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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+r,, COLA 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 _ S ctAtA4 w e r f Texas S'-f--}-e V s,; v t vrr? +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 />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+1Ae kr+ 30; M99 agenda of the governmental <br />body, and is described as follows: Cov Ot &4l a 6je _k f4 (d-CA St4T3'V <br />EXECUTED this 3 04-liday of - h r?- _,1999 <br />Signature <br />Printed Name_,f_-L-t AA i tj a ( K; <br />ri <br />ED before me on the day of , 199 <br />JANIS K. WOMACK <br />y f Public, State Texas <br />pi piros / <br />VV Commission Expires <br />AUG. 13, 2001 Notary p lic <br />State of lexas <br />FILED this day of 199. <br />City ecretary