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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-BUSINESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos Cif GomlvtU , (name <br />of City Board, Commission, etc.) states under oath as follows: <br />I have a substantial interest in a business entity that may be involved in a vote or decision of the <br />governmental body described above, and the vote or decision may have a special economic effect on <br />the business entity that is distinguishable from the effect on the public. The name of the business entity <br />is Z&rywn.it&) - FeYriS. -L& c- <br />The nature and extent of my interest in the business entity is as follows: (check all that apply) <br />Ownership of 10 percent or more of the voting stock or shares of the business entity. <br />Ownership of 10 percent or more of the fair market value of the business entity. <br />/ Ownership of $5,000 or more of the fair market value of the business entity. <br />V Funds received by me from the business entity exceed 10 percent of my gross income for <br />the previous year. <br />The interest described above belongs to a person related to me in the first degree by <br />consanguinity (natural kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on-Me. YUA"zY-c 1 J 9? agenda of the governmental <br />body, and is described as follows: I fo C - I?;s?N s?;?,,, f SCI; d ,,?arfc/rectic t?.ilcr RFP. <br />EXECUTED this 2*fkday of &" , 199 <br />Signature <br />Printed Name F-V'e-A G" e-yyg- <br />D before me on the <br />JANIS K. WOMACK <br />Public, State of Texas <br />hid <br />?r ... %ry`??yG6fn' <br />mission Expires Aug. 13,1997 <br />o ry public <br />State of Texas <br />FILED this day of <br />day of LOaAz.l , 199 <br />41- <br />199 <br />Ci Secretary