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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 Cif!,, CcCAVA C ? (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 _ 'S o }.?.->''? W L S ?' T2 ?c ?. l S ^f's. ? z Vt ? ; •J ? r f ? -?^+,, <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 41je c,"l A zS t X11 agenda of the governmental <br />body, and is described as follows: Gnu,.,-f yt. <br />, <br />EXECUTED this Z 5 day ofJ a K,,.xY-1 , , 199 <br />Signature <br />Printed Name C4 i i LIa I KAM; vl <br />T(3AA8!®1WMW BED bef e me on the . ,5-da of <f 1991. <br />Notary Public, Mate of Taxes <br />„. MY cammieslon ?acpiree <br />.?" tom;At1G,13, 2001 <br />public <br />No ry <br />n State of Texas <br />FILED this day of Gfl ??, 199 <br />City 7ecretary