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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 i-h, (f he ( , (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 distinguishabl1e from the effect on the public. The name of the business entity <br />is So" t4 Hv a r j- 1 P.ca r S-t-eL f c V st ; ye4-z; 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 />X 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 14c / (4g&t5l-)& 1999 agenda of the governmental <br />body, and is described as follows: CortA^,4 _u "c_II</A-grca w;41A '5L4 T, ) <br />EXECUTED this /,4 day of GU r4- , 199 <br />Signature <br />Printed Name L--C4 I?1 ; (/UOL (k Gt R 0 <br />i <br />SWORN TO AND SUBSCRIBED before me on the d of , 199. <br />:? Texas <br />N Ppyyoo K r'D?r,P....+ n't <br />;.?,?•,«s Nota public <br />' ?,?`Y?+?;t 1 State of Texas <br />''F orb' <br />FIL his 199 t- <br />City