MF-COI 2009-11-10THE STATE OF TEXAS
Signed this d 4 day of
AFFIDAVIT OF CONFLICT OF INTEREST
COUNTY OF DALLAS
Ca r
I, M rJ Re--" as a member of the C erze.r (1
make this affidavit and hereby on oath state the following: I, and/or a person or persons related to me in the
first degree by either affinity or consanguinity, have a substantial interest in a business entity that would be
peculiarly affected by a vote or decision of the as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: k0 J /0 2_o o
Agenda Item Number:
The Business Entity is
M er-r: 0.4....4c dF A enavi c
I have a substantial interest in this business entity for the following reasons: (check all which are applicable)
Ownership of 10% or more of the voting stock or shares of the business entity.
Ownership of 10% or $15,000 or more of the fair market value of the business entity.
Funds received from the business entity exceed 10% of my gross income for the previous
year.
Real property is involved and I have an equitable or legal ownership with a fair market value
of at least $2,500.
Upon the filing of this affidavit with the Official Record Keeper of the City, I affirm that I will abstain from
voting on any decision involving this business entity and from any further participation on this matter
whatsoever.
LIBBY BALL
Notary Public
State of Texas
Comm. Expires 6 -11 -2012
C'o u+ue/Ln16ine f
Title
BEFORE ME, the undersigned authority, this day personally appeared /Qtviti M 1/44k vi and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
S ORN TO AND SUBSCRIBED BEFORE ME on this day of
Notary Public in
for the State of Texas