Richard Lee McConachie 2010 MIAM 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 Disclosure for nn
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2- 11.1(x)(2) OF Tax Year Ending: of 0 i 0
THE MIAMI -DADE COUNTY CODE.
Name: Last I First I Middle
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Filing as a (check one): 0 Miami -Dade County Employee
Municipal Employee of: G 4, t" 1 ) e4
Position Title:
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County/Municipal Department ,Gd itsi/Municipal Division:
If your home address .s1 exempt from public records . rsuant Work Telephone
to Florida Statutes § 119.07, please check here. is 305 - 6 .701C) -E-6Q ci
Mailing Address (Street Name and Number) Apt. #
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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 removed. If continued on a separate sheet, please check here: 0
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 osi 0
��- Date igned :
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