Krishna Ramdmanee 2010 MIAMIDADE 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 Disclosure for
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2- 11.1(K)(2) OF Tax Year Ending: ?4l/
THE MIAMI -DADE COUNTY CODE.
Name: Last First Middle
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Filing as a (check one): ❑ Miami -Dade County Employee
r lunicipal Employee of: C./ %y
Position Title. e
e - Lie County/Municipal Department: County/Municipal Division:
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If your home address is exempt from public records pursuant Work Telephone.
to Florida Statutes § 119 07, please check here. ❑ 31)5'673 - 76'7a
Mailing Address (Street Name and Number) Apt. #
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City State Zip Code
3302-t-
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: n
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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1 hereby swear (or affirm) that the aforesaid information is a true and correct statement. F) .c
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Signature f Person Disclosi Date Signed
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