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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 6t:, 0,V1 U , (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 t??2r? 7eu? r <br />{-e L),, I\/ e r 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 />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 <br />body, and is described as follows: Ifie wt Z`E- Av <br />'L 0O Z (date) agenda of the governmer <br />ADD - <br />EXECUTED on NIA vi 1 Z o 02_- (date). <br />Signature <br />r I r <br />Printed Nam 6A <br />SW py?` e o me on -' date). <br />'.,- Notary Public, State of Texas <br />Not My Commission Expires /Y <br />-,, Fad August 13, 2005 <br />N ry Public <br />State of Texas <br />FILED on`-rlln <br />J <br />COSM Form 4/02