Terry, Antwan L.M~ro' OUTSIDE EMPLOYMENT STATEME
For Ful!-time County and Municipal EmployeesNT
FULL TIME COUNTY ANp MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL D
ISCLOSURE REPORT BY JULY
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11
1(x)(2) OF
TH
M
Disclosure for
.
E
IAMI-DARE COUNTY CODE. Tax Year Ending:
Name: Last First
err.. Middle
n '`'
°
~
Filing as a (check one): ~Nliami-Dade County Employee
~ -v ,
--
Municipal Employee of: r
N
-~
Position Title:
County/Municipal Department: ~'' cr-
CountY/Municipal Division:
/f your home address is exempt frr~m public records pursuant Work Telephone:
to Florida Statutes § 119.07, please check here: ~ ~ _
Mailing Address (Street Name and Number) ~ o ~ ~ 1 , `~ ~`
~ Apt. #
City
State Zip Code
Please list the sources of outside em t 2 ~
Ploymerrt, the nature of the vwrk and the amounts of money or other
compensation you received. !f continued on a separate sheet please check here:
Name and Address of the Source of
Outside Income Nature of the Work Amount of Money or
Performed . Compensation Received
p~dc L~~~ ~
Schov~ bv~''~-
. ~ ~ v,
1 hereby swear (or affirm) that the aforesaid information is a true and, correct statement.
nr
Date
1U ~~~n"l
,orzwaa