 3--? y'?O Mailing Address (Street Name and Number) ~~ # ~Z 2 L S ~/ /5'0 ~'e. City State Zip Code ~ ~`~-s~..t ~ G~.,. ~,~19 ~ ~ Please list the sources of outside employment, the nature of the work and the amounts of money or other compensation you received. ff contirwed on a separate sheet please check here: ^ Name and Addn3ss of the Source of Outside Income Nature of the Work Performed Amount of Money or Compensation Received ~ ~ /LI. f~~/d, ~ /4. ~ ~ 4~~~/r c~S 9a Z ~ s~/ ~s~ ~ /~~ e ~~`~' ~~ 3 3 ~ 9G ('~ N O -'-~ "'~ Ca C-J C r-- r ~ _ I hereby swear {or affirm) that the aforesaid information is a true and correct statement. cn -+v Signature of Person Disclosing Date Signed © cn q ~/~' ~A U O