Graham, Richard 03.14.2018AFFIDAVIT
STATE OF TEXAS )(
COUNTY OF WICHITA )(
I, 44"-CA 4. CP�g.,n, as a member of the P-eZ Ba^e d make this affidavit and hereby on oath
state the following: I and/or a person or persons related to me, have a substantial interest in a
business entity that would be peculiarly affected by a vote or decision of the P 4V Z- 16.0
as those terms are defined in Chapter 171 of The Texas Local Government Code.
Date of Meeting: /y 144te �0)4 Item No.
The business entity is 41A,116 &,M, C
I (have/has) a substantial interest in this business entity for the following reasons: (Check all which
are applicable.)
/ Ownership of 10% or more of the voting or shares of the business entity.
Ownership of $5,000 or more of the fair market value of the business entity.
Funds received from the business entity exceed 10% of his/her income for the previous year.
X Real property is involved and his/her has an equitable or legal ownership with a fair market
value of at least $2,500.
A relative of mine has a substantial interest in the business entity or property that would be
affected by a decision of the public body of which I am a member.
Upon the filing of this affidavit with the City Clerk.,, 1 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 N7a day of 40r?0 , 20 /8
Signature of Official
Title
BEFORE ME, the undersigned authority, this day personally appeared Iiir.hcr• U 12'44'
and on oath stated that the facts hereinabove stated are true to the best of his/her -knowledge and
belief.
Sworn to and subscribed before me on this the iy day of _ , c h , 20)�< .
My Commission Expires:
KIA BOONE
My Notary ID # 131047080
'�; • ;+''
Expires March 15, 2021
X i1414-rk
Notary Public*i and for the
RECEIVEBtAte of Texas
CITY CLERK'S OFFICE
DATE: 03 ttiBY: �I`7� TIME: ('.7 a M I ern I yt' d-o18