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TI{E STATE OF TEXAS $


AFFIDAVIT ON ABSTENTT9NFROM VOT1NG friA Af,sd,Fg:a/
cotrNTY OF DENTON g

t, lrt+ak A' efiPgls, asamember


.rth" hfu &w Ccil"q'/ make
rhisaffidavil
andherebyon oathstatethe followins:

I, and/ora personor personsrelatedto me, havea;uQstantial.interest


in a businessentity that
would be peculiarlyaffectedby a voteor decisionof thehGi;rctl asthosetermsaredefrnedin
Chapter171of theLocalGovemment Code.

Thebusiness
entiryis gnrko vB,lpne?ls
, / C.
tt@,ir{'t './ {rP
A
UP'ttA., rr 'Z{Za,
(name and addressand,/ordescriptionofproperty)

substantial("I" or nameofrelative and relationship)interest


ftrave/has)a
in this businessentity for the following re:rsons:
(checkall which areapplicable)
r'/
y'' Ownership of 10% or more of the voting stock or shares or of the fair market value of
the businessentity.

{ Ownership of 10o/"or $15,000.00 or more of the fair market value of the business
entity.

Funds received from the business entity exceed l}oh of -gross income for the
previous ycar.
(my, her, his)

Real property is involved and __-


(I, he, she) (have,4ras)
an cquitable or legal ownership with a lair market value of at least $2,500.00.

A relative of mine related in the first degree by either affinity or consanguinity has a
substantial interest in the business entity or property that would be affected by a
,/ dccisionof the public body of which I am a mcmber.
E- ftt 4 nP17y. a{ft&sio."+/e*+i
Uponthefiling of thisaffidavitwiththeCity Secretary,
or ActingCity Secretary,
I affirmthatI will
abstain from voting on any decision involving this busincss entity or real properly and from any
further participation in this matter whatsocver.

Title

BEFOREME, theundersigned
authority,
thisdaypersonallyupp"*"aWrkj4frq{iltut"f
"ry"
affiant) and on oath stated that the facts hereinabove stated are true to the best of -.(i-

knowledge or belief.

ftislher)

SwoRN TO AND SUBSCRIBED


BEFOREME,onthi, trtrr/# auvo&t44-,2pj

\\r!:ttr!h JENNIFER (. WAI-IERS


i<kT? NoJqrYlublic, Stateof rexas
My Commission Expires
D e c e m b e r1 9 , 2 0 1 0

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