McConachie, Richard Lee
"~AOEt
OUTSIDE EMPLOYMENT STA,.EMENT
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
1 ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2.11.1 (K)(2) OF Tax Year E .,ding:
THE MIAMI-DADE COUNTY CODE.
100lf
Name: Last
\A., C (MlCtGi\A 10
First
K\ cJ(
Niddle
Le,-L
Filing as a (check one):
o Miami-Dade County Employee
~ Municipal Employee of: _ I. crt U~Q;v ,t eR{lC~
Position Title:C0ll ef- f3uJ let IV" J1/t,S
(QA-fu~
~
Mailing Address (Street Name and Number)
\ I L\-?YJ- tJ'v\J \ \)1f fN e V~ tl e/
CountyJMuoicipal DiViSi~. n:tL . (
Cl +y 0 f k-t WVlV Off) C '~
Work Telephone:
3Q~--w :t-3/i-9{J() ~l(oRDf,
Apt. #
City
J-;\i (l/V,U
State
h-
Zip Code
r3/) I :-=)-- 0 .
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: D
Name and Address of the SourCe of
Outside Income
Nature of ttle Work
Performed
Amou nt of Money or
Compensatl~t Re~lved
~ C C (fttCZC k rc CeJ\.5~"\.J ehb)\.
Co -y1;./f ~1l~ f :rvc-,
r'<. r. (. ,
G"I81\QA-rJ-X iJYLnu c ~
..~. '
iA_
-.t),-.'
(-
:"~-"
co
~J'~ =2
()
";j
..,.,
( ...)
Iii
o
o
('-1
o
~
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signqtt~)~)of P,ersonpisclosing
L l/ 1?, ..."
fl.' ~) ./, ,,/.,' ~".,.,
I. ... c,;.! t 'i: t -i /..:--,/ --.-----...
t,/' ' \..,.? 'I \.~--~-----
Date Signed
& I~~ )-005--
10/26100