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Graham, Christy 02.28.2017AFFIDAVIT FOR CONFLICT OF INTEREST STATE OF TEXAS )( COUNTY OF WICHITA )( I, C sfy C), -a 4,ct wr as a member of the L c('�r r , l` — 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 L AOI mn as those terms are defined in Chapter 171 of The Texas Local Government Code. Date of Meeting: �1 `-D � - a G � Agenda Item No. q The business entity is: I elf VVr— erA L l Business Nam Lo c,O 4ti, SE I \ O W � c-� Vn �2.f.i s Tk '1(A © 1 Address 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 stock or shares of the business entity. Z 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. Real property is involved and (he/she) 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, 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 ��da//y o 17 __f pis v , 20X / Signature'd Official hGQd"Y ct PIC Co Me4,-te-F Title BEFORE ME, the undersigned authority, this day personally appeared C' CrAkA,~' — 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 day of ;:t Lrvar� 201-i i3" TRACY B. NORR My Notary ID # 8363834 � ';'` FxpiresSaptember9,2017 Notary Pub c in and for the State of Texas