Brancheau, Tim-CL 2011-08-09AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I l W1 �ruM'%" eCt - as a member of the C-c p p e L t C COU N c t l
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 interes in a business entity that
would be peculiarly affected by a vote or decision of the Ce�o¢ L ( e ! ,/ CO U N L � (as those
terms are defined in Chapter 171 of the Local Government Code.
Date of Meeting: � ( 2-01
Agenda Item Number: 2 3
The B%&ifte— E., ti4p -iz- �l,(1aCl i a W M E
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.
Signed this q+t4 day of
C�ature of Official
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_ C4` Coin c �` �
Title
BEFORE ME, the undersigned authority, this day personally appeared Z ",K1c!4EAu and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
S O T E 7 1 � ME on this day of u t T 2 ! 1
a+�ua� a PI My Cow,n�WN MW 10.2
a�
Notary Public in and for the State of T xas