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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; tT„ CZ-, C« I (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 S SD N ? vJQ- t '(? ? ?t hT ?'>7?.1`2 (J N i ? P.?rT i ? <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 />V 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 T"me 7-30 114t7 agenda of the governmental <br />body, and is described as follows: 1+ev" s 9 F. etw,4 q . G . -- Co fie. L* a W-ft e7 *a.r <br />ek-&41 +F c--,1 se -x u.r <br />EXECUTED this 23rd. day of ?TtAm ¢ , 199.7 <br />f <br />Signature <br />Printed Name 01 c.? <br />To ntin c IR <br />before me on the ay of <br />?O ?iC r <br />a JANIS K WOMACK ??v <br />ary Public, State of Texas <br />Or My Comrtllgbn E*" A* 13.1W Not public <br />Sta a of Texas <br />199 <br />r-? <br />FILED this,?-3 day of ° 199 <br />C' Secretary