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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 Ci ±?j Gowv1 C,; I (name of City Board, <br />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 governmental body <br />described above, and the vote or decision may have a special economic effect on the business entity that is <br />distinguishable from the effect on the public. The name of the business entity is5 o u -t'AWaj- TC-?c -r <br />s f -e v+ ; \/eYT; <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 />V/ Funds received by me from the business entity exceed 10 percent of my gross income for the previous year. <br />The interest described above belongs to a person related to me in the first degree by consanguinity (natural <br />kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on the _N q, Z 001 (date) agenda of the governmental <br />body, and is described as follows: MrCe•vvta4q' ai!JU SQTS0 -For P.Lv.?r?,o,••cN &,re, v rv-As o <br />s{-? e" I-e-"r''w <br />EXECUTED on _L-t 9 ?2- 0 io I (date). <br />Signature <br />SWOR a or <br />JANIS K. WOMACK <br />' ! Notary Public, State Of Texas <br />Notary MYComm WMExOfn <br />'FOFAUG. 13, 2001 <br />FILED on <br />State of Texas <br />(T(ote). <br />CityCS'ecretary <br /> <br />COSM Form 9/99