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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-?, Cam,,, ?; J <br />of City Board, Commission, etc.) states under oath as follows: (name <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 _S 6 t,,.-t'U w 9 T l - 2 ?c.?s- 5" `c +e U kt ,* y e r s; ±z, <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 />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 oni e )11, .mot,. r+ 23+ X999 agenda of the governmental <br />body, and is described as follows: <br />EXECUTED this23rd( day of 4"-5k_S+ 199 _. <br />Signature ?---1.? tiu <br />JANIS K. WOMACK <br />• l ', Notary Public, State of Texas ?- <br />•° 1=d <br />My commission Expiros Printed Name <br />'t ? V1 <br />AUG. 13, 2001 <br />BED before me on the day of <br />1. ? > 199_. <br />Notary Stamp: 4f' y? <br />Notary public <br />State of Texas <br />FILED this day of 199 <br />City Sacretary