Exhibit 306 — USA v. Alexandra Acosta (Dkt. 81-28, S.D. Fla.)

Summary

Government exhibit in Case 0:23-cr-60170-RNS: a Broward Sheriff's Office Off-Duty Employment Form (BSO RP#45, Revised 04/15) in which Alexandra Acosta requests permission to accept off-duty employment for the year 2018. The form gives the business name as Keller Williams Realty Partners SW, work days and work hours as Varies, and the job description as assisting clients with buying or selling homes. It states that off-duty employment is a privilege and not a right, that the request expires on December 31 of each year, and that the Sheriff reserves the right to approve, deny, suspend or revoke the request. Approval signature blocks for a shift supervisor, unit supervisor, bureau commander and department executive director follow.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Record facts

Full text

Text recognized from a scanned document; may contain errors.

DEPT. OF PROFESSIONAL STAI

RECEIVED JAN 16 2018 RECEIVED

Case 0:23-cr-60170-RNS Document 81-28 Entereebon mS}8 Docket 06/14/2024 Page 1of1 /

WAN 1 G 2018 COLONEL JOHN DALE JAN 19 2018
BROWARD SHERIFF'S OFFICE
PORFADUTY EMPLOYMENT FORM Major Angelo Cedeno
, Alexandra Acosta ; CCN. 17044 _, request that | be granted permission to accept

Print ‘Type Full Name
off-duty employment for the year 2018. The following is a description of the work | will perform and the days and times | will be engaged in

this employment (if consulting or iregular hours, explain).

Business Name: Keller Williams Realty Partners SW Address: 2000 NW 150th Ave #1100, Pembroke Pines, FL

Telephone: 954-237-0400 Work Days: Varies Work Hours: Varies

Job Description: Assist clients with buying or selling homes.

(If additional space is needed for explanation, provide information on a separate sheet of paper and attach to this application).

Does business involve sale and/or distribution of alcoholic beverages? DYES NO
(If yes, provide a detailed summary in the space above)

understand if this request is approved, itis VALID ONLY for the employer, employer's address, telephone number, type of work
and work schedule outlined In this form. | also understand that off-duty employment is a privilege and nota right. This will
include employees who sit on external boards and commissions (public, private, or non-profit) whether compensated or not. |
agree that | will obtain and maintain all appropriate State, County, and or City approvals, licenses, etc., as applicable. I further
understand that the Sheriff reserves the right to approve, deny, suspend, and or revoke this request at any time for any reason.

I have read and understand the policies as outlined in section 3.16 of the Sheriff's Policy Manual and agree to abide by them. !
understand that this request expires on December 31" of each year. Once employment is terminated, | must submit an Off-Duty
Termination form (BSO RP#45b). | also understand that my failure to do so may result in revocation of this off-duty employment

request and/or discipligary action.
Date Command Job Title

Employee Signature, CCN

Approval Signatures Below =

Set. Jimmy Moulin, #1162 Cay A
Shift Supervisor: L¢ Furme U/ Y/ (% Approved O Disapproved
CAPT. A Signature re Date
ate’

Signatu
Da

Unit Supervisor.

Bureau Cmdr: 1 Approved 1 Disapproved

- Signature 87 Date
Colonel J Polan cc
Dept. Exec. Dir: \ & Approved 0 Disapproved
Signature A” te

Signature / Date

BSO RP#45 (Revised 04/15)

GOVERNMENT
EXHIBIT

CASE
EXHIBIT 30

NO. 3


File and source

File

gov.uscourts.flsd.654235.81.28.pdf

Size

173,812 bytes

SHA-256

c85bc7a0b70bf3fdcc76400a541e476e38233bf1b0a8d579f4a9bdd3798dee85

Our copy

gov.uscourts.flsd.654235.81.28.pdf

Original

PACER (login required)