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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 C47, Cot-Kc; I (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 _qg!? Pry,991 E-i 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 $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. <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 <br />body, and is described as follows: R e2.cva!.,j <br />EXECUTED this qV% day of <br />e ?vu a,w} H iOf agenda of the governmental <br />02- acv440„r 6 0Z [ t-? 3S So ht(l <br />Printed Name R ova <br />BED before me on the C ? day of 99 <br />JANIS K. 0 <br />NO i Notary Publ'a, State of Texas G a"V <br />I ?amprommissionExpires <br />AUG. 13, 2001 No ry public <br />r <br />FILED this day of St to of Texas <br />l t/ 199 <br />City S4cretary