McConachie, RichardRECEIVED
CITY CLERK'S DEPT.
JUN 2 5 2007
OUTSIDE EMPLOYMENT STATEME
MIAMFDADE
~~ For Full-time County and Municipal Employees Time
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY
2 Disclosure for c~
~O~ ~'
) OF
1ST OF EACH YEAR IN ACCORDANCE WITH SECTION 2-11.1(K)( Tax Year Ending:
THE MIAMI-DADE COUNTY CODE.
Name: Last
~~O(14C. ~1~~ First
~~,G~~ Middle
Filing as a (check one): ^ Miami-Dade County Employee
® Municipal Employee of: C ~'~'`~ ~~ 'M~G"`~ a2,ac,h
Position Title:
~SS ~S~GC,."~ ~~('2c.~C' 'Qv ~~~~ Q~~cr l~e~~"""
County/Municipal Department: County/Municipal Division:
If your home address is exempt from public records pursuant
to. Florida Statutes § 119.07, please check here: ~ Work Telephone:
3 Dj61/' ~ ~ ~ ~' g ~
Mailing Address (Street Name and Number) Apt. #
~ -Z p~ Co ~ uc,~'~ia1 Gfi 0 r
City State Zip Code
~;~~, ~ 4ea~I~ ~1 3 3 13
Please list the sources of outside employment, the nature of the work and the amounts of money or other
k here: ^
h
l
t
ease c
ec
, p
compensation you received. If continued on a separate shee
Name and Address of the Source of
Outside Income Nature of the Work
Performed Amount of Money or
Compensation Received
t"1. C'~c~~a.c.,~~ Co~s-~roc.~,a~ GPner~ lCo~•~r~~-}~ ~O
-43 a s. W -~o y- ~,..~
~ ~~~,' ~' 133 Ir7 ~
I hereby swear (or affirm) that the aforesaid information is a true and correct statement.
Signature o Person Disclosing Date Signed
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