Daniel W. Hargis 2014 MIAMFDADE 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 Napik Middle Name/Initial
2014 1/.3 Ni ( ffil A)
Mailing Address—Street Number,Street Name,or P.O.Box
/30( 50 3roil Sr
City,State,Zip ID Number
• 1F009- .17rst% F 3-31.1 7 6
c;-ry b 1441
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)
❑County/Public Health Trust Municipal
.1 OF MI ((I
(Municipality)
Department Division
Come - af--) 131-117
Position or Title Work telephone
LC, PetaAN1 3 as- -
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
Fi(ER-y ,s-cug4 (-LC Oleg
Y47 ) SCUBA isTh'dJ .. /o
I hereby swear(or affirm)that the info ation above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
❑Hardcopy
❑Electronic Copy
Signatur ers sclosing
..)170//r _
Date signed '
LE 11 `1 ct -Tr sioz
OFFICE USE ONLY Accepted: Y/N Deficiency: Processed Date/Initials: :i Scanned Date/Initials:'
136_01-22 COE2015
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