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Chambers, Raymond Franklin
~} N Q ~ C CD C"7 ~ r rr MIAMhDADE ~ OUTS{DE EI~~~Jb~M~ TATEMENI° w ~ ~ For Full-tim ' ' ~" ~~u~ y , Munlclpal Employees ~, N FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY 1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Disclosure for Tax Year Ending:~~~ THE MIAMI-DADE COUNTY CODE. Name: Last ~~~~.~ s First ~~~o~~ Middle ~ ~~,~ Filing as a (check one): ^ Miami-Dade County Employee '` ~unicipal Employee of: ~l~rq/ ~~r7 Position Titl ~~~ l~ /C/~.~ ©~ County/Municipal Department: County/Municipal Division: C ~ ~D G G!' ,v ~2 I~/~ v !f your home address is exempt from public recoMs pu ant ~ Work Telephone: to Florida Statutes § 119.07, please check here: S ~ 6~ ~ ! ~~ M ai li ng Address (Street Name and Number} Apt. # - - ~ j City State Zip Code. Piease list the souroes 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 Outside Income Nature of the Work Pertormed Amount of Money or Compensation Received VGA Vl~~/T~ NF~W~~.=vlA~~'~,a~ ~~D n~~o7A~s,~~s gn r Kz~r -~ ~ A-~S~.f ~~ ~o~ i9riioL~~s v~~,~S ~Y ~TV, ~~ ~~S mAD£ ~ Ffl4. ~o I hereby swear (or affirm) that the aforesaid information is a true and correct statement. S' ure of Person Di closing Date Signed ~~_~y~ v