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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-BUSINESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />(name <br />The undersigned member of the City of San Marcos 0-,' h, C ywo C, 1' <br />of City Board, Commission, etc.) states under oath as follows: <br />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 />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 />V/- 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 />Nl o,? ay of ffee-t .e z-w. Pe <br />The vote or decision involving this interest is on 4N, 04 "cti 13, f 99g agenda of the governmental <br />body, and is described as follows: T}tms 9 D (S-) - A-11-(e. i& -Fiddr Uc c,ksc ?s reewant-- <br />D. (6? - W at-w s ? l ? ? e l ? ? c_eti, s e aq ,-ce <br />EXECUTED this 23 r day of 19 J <br />Signature Z <br />L?Printed Name ?-i ck 144e v- c?ncQ?2 <br />An <br />SWORN TO AND SUBSCRIBED before me on the day ofj , 199P <br />rows ?ta9RNIS K. WOMACK <br />?l rw? Notary Public, State of Texas Not public <br />"" f°? State of Texas <br />?r0onin1?'°"E"? <br />AUG. 13, 2001 <br />FILED this day of ?/)? 199 . <br />City SL'cretary