Richard Lee McConachieMIAMfDADE OUTSIDE EMPLOYMENT STATEMENT
~ For Full-time County and Municipal Employees
Full-time County and municipal employees engaging in outside
employment must file an annual disclosure report by July 1st of Disclosure for ~
y~
each year, in accordance with Section 2-11.1(k)(2) of the Miami- O
Tax Year Ending: cJ
Dade County Code.
Last Name:
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First N me: 1
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Middle Name: -°~
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Employee ID #: ~' w
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Filing as (check one) ^ Miami-Dade Co. Employee nn ~,'
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Municipal Employee of: t ~
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Position Title:
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County/Municipal Department: County/Municipal
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ivision:
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If your home address is exempt from public records
pursuant to Florida Statutes § 119.07, please see the
note on the followin
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a
e and check here: Work Telephone:
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30~- 6~3 - Uv
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Mailing Address (Street Name and Number) Apt. #
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City State Zip Code
(~1~ ~~. ~ ~ ~~ ~ :~- 1 3 3 - 3
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: ^
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.
Signatur f Person Disclosing Date Signed
C~~~XJo~ ~ ~~x--' ~ ' ~ ~ " V
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COE, 2008