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AFFIDAVIT <br />TEXAS LOCAL GOVERNMENT CODE, CHAPTER 171 <br />STATE OF TEXAS ) <br />COUNTY OF HAYS ) ( -, <br />BEFORE ME, the undersigned authority, on this day personally appeared <br />, 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 City <br />Council of the City of San Marcos, Texas concerning Agenda Item on the ? <br />Y 120 ?? 4 U Agenda of the City Council of the City of San Marcos, <br />Texas, would have a special economic effect on that business entity that ism-distinguishable from the effect <br />on the public. r1 <br />, ) - ecv/?? ,c l? CC'h 4J Lie <br />2. That the substantial interest is (check the following as is appropriate): <br />3. <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 />( 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 />That I will abstain from participation in the matter referred to in Item 1 unless a horized by law. <br />Signature <br />SWORN TO AND SUBSCRIBED BEFORE ME this the <br />FILED: <br />lliL ? Vt/ti.-?. <br />CITY CLERK