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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 U fz, covwl Cf (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 a uj-j4i,J4S C%>ccAd ?? n ,,/e rs i:j2j <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_jj4p Vk",Gf 13, ( 998 agenda of the governmental <br />body, and is described as follows: Tk s 1. D. (5) - A+Gi(P,fiZ -Fie!dr l ('CX0%rc a.c rcew t f <br />% <br />7D.Cb?-?latr?rs true Pce.Hre <br />EXECUTED this Z3q, day of ?t Q,?-rfi, 1. <br />Signature <br />Printed Name J?ol 1'Vl i ?? I l?-aK h <br />SWORN TO AND SUBSCRIBED before me on the day Of , 199y <br />wOMACK <br />Notary Public, State of Texas Not public <br />" J1 My Commission Expires <br />q, E r` AUG. 13, 2001 State of Texas <br />FILED this day of 199 , <br />City Wcretary