Richard Lee McConachie a"y
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MIAMFDADE OUTSIDE EMPLOY VTjNTAME3 IItNT
For Full-time County and lunicip!Ern !�q
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: O�
THE MIAMI-DADS COUNTY CODE.
Name: Last First \ Middle
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Filing as a(check one): Miami-Dade County Employee
Municipal Employee of: C%-ar OF Mir&iw e
Position Title:
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County/Municipal Department: County/Municipal Division:
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If your home Hess is exempt from public records pursuant Work Telephone:
to Florida Statutes§ 919.07, please check here: 3c6-,-
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Mailing Address (Street Name and Number)
346
Apt.#
city 1"1 C>1D ` D n, VQ VVV- G 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:
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 Disciosin Date Ined
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