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<br /> <br />r <br /> <br />CQNF'fJCf OF INTERFSl' AFFJDA VIT <br /> <br />THE STATE OF TEXASf <br />COUNTY OF HAlUUS I <br /> <br />I, - as-a member of the City of La Porte -tt 8 <br />~. make this affidawand.hcreby on oath state the following: I have a <br />-subs6mrial interest in a-bosiDcss entity or real property as ~ in Chapter 171, Texas-Local <br />Govemmc:nt Code, and-a vote is to be taken or a decision is to be made that will have a special <br />ecQTB.'hc effect on this ~ entity or real p.coperty. <br /> <br />The agenda iIem lBl 1. ~ L4 , 2O.QL ~ emity co- real <br />pri>pertyis: ..t...u.fd.S~c.ornP"'1 ok} _ 'r' ') <br /> <br />COMPLETE (A) OR (B): (A) The business entity is (name); or <br />(B) The real property is located at: <br /> <br />-~ <br /> <br />I have a substantial interest for the fonowingIe3SOIlS: (check all which are appIicable) <br />.:::::::... :r. \.to).-.M. {:." ~~ c.-o ,-,. If....."" <br />_ Ownership of W% or more of the voting.stt& or sbares of the busiocss entity. <br />_ Ownership of 10% or more or $15~{lX)ormore ofthefair~ value_oftbe <br />~ c:nlity. <br />_ Funds Icccivo:Hmm the business entity exceed 1O~ of gross--iIx:ome for the <br />previous year. <br />_ Real prOflCrtY is involved mY I .bave-.an eqoDabIe or lcpl owncrsbip-of the <br />p1~ wiIh a &ir IDaJti::t \'Blue' of at least $2.soo. <br />_ A rdatiYe of miDe has a SIJ~l imcrcst in 1bd~l.ci--eoI:ity or mil <br />IU~ tbatwooJd1le ~ by a ~ of the pubJis body of which I <br />am a ,,-nhP-r. <br /> <br />Upon filing of this- affidavit with the City Seadalj,.1 affirm tbatT will ~ fronnrotiBg on any <br />decision-iBvolving1his bn~entity-or reaIpIuveaY and frOlluny further partic:ipation on this:: <br />matter by- discIJssinn ordebale. <br />Sing<ddlis 41'- dayof7~ ,20 ot <br /> <br /> <br />Sigualmeof~ <br />THE STATE OF TEXAS I <br />COUNTY OF HARRIS I . lL <br />. nw-f1M. ~ <br />~mc~~S'L. _. OQdDsda)>~_ed <br />J. known to. me to be the person wbose D8IDC is sobscrJ~ to the <br />fOlegoiDg iu:>truwd)t and actmwk:dgcd to:me.that hcIsbc execuIr:d the same for the pw~ and <br />(;IRK~ 1bcn:in C>.t'.esscd. <br /> <br />Givc:a under my hand and seal of office this ~ day of <br />(SEAL) <br /> <br />~~11#4Tau <br /> <br />['.eMfd-' wK. <br />