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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 4% -1 Co"+%c r (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 -Sere-flit r?aS fi Te.Kar <br />OK ove4-ci+L.. <br /> <br />The nature and extent of my interest in the business entity is as fol <br />?/l o?.? D-r <br />- 'I a'" t?-O <br />Ownership of 10 percent or more of the voting stock or sham <br />Ownership of 10 percent or more of the fair market value of <br />Ownership of $15,000 or more of the fair market value of th( <br />Funds received by me from the business entity exceed 10 pera <br />-?Z The interest described above belongs to a person related to me <br />kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on the J w A <br />body, and is described as follows: r+&vn I (1.LL -,re o l? <br />L+A.; 2+44.415 at--o( t -Ftrr , <br />EXECUTED on T(.& K e 2 3.g 2 0 0 3 (date). <br />SWORN TO AND SUBSCRIBED before me or <br />JAMS K, WOMACK <br />Notary S Notary Public, State of Texas <br />3 <br />s;., •..; My Gommlaaion Expires <br />August 13, 2005 <br />ante) agenda of the governmental <br />4-f C0,( Ssrvq Cr-jC <br />Signature / ?-- - - ?- ? <br />?Z}Ld3 - 14/- Printed Name I?Z ob??? ?o? ??re??? e-r- <br />FILED on n A?? (date). 2??Iz/ City Cje?k of the City <br /> <br /> <br />OA-Uk? <br />23. u_ <br />San Marcos <br />COSM Form 4/02