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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. (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 -57, yes'} -D ,j- 54-v,+e Jo <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 -!'lam 011?11 1.4 11 9j agenda of the governmental <br />body, and is described as follows: <br />EXECUTED this (s+ <br />day of M A-y -e,k <br />Signature <br />Printed Name <br />199-7 <br />U, <br />A, "- 14-t, .A t4 s J-o <br />SWORN TO AND SUBSCRIBED before me on the <br />?' B .. JANIS K. WOMACK i <br />Not t'"..., , <br />m ; Notary Public, State of Texas ^ i <br />My Commission Expires Lo a.ry public <br />AUG. 13, 2001 <br />te of Texas <br />ay ofj / 199 <br />FILED this day of 199. <br />City cretary