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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? C 0",,., C" 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 Sc f es+ 1 zxtr S+.f-e Uvi;,ferr;+-„ <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-N t-Tk,lc.. 8r 1 1?il8 agenda of the governmental <br />body, and is described as follows: Wa; {-ems ?1?y Q,.!??4e l z?z 2Yt,??;?af,'c, czRr•_??•.t <br />J EXECUTED this 3'+l, day of 7?1 , 199 <br />Signature <br />Printed Name " V" ' kA ( ka.vt; rt <br />ED before me on the " y of / 199 <br />411*;""* 4`-- JANIS K, WOMACK l <br />Public, State of Texas J <br />a Comrriwon Exome <br />+? .13 2001 Not u b c <br />AUG P <br />Sta e of Texas <br />FILED this day of 199 <br />4) <br />City S cretary