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06.16.2017 Packet Meeting
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06.16.2017 Packet Meeting
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City Clerk
City Clerk - Document
Minutes
City Clerk - Type
Workshops
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6/16/2017
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CITY OF SAN MARCOS <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />1, , a member of the City Council of the City of San Marcos, make this affidavit, and <br />hereby on oath state the following: <br />I have a substantial interest in the below named entity that may be involved in a vote or decision of the governmental body <br />described above, and the vote or decision may have a special economic effect on the named entity that is distinguishable <br />from the effect on the public. <br />The name of the business entity is: 6kf;;rAoF L'K!s , L <br />The real property is: - log ftsT+-bpvt,i.5 <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 $15,000 or more of the fair market value of the business entity. <br />�r Funds received by me from the business entity exceed 10 percent of my gross income for the previous year. <br />The interest described above belongs to a person related to me in the first degree by consanguinity (natural kinship) or <br />affinity (marriage). Relative's name and relation: <br />V'° I am abstaining only to avoid the appearance of impropriety. <br />The vote or decision involving this interest is <br />described as follows: <br />EXECUTED on co LQ <br />the+ (date) agen tAmental body, and is <br />Pof e governmental <br />-t lit <br />:50 C ko-+k 144W-tA <br />. .... . .... <br />JAM E LEE <br />. ....... ..... . ...... <br />JAWE LEE PETTUOHN <br />N N "'ry <br />mary Pubkc, State of Texas <br />My <br />IMy Cornrmss�on Exp�res <br />Marc <br />March 04, 2018 <br />S 0 0 e ore me on <br />Notary Stamp: <br />FILED on (v 'f U ) ( <br />COSM Form 11/10 <br />— (date). <br />Signature <br />Printed Name <br />
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