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<br />11/15/01 THU 21:31 FAX 6516429262 <br /> <br />LEXINGTON HEALTH CENTER <br /> <br />I4J 002 <br /> <br />CAMPAIGN FINANCIAL REPORT CERTIFICATION OF FILING <br /> <br />Each county, municipal or school district candidate or treasurer of a committee formed to <br />promote or defeat a ballot questions shall certify to the filing officer that all reports required <br />by Minnesota Statutes 211A.02have been submitted to the filing officer or that the candi- <br />date or committee has not received contributions or made disbursements exceeding $750 <br />in the calendar year. The certification shall be submitted to the filing officer not later than <br />seven days after the general or special election. (Minnesota Statutes 211A.05, subdivision <br />1) <br /> <br />Name of candidate or committee <br /> <br />A L.Ey.../,>s :r 0 eo sz- <br /> <br />Office sought by candidate C'~ (OUr1CA'} <br />(if applicable) I <br /> <br />~~+. <br /> <br />or <br /> <br />Identification of ballot question <br /> <br />tJ/A <br /> <br />Check the appropriate box below: <br /> <br />o <br /> <br />I do swear (or affirm) that all campaign financial reports required by <br />Minnesota Statutes 211 A. 02 have been submitted to the filing officer. <br /> <br />~ <br /> <br />I do swear (or affirm) that campaign contributions or disbursements did not <br />exceed $750 in the calendar year. <br /> <br /> <br />/L II <0 101 <br />(Date) <br /> <br />98finrpt.p65 <br /> <br />,s tI fItltJ11e 1lVtl- 5 <br />OwftUj V1 . <br /> <br />~-ed <br /> <br />, <br />lY1 <br /> <br />{ <br /> <br />f <br />