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Narinder Singh EmploymentMIAMI•DADE OUTSIDE EMPLOYMENT STATEMENT 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 I Last Name First Name Middle Name/Initial 2016 1 S % Na �---- Mailing Address — Street Number, Street Name, or P.O. Box /2,9,9 Cptx)j/rN City, State, Zip 141hml ).c�CAI �G 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 unicipa1 G/ TX IVIA %/ AdW17 (Municipality) Department Division Com i'iPvGJiv�t/ -- Position or Title Employee ID Number Work telephone GLVt9A A,071a---'O !laa 3a�673 ; 680 Please list the sources of outside employment (including self-employment), the nature of the work, and the total amounts of money or other compensation you received for each source of outside employment. If no income or compensation was received from a particular outside employment, enter zero (0) for that organization in the section below. If continued on a separate sheet, check here. ❑ Name and Address of the Source of Outside Income Nature of the Work Performed Total Amount of Money or Compensation Received iq % ec)A? Com i'iPvGJiv�t/ -- I hereby swear (or affirm) that the information above is a true and correct statement. 6/6/ -; 7 Date signed RECEIVED BY ELECTIONS DEPARTMENT: ❑ Hardcopy ❑ Electronic Copy OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 13801-22 COE2016