Renold Partap 2021MIAMI
EE,I
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
2021 Partap Renold
Mailing Address - Street Number, Street Name, or P.0. Box
3000 SW 37 Avenue
City, State, Zip
West Park, Fl 33023
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. O
Filing as an Employee (check one)
[] county [] Public Health Trust E] Municipal City of Miami Beach
(Municipality)
Department Division
FACILITIES AND FLEET MANAGEMENT DEPARTMENT FLEET MANAGEMENT DIVISION
Position or Title Employee ID Number I Work telephone
FLEET SERVICE REPRESENTATIVE 20852 (305) 673-7641
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 Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
UBER UBER DRIVER #s4,o0o
I hereby swear (or affirm) that the information above is a true and correct statement.
i
Signature of Person Disclosing
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
f ] Hardcopy
) octroi4qCEIVED
JUL O 1 2022
CITY OF MIAMI BEACH
OFFICE TE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency.. Processed Date/initiais:-.Scanned Date/initials:-
138._01-22 COE 2016