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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 C +2,1 CXAIA 4c, 1 , (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 ISVLA-1 11JCS''" J VnC^-.r 5 f rLte. Q& i V e rrl?h <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 />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 -I'Gt a T"me 230 9 R7 agenda of the governmental <br />body, and is described as follows: Ztewn j 9 F. aK a 9. G.' <br />. - Co K L* & v,-v^-4r 'tom/ <br />a "ACtj-Kc,^4 Se -X ccr <br />EXECUTED this 23fd. day of ` lAm ¢ , 199 . <br />Signature <br />JANIS K. WOMACK <br />Notary Public, State of Texas <br />My Commim lon Eon Aug. 13,199; <br />Printed Name 'g 11 G. rlM.oo.r? <br />fore me on the Ac/- ay of , 19 <br />? public <br />of Texas <br />FILED this ? day of 199 <br />/iNwi <br />G Ci ecretary