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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;{:?, Cc uV1 c; 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 Som.-rlA wesf T2x?r -C 4-- <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 af?inity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on4ti,_Ta61%V_u ZS' t i1y agenda of the governmental <br />body, and is described as follows: 5e,5,5,j," <.QQsUAs1UNA - e 4VK#L 'C, Ae Sfr e,,t%.jelir. <br />EXECUTED this Z Si"?i day cfT A ?IAkAr , 1990) <br />Signature N, Q? VV *13v!= <br />Printed Name 1 l Ci . ? /t o o re_ <br />SWORN TO AND ED before me on thev;JJ day of , 199. <br />"'PY'N'' JANIS K. WOMACK <br />qty public, State of Texas 1 <br />'' `, u?y Commission Expires <br />AUG,13, 2001 Not public <br />State of Texas <br />FILED this ? day of ?i2{ 199 . <br />i <br /> <br />City 1Wcretary