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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-BU INESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos _ C ij?jCoL4 V% 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 5o"- (A jes+-Te)e,tr S4v0-e 0N;ytrsi:L7j <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 -t'ltt X?k s f 1 g ? 9q 9 agenda of the governmental <br />body, and is described as follows: Co wAri c,(,« 4e 1 ( r lot c ewt? W-rh -' WnU. <br />EXECUTED this (M day of 4(--sm s4 , 199 <br />Signature <br />Printed Name rd M (11A Ka u h <br />S AND 9614Q.i <br />JANIS K. WOMACK <br />??4 ?? ern :. <br />ti Notary Public, State of Texas <br />No c- My Commission Expires <br />?r?' OFD E}'e <br />'y' AUG. 13, 2001 <br />FILED this ) L day of <br />before me on the day f , 199 A <br />Notary ublic <br />State of Texas <br />City cretary