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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 +Zt C.ou Cv I (name <br />of City Board, Commission, etc.) states under oath as follows: I <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 Saa~i(4,, cr:-- 1ew?(' !51k1'e (?ti;?tLrr?, <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 -On o T"mc 23 19 q U agenda of the governmental <br />body, and is described as follows: Zfe "j 9 F. 61. G . Cz K +- L* a w-pw-kr *D,/ <br />aw?a(,+} 'c--4 Servf ctr <br />EXECUTED this Z3r4 day of ?Tt,%.v+ ¢ , 199'. <br />Signature <br />Printed Na e ;CLH e l? p? S 0" <br />SWORN TO AND SUBSCRIBED before me on the Z <br />clay of <br />s amgANIS K. WOMACK <br />• Notary Public, State of Texas <br />My Cortmlabn EVIrm Aug. 13.1997 <br />FILED this day of <br />Not public <br />Sta a of Texas <br />, 199 <br />City S,6cretary <br />199