Perez, BarbaroMIAM OUTSIDE EMPLOYMENT STATEMENT
For Fuli-time County aid Municipal Employees
Ftx~ ~ CtwKnr AND n~ Etc ~ avrs~aE
EMPLOYMENT MUST' FN.E !W At~NaAL REPaRT BY .~Jt.Y Disclosure for
1ST OF EApi YEAR W A~ANCE VNl'H SECTION 2-11.1{tQ(2) OF Tax Year Ending.
THE MWYM-D~AOE CoUNTYCoDE.
Name: Last
.~. First Middle
Filing as a {check one):
Miami-Dade County Empioy~ee
'
5~°~ Mtawdpai Employee of:
Position Tide:
G~
CountyMlunicipal Department: County/Municipai Division:
rf ycxir home address Is exempt hwn public records Work Telephone:
to Florida Statutes § i 19 07, please check here: ~~'~ _
Mailing A~dc~+ess (Street Name and Number] Apt. #
City State Zip Code
Please Nst the souroes of ouL~ide employmerrt, the nature of the vrork and the ~nouslts of md~ey or other
corrtp~satior- you r+eoeived. tioorltirxied on a separate sheet, please dleck here: ^
Name acrd Address of the Source of Nature of fire Work Amount of Money or
Outside Income Perfomned Compensation Received
vrT ~~~~~~~~r~~~,~,~6 . G~if-~~~y ~~~~~ 3~ 3 s"y/~
/ddb //. /~,~~~/G~ G~/~/ r'G',~~,//G'/
iii/ c
. ~,
`
/.~ ,Clio ~ ~ m
-
~:
~
~
--•-, cn
• -n ..
;~ ,~.
I hereby swear' {or affirm) that the afores~d irdamation is a true and oorred statement.
Signature sdosing Dam Signed
~ 7- d°
~C3
~_
C
ior~aioo