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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 Son Marcos 0 (4-t, C U L4,-,q 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 is •-tL4 ?k t +cf le 11 <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 VU-' ?-© Z-ii 0 L (date) agenda of the governmental <br />body, and is described as follows: Z+"Can4 S2--c,5-L367 <br />EXECUTED on 11114,,, 'Z ar'2-t 0.2, (date). <br />Signature Mu-2(t 1 l??? ??,,? <br />Printed ame E• UY4-ke+ ?-?`? ?Pk I ?Lc cur <br />SWO me on (date <br />"•'"?',-T JANIS K. WOMACK <br />• Notary Public. State of Texas - " <br />Nota ..y?i 7 My Commission Expires <br />,,;9of 0i`E+, ory Public <br />,,,,,,,.?• August 13, 2005 N5 ate of Texas <br />FILED on ?S <br />frlntol <br />COSM Form 9/99