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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' G?vtVA (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 Stu f2 je sf <br />Sf-a e vt-'?e?'s,- <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 />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 Novi m I e r S / 9 9 4 (date) agenda of the governmental <br />body, and is described as follows: "e"t m,,4 Cam, " 0r ,-,t - ;+,e i r J. D. C6) a?,•d 9,6 <br />. <br />EXECUTED on A o ? 19 9 9 (date). <br />4L <br />Signature` <br />r" <br />Printed Name <br />SWORN TO AND SUBSCRIBED before me on lJv v C-wv? S. ( 0) 9 9 (date). <br />Notary Stamp: <br />Notary Public <br />State of Texas <br />FILED on / ) -- 1,- <br />.?e' . JANIS K. WOMACK <br />ko* y Notary Public, State of Texas <br />My Commission Expires <br />oFAUG. 13, 2001 <br />(date). <br />Secretary <br />COSM Form 9/99