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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 lil+- In G Olt+--Cwt .1 (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 is C&4-& o l•'c CZwr - <br />?? TS V <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 />_.X,__ Funds received by me from the business entity exceed 10 percent of my gross income for the previous year. <br />X 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 />M a u" a l?-a r{o ?`tigra ?'f'L? er - I?1 r ?? <br />The vote or decision involving this interest is on the OCft <br />body, and is described as follows: W C. Cawrwty. C,+u <br />1455 ? Service.,r <br />EXECUTED on 7,00 Z (date). <br />Io02-(date) agenda of the governmental <br />/i. A . . / _ _ Il <br />0 <br />Signature `'4 ` . 15""v <br />W;%, rJANIS K. WOMACK <br />SWO ? ON5cb1 b1RZBfbi?eWr a on <br />i <br />15, s My Commission Expires <br />,,???t ?.a August 13, 2005 <br />Notar <br />FILED on <br />Name oht?rfi Q . (? ?R re ?'jif t.? <br />COSM Form 4/02