Narinder Singh 2014 •
MIAMI-IaA®E OUTSIDE EMPLOYMENT STATEMENT
COUNTY For Full-time County and Municipal Employees
Full-time County(including Public Health Trust)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 the Miami-Dade County Code.
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2014 57/v6w A/a 4!&7/Q ''-
Mailing Address—Street Number,Street Name,or P.O.Box
/2'q r/r,
City,State,Zip
ID Number
ir) M91 1 2_,. /2 9
If your home address is exempt from public records pursuant to Florida Statutes§119.07,please see note on the following page and check here.❑
Filing as an Employee(check one)
0 County/Public Health Trust unicipal K'//-7 �� /V7/11/1/ f/9
(Municipality)
Department Division
Position or Title Work telephone
x2 g/// P,,1/ ç ' V2ñ g 6 73--2 & ‘st9/
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,check here. ❑
Name and Address Nature of the Work Performed Amount of Money or
of the Source of Outside Income Compensation Received
/D 2 (off 7V /rA,47 ( 1 racv /yew
I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
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❑ Hardcopy
❑ Electronic Copy `` 7.77
Signature of Person Disclosing _ '
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Dat signe -:-, ,
OFFICE USE ONLY Accepted: Y/ N Deficiency: Processed Date/Initials: Scanned Date/Initials:
138_01-22 COE 2015