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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 Co A wt 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 />IS !5a L4j-k w e r+ Te y o-r 9S-i t e QK 1'V e V-r r 'f'h <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 />X 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 />PSI a r-a1 a r e? - hJ i ? e _. <br />The vote or decision involving this interest is on 4e aviK* 1 1999 agenda of the governmental <br />body, and is described as follows: X+ewA i3 - C--V# 0KGLe finest Vj&II S;te <br />EXECUTED this 1414 day of Tu HK& 199 <br />r ? <br />Signature <br />Printed Name <br />S .. D before me on the day o - , 199 . <br />T <br />JANIS K. WOMACK <br />Notary Public, State of Texas <br />N f t p: My Commission expires <br />4-'EnF• :4r AUG,13, 2001 Not ry <br />public <br />State of Texas <br />FILED this day of _[A , 199 ? <br />City,Secretary