Singh, Narinder
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RECFIVED
_~ADEt OUTSIDE EMP~~M~~T~t AfEMENT
For Full-time CouO\J ,u\Q_~Q~rclpaf Ernployees
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: LOOb"
THE MIAMI-DADE COUNTY CODE.
Name: Last First Middle
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Filing as a (check one): D Miami-Dade County Employee
IJ}..Municipal Employee of: ('/Ty O/-Pl/rlml B~ep(
Position Title: S~. gU/~1)',lt/A / /f./'5jJ~Cf2:'~
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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 9 119.07, pleas~ check here: [l}- 1006 73--70-&-0 C:'K l-b2?t:'/
Mailing Address (Street Name and Number) Apt. #
. Z3 97 Wg51' bb PL-.
City State Zip Code,
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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: D
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
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I hereby swear' (or affirm) that the aforesaid information is a true and correct statement.
Signature of Person Disclosing Date Signed
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