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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 Ci:!?4 Co Liw 6' 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 S v? t l? Wts? TC,c ??S 5i-at', <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 n related to me in the first degree by <br />consanguinity (natural kinship) or affini marriage). Relative's name and relation: <br />The vote or decision involving this interest is on e- ?¢{orf~a IZ , 1996 agenda of the <br />governmental body, and is described as follows: +,em S- 0v-vL a6a?..4-om. , a W 'o <br />of- &C. K S+rt,&+ • A00rarV1-wM tats. o? ttue rtakt- o?-war, +U !5o,,4'kwtr4- Teyo. <br />0N?vcrr??s, _ <br />EXEUTED this /t/ day of , 199. <br />Signature 04 <br />Printed Name - k ? r,llf -? <br />SWORN TO AND SUBSCRIBED before me on the G "day of 99. <br />Notary Stamp: <br />FILED this / Z-Aav of <br />` JANIS K WOMACK <br />• • Notary Public, State of To <br />My C raftW n EOU 4p. t3, <br />Nota p`Gblic <br />Stat of Texas <br />i <br />.199. <br />tary