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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 G':!iLj Gov xvC?v? , (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 />I??o i Svt i v? - f?P_fri s Tam <br />is <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 on7 q , 9q ? agenda of the governmental <br />body, and is described as follows: T-,4e,+, I I. 17. 17 s? s? w, F s v l d tea tt? servi ce,r <br />EXECUTED this '?4% day of 199 <br />Signature <br />Printed Name I'`?e d 60-G'--ea <br />SWORN TO AND SUBSCRIBED before me on the day f Aw-mv , 199 . <br />4 <br />nee(. <br />a K. WOMACK <br />&JANIS <br />ary Public, State of Texas <br />My Commiss n Expires Aug. 13,1997 Not public <br />State of Texas <br />FILED this day of , 199 <br />A 1 A i <br />C