Montrice McClain 2018M IA M I-DAD E. EII
OUTSIDE EMPLOYMENT STATEMENT
For Full-time County and Municipal Employees
RECEIVED
FEB 16 2023
Full-time County (including Public Health Trust) and municipal employees engaging in outside employment must hl@ #nan~all dslp sorerepprt
by July 1st of each year, in accordance with Section 2-11.1(k)(2) of the Miami-Dade County Code. OFFICF OE THE CITY CLERK
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2018 McClain Montrice N
Mailing Address - Street Number, Street Name, or P.O. Box
1811 NW 69 Street
City, State, Zip
Miami, FL 33147
If your home address is exempt from public records pursuant to Florida Statutes §119.07, please see note on the following page and check here. D
Filing as an Employee (check one)
[] county 0 Public Health Trust E] Municipal City of Miami Beach
(Municipality)
Department Division
Public Works Operations
Position or Title Employee ID Number Work telephone
Control Room Supervisor 22967 (305) 673-7625
Please list the sources of outside employment (including self-employment), the nature of the work, and the total amounts of money or other
compensation you received for each source of outside employment. If no income or compensation was received from a particular outside
employment, enter zero (0) for that organization in the section below. If continued on a separate sheet, check here. D
Name and Address Nature of the Total Amount of Money or
of the Source of Outside Income Work Performed Compensation Received
Sus + 1Wan4s LC Cluriq # 0.0
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
) Har4coy RECEIVED
[] Electronic Copy
FEB 16 2023
CITY OF MIAMI BEACH
OFFICF OF TH+F CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/initials: Scanned Date/Initials: _
138_01-22 COE 2016