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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 (-A ,-2, G9Lvy? G-4 , (name <br />of City Board, Commission, etc.) states under oath as follows: <br />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 />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. G?-c Rj? JA) 4eal1« <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 -flu Oc4-b I-e-.- III / 999agenda of the governmental <br />body, and is described as follows: C a-,t 4ewj#,'- t ?7-o-nd Ayt.,- ? .?-r s <br />EXECUTED this I1+U day of 199 C) <br />_. <br />Signature / -? - f J\ <br />PrintedN?me ??+ s I?v?r ? <br />SWORN TO AND SUBSCRIBED <br />kNIS K. WCMACK <br />uy Public, State of Texas <br />Nly commission DO" <br />AUG. 13, 2001 <br />befor me on the <br />aj)o <br />f? <br />99 <br />FILED this day of <br />City S cretary <br />ota public <br />State f Texas <br />, 199