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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 b2 CbVr?c( , (name <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 />is Sa t? 11?t ?es? TP.yc..f StAtG V? ? ver-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 $15,000 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 />(?( ot r^ a v-e-+- W , .r-e <br />The vote or decision involving this interest is on +kt WA It <br />body, and is described as follows: 1+e*v% 10. E. (1) - Cor^ <br />of the governmental <br />, • _ . r_ <br />EXECUTED this 11+tA day of Mold , 199 <br />C?7 c / <br />Signature <br />Printed Name 9 G14 <br />SW p ,y efore me on the day of <br />JANIS K. WOMACK l Al L, <br />199 <br />Notary Public, State of Texas r r ? / ? 1 <br />Nota My Commission Expires Yv't/IAIY „/ <br />U- 7 <br />"+oFS!'•• AUG. 13,2001 tary public <br />----State of Texas <br />FILED this day of ?`?, 199 <br />City Pecretary