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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 ?4-1.1 C•ow+tic , (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 Scufil taes, fi' Tex,tf <br />-54-jL e- OK - v"-<r +z. <br />Ll ..-- t <br />The nature and extent of my interest in the business entity is as follows: 7 A <br />Ownership of 10 percent or more of the voting stock or shares of 1 kAArc +-Z7 Gtlot?'w' ? <br />23 . <br />Ownership of 10 percent or more of the fair market value of the bu `t <br />Ownership of $15,000 or more of the fair market value of the busin <br />Funds received by me from the business entity exceed 10 percent of i <br />-?Z The interest described above belongs to a person related to me in the <br />kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on the Mime- Z- -3. Ldy 3 ??u1e) agenda of the governmental <br />body, and is described as follows: -T+&v+a I o - .ei e..rc 4 Awnj? ---. C!±.4K.t (,5wTAI <br />L+?.? = ? IBar.oC 19' A-•3A'te4+.42Wts -Fay /4-;-%a.Gc7-F-i'c^4 Sark-fir eeS VV <br />EXECUTED on -JE,."e 2:30 Zoo 3 (date). Ej <br />J' zv? <br />Signature <br />Printed Name ?FQ M' l-L- I ilea "; K <br />SWORN TO AND SUBSCRIBED before me or A.YIPYij <br />"`eYPU" JANIS K. WOMACK <br />Notary Notary Public, State of Texas <br />=y :e., My Commission Expires <br />August 13, 2005 No y Public <br />State of Texas <br />FILED on 0 (date). <br />Ci-//Clerk of the City of San Marcos <br />COSM Form 4/02