Singer, Jeffrey A.
_DADEt
OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
FULL-TIME COUNlY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for 1.007
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)(2) OF Tax Year Ending:
THE MIAMI-DADE COUNlY CODE.
Name: Last
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FirsljJt feY
Middle
A
Filing as a (check one):
D Miami-Dad~ County Employee
a Municipal Employee of: C\~j i JYlllfMI ~ {~
Position Title:
JY)~d /q
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County/Municipal Divipion: ,...
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Work Telephone:
30 {- 07 3.; 7000 Vt1 6' <5'~
Apt. #
County/Municipal Depapment:
J\f,c.e of
If your home address is exempt from public records pursuant
to Florida Statutes 9 119.07, please check here: 0
City
Mailing Ad~; ~et &:r::;it{ r ck
VV~ j+~jV
F~e
) 3 ]J~) Zip Code
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: 0
Name and Address of the Source of
Outside Income
. Nature of the Work
Performed
Amount of Money or
Compensation Received
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I hereby swear (or affirm) th!lt the aforesaid informa~ is a true and correct statement.
Signature of Person Disc~~ ng , ()
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Date Signed
6' J J ~6 7
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10/26/00