Leonor Hernandez - December 2014 MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE lra, 3 . .�" t h 1 ,)
2015 MAR 214 PM Li: n2
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY: g `` r
1 L.t el:l• ��'_ ,- IC`-
-10/ell e 0 9-"VP S ,.,STREE ADDRESS: OF615 O OSITI HELD:
700 L
4� 6(i
CITY: / FL FOR QUARTER E ING(Check One):
ZIP: 3.3/.3�l ❑ MARCH ❑ JUNE
COUNTY: - ,et442.e.- ❑ SEPT. ® DEC. YEAR:20 i 4 .
PART A: STATEMENT OF GIFTS. List below each gift,or series of gifts,from one person or entity in
excess of$100,accepted by you during the calendar quarter for which this statement is being filed.Describe the gift
and state the monetary value of the gift,the name and address of the person making the gift,and the dates the gifts
were received.If any of these facts are unknown or not applicable,state this on the form.You are not required to
file this statement for any calendar quarter during which you did not receive a reportable gift.
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING
/a— V3 '420/a 160i✓i's / 50- 00040 ebv/pE
CHECK HERE IF CONTINUED ON SEPARATE SHEET.❑
PART B: RECEIPT PROVIDED BY PERSON MAKING THE GIFT.If any receipt for a gift
listed above was provided to you by the person making the gift,you are required to attach a copy of that receipt to this
form.You may attach an explanation of any differences between the information disclosed on this form and the
information on the receipt.CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM.❑
PART C: FILING INSTRUCTIONS.The signed and notarized form must be filed no later than the last day
of the calendar quarter that follows the quarter for which this form applies.For example,if a gift is received in March,
it should be disclosed by the end of the next quarter,i.e.,June 30.County personnel file with the Clerk of the Board
of County Commissioners, 111 NW et St.,Suite 17-10,Miami,FL 33128.Municipal personnel file with their
respective municipal clerks.
PART D: OATH.
I, the person whose name appears at the beginning of STATE OF FLORIDA
this form, do depose on oath or affirmation and say COUNTY OF M I Q rn 1 -Dad 6
that the information disclosed herein and on any
attachments made by me constitutes a true, accurate, Sworn to(or affirmed)and subscribed before me this
and total listing of all gifts required to be reported by 20 day of Ha rC h ,20 15 ,
Section 2-11.1 (e)(4) of the Code of Miami-Dade by L.' I O("I a CO m �`.'-s
County. '
(Name of Person Making Gift Disclosure)
O�.i_ _
Zei / �sr*!";-Ur;o otary Pub c :ate: '•M
Signature of Person M. g Gift Disclosure
(Print,Type,or Stamp Commissioned Name of Notary Public)
LAYDA HERNANDEZ Personally known to me or❑Produced Identification
r°` ". MY COMMISSION#F 025489 Type of Identification Produced:
` EXPIRES:JUN 09,2017
a" Bonded through 1st State Insurance
COE 02/2010
MIAMI-DADE COUNTY - N f {._ ,
QUARTERLY GIFT DISCLOSURE
2015 MAR 2L 02
LA T NAME-FIRST NAME-MIDDLE NAME: I AME OF AGENCY: ( I I ., "€._a,4 I,q�°'F OFF F j C E
ema - 2 • OC. 4,49.772 ,
STREE ADDRESS: FFICE OR PO TTION HELD: /
CITY: —�, �� 4c FOR QUARTER ENDING(Check One):
ZIP: 3.3� 9 v �✓ J ❑ MARCH ❑ JUNE
COUNTY: I/ i/// ❑ SEPT. S EC. YEAR:20/ A
PART A: STATEMENT OF GIFTS. List below each gift,or series of gifts,from one person or entity in
excess of$100,accepted by you during the calendar quarter for which this statement is being filed.Describe the gift
and state the monetary value of the gift,the name and address of the person making the gift,and the dates the gifts
were received.If any of these facts are unknown or not applicable,state this on the form.You are not required to
file this statement for any calendar quarter during which you did not receive a reportable gift.
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
/a–61. / 4 v - /r v2. l_ moo &4vo-h
36o U
.a,
T._/,011172 4 0 ,/eicl/
CHECK HERE IF CONTINUED ON SEPARATE SHEET. ❑
PART B: RECEIPT PROVIDED BY PERSON MAKING THE GIFT.If any receipt for a gift
listed above was provided to you by the person making the gift,you are required to attach a copy of that receipt to this
form.You may attach an explanation of any differences between_the information disclosed on this form and the
information on the receipt.CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM. ❑
PART C: FILING INSTRUCTIONS.The signed and notarized form must be filed no later than the last day
of the calendar quarter that follows the quarter for which this form applies.For example,if a gift is received in March,
it should be disclosed by the end of the next quarter,i.e.,June 30.County personnel file with the Clerk of the Board
of County Commissioners, 111 NW 1s1 St.,Suite 17-10,Miami,FL 33128.Municipal personnel file with their
respective municipal clerks.
PART D: OATH.
I, the person whose name appears at the beginning of STATE OF FLORIDA this form, do depose on oath or affirmation and say COUNTY OF M IQm i -DCICLI
that the information disclosed herein and on any
attachments made by me constitutes a true, accurate, Sworn to(or affirmed)and subscribed before me this
and total listing of all gifts required to be reported by 26 day of March ,20 15 ,
Section 2-11.1 (e)(4) of the Code of Miami-Dade
County. by Lconor t1-crnQnde2 ,
(Na of Person Making Gift Disc••.
.4111 IL
•O•P•ature of Notary Publics'..
Signa e of Person Making Gift Disclosure
(Print,Type,or Stamp Commissioned . •'Notary P •Iic)
LAYDA HERNANDEZ Personally known to me or❑Produced Identification
� .py Type of Identification Produced:
r°� r, MY COMMISSION#FF025489
EXPIRES:JUN 09,2017
°'t'` Bonded through 1st State Insurance
COE 02/2010