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AFFIDAVIT <br />TEXAS LOCAL GOVERNMENT CODE, CHAPTER 171 <br />STATE OF TEXAS ) <br />COUNTY OF HAYS ) <br />BEFORE qM�E, the undersigned authority, on this day personally appeared <br />n 7v }corn cx cks -,who being duly sworn, deposes and says: <br />1. That he /she has a substantial interest in a business entity. Official action taken by the C' y <br />Co ncil of the City of San Marcos, Texas concerning Agenda Item t a on the <br />U t'(Z Y 2 t% Ill" �s° genda of the City Council of the City of San Marcos, <br />Texas, would have a special economic effect on t at business entity that is distinguishable from the effect <br />on the public. <br />2. That the substantial interest is (check the following as is appropriate): <br />( ) a. ownership of 10 percent or more of the voting stock or shares of ownership of either 10 <br />percent or more or $15,000 or more of the fair market value of the business entity; <br />( ) b. funds I received from the business entity exceed 10 percent of my gross <br />income for the previous year; <br />(V) c. an equitable or legal ownership in real property with a fair market value of <br />$2,500 or more; <br />d. held by a person related to me in the first degree by either affinity or consanguinity; or <br />e. other <br />3. That I will abstain from participation in the matter refereed to in Iteon 1,unl9a,6 authorized ay law. <br />Signpture <br />1 <br />SWORN TO AND SUBSCRIBED BEFORE ME this the day of 206 <br />I, CLERK <br />FILED: <br />CITY CLERK <br />-JJ 1' � <br />