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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 011-{71 60 C-4 , (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 So k twes-? 7eu? r <br />?'fa i-e 0,i i ye rS <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 />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 +3 2 00 2 <br />body, and is described as follows: 1-he ?•.? Z`?- ?n Cam, 'c,.Q ?e,?-v? <br />EXECUTED on a14 13? Z OOZ (date). <br />Signature l r?j, <br />Printed Name 14 wvt e- <br />SWOR on <br />JANIS K. WOMACK <br />?' .. •°c = Notary Public, State of Texas <br />Notary My Commission Expires <br />''.??f p; NtaO August 13, 2005 <br />Nota Pu lic <br />State of Texas <br />FILED on ate). <br />/ .? A AA A <br />City q/ rk of the City <br />date) agenda of the <br />C" c-f t o; 4u <br />r -4-9-D <br />5&U <br />Gt. so,, <br />S 6W, <br />Marcos <br />COSM Form 4/02