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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 L; 2, Cl"Ile-c 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 r)L*? <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 55,000 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 on ?c4zy"1r.Y1 )q9g agenda of the governmental <br />body, and is described as follows: _ T,+t4-% q - S&JT ? -E2t.-XAX <br />EXECUTED this day of 4d 199 <br />r !r / i _ <br />Signature <br />Printed Name i'z-c(.. VIA, Ira( 1-:::a bt VI <br />r TOE W65A%?RI ED before me on the day of. ? 199 <br />f . , Notary Public, State of Texas C/? <br />m My Commlltslon Explno ,4 e V <br />AUG. 13, 2001 <br />Nota public <br />State of Texas <br />FILED this day of 199 <br />f <br />City S retary