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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 (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 5V%44-A w e s {- Te"Oe ---r f -1-0c. 0"4V C" ; -hi <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 />V 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 onfk,. bc",y "yl )49,R agenda of the governmental <br />body, and is described as follows: L??.vti q - T JT p,.a 401.,A X <br />EXECUTED this q day of <br />Signature - <br />SWW&GRI ED before me on the day of 199 <br />JANIS K. WOMACK <br />4 . ?nNotqry Public, State of Texas <br />P My Commisslon Expires <br />?:` AUG. 13, 2001 Nota/y public <br />State of Texas <br />r <br />FILED this day of? , 199 cf <br />?5 Z?1? <br />Printed Namev j k,-v% c (} kscv% <br />City Secretary