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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-BU5IN SS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos _ Gi-j' C O . U C' (name of City Board, <br />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 governmental body <br />described above, and the vote or decision may have a special economic effect on the business entity that is <br />distinguishable from the effect on the public. The name of the business entity is Tk4^-5t-r OWritfCex•t+e-v <br />11 <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 $15,000 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 the previous year. <br />The interest described above belongs to a person related to me in the first degree by consanguinity (natural <br />kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on the Nd%/ewt,(..w 2-2, 1999 (date) agenda of the governmental <br />body, and is described as follows: 4-zt a Pi?Rc- 1'& Poit;, ,„,, _"j. "ILAI. I G?.v?iriv ?""00,w440- r <br />EXECUTED on Iv o 2 2, t q 9 (date). <br />Signature <br /> <br />D (•t. i S I?'O i? D vi <br />i <br />Printed No <br />SWORN TO AND SUBSCRIBED before me on <br />Notary .ANTS K. WOMACK <br />Y Stamp:;: r; - .. 0 <br />. ,: <br />Notary Public, State of Texas <br />My Commission Expims Notar ublic <br />AUG. 13, 2001 State of Texas <br />FILED on 11 (date). <br />1? <br />City Sekcretary <br />date). <br />?^?ns?l? <br />COSM Form 9/99