Bugallo, Arnaldo~'('~~~lF~~
MIAMhDADE
~ OUTSIDE EMPLOYMENT STATEMENT
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FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE 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: ,~~ U(~
THE MIAMI-DADE COUNTY CODE.
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Filing as a ( ck one): ^ Miami-Dade County Emplo
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lunicipal Employee of:
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Coup /Municipal partment:
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!f your home a ress is exempt from public records pu uanf rk T lephone:
to Florida St utes § 119.07, p/ease check here: ,~--.
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Mailing Address (Street Name and. Number) Apt. #
City ~ State Zip Code.
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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 i
ncome Performed Compensation Received
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I hereby swea (r affirm) that the aforesaid Ph`forma#7ur7 ~;a,tr~lf~nd correct statement.
Sig ure of on Dis rising - n~ ~~®Z Date Sig d
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