Montrice McClain 2019MIAMI-DADE.
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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@l8 ah @trill lltlbSdl@lipiblt
by July 1st of each year, in accordance with Section 2-11.1(k)2) of the Miami-Dade County Code. OFFICE O F THE CITY CLE&RK
Disclosure for Tax Year Ending Last Name First Name Middle Name/Initial
2019 McClain Montrice N
Mailing Address - Street Number, Street Name, or P.O. Box
1811NW 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 □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
McClain Signature Services LLC Notary and Administrative Services lo.oo
Sous l 1a4· LL' C«urn4 0.00
I hereby swear (or affirm) that the information above is a true and correct statement.
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
□Hardcopy
[ ] Electronic Copy
RECEIVED
FEB 16 2023
$29.%%2%g,gee
ITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/Initials: Scanned Date/Initials: _
138_01 -22 COE 2016