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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? Ce?.? cY 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 />is -31n wniN.t - Feryis, -r+..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- 4 7-54- 1997 agenda of the governmental <br />body, and is described as follows: k. C. 2 - 52 ; d ?.Jaaf-? J?uc e <br />EXECUTED this 7S +U day of ?- 119 <br />9 <br />------- -f-, WAI <br />JANIS K. WOMACK Signature <br />t Notary Public, State of TOM <br />My Commission Exom r? <br />?'?rFOF•k*'?'f AUG. 13, 2001 Printed Name Fi-Z (, ?e y-r <br />?» ..... <br />SWORN TO AND SUBSCRIBED before me on th day of 199. <br />Notary Stamp: <br />tary public <br />State of Texas <br />199. <br />FILED this ? day of l14-4,??X <br />Ci y ecretarv