Satchell, Isabel Y.MIAMFD' OUTSIDE EMPLOYMENT STATEMENT
~ For Full-time County and Municipal Employees
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:
THE MIAMI-DARE COUNTY CODE. --
Name: Last First _ Middle
Filing as a (check one): ^ Miami-Dade County Employee
Municipal Employee of ~
Position Title:
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County/Municipal Department: ~~ ~ ~ County/Municipal Division:
~
C-~ C~S2RK ~*
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/f your home address is exempt from public records pursuant Work Teleph ne:
to Florida Statutes § ? 19.07, please check here: ^ _ ~ .~ _ ~ ~~
Mailing Address (Street Name and Number) Apt. #
/~~~D ~sc~ /l~'' ~~.
COY ~ State Zip Code.
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 hens: ^
Name and Address of the Source of
Outside Income Nature of the Work
Pertonmed Arnount of Money or
Compensation Received
!~{e~~wl l F'C.. 33 /~3 ~'Q~ ~~N~' .
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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