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<br />NOV. 15, 2001-12:55PM <br />Nav-~~-~~. .1.JI <br /> <br />~~ ~ ~ R~. ~ .~~~9~J} T E S)MIN <br /> <br />GsNO. 28535 P. 2~02 <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />i <br />I <br />I <br />I <br />I <br />I <br />I <br />CAMPAIGN FINANCIAL REPORT CERTI (CATION 0 FILING i <br />I <br />I <br />I <br />I <br />Each county. municipal or school district candidate or tre surer of a c mmittee formed 0 <br />promote or defeat a ballot questions shall certify to the fil ng officer th t all reports req ired <br />by Minnesots Statutes 211A.02 have been submitted to t e filing ottic r or that the can 1- <br />date or committee has not received contributions or mad disbursem nts exceedIng $ 50 <br />in the calendar year. The certification $hall be submitted 0 the filing ieer not later th n <br />seven days after the general or speolal electIon. (Minne la Statutes 11A.O~ s(JbdiVl ion <br />1) <br /> <br />Office sought by candidate <br />(If applicable) <br /> <br /> <br />Name of candidate o.r committee <br /> <br />or <br /> <br />, I..... <br />Identification of ballot question <br /> <br />~ <br />o <br /> <br />I <br />I <br />I <br /> <br />i <br /> <br />J <br /> <br />I do swear (or affirm) that campaign contri utions or di bursements did ~ot <br />exceed 50 in the calendar year. I <br /> <br />I <br />i <br />! <br /> <br />Check the appropriate box below: <br /> <br />I do swear (or affirm) that all campaign fina cial reports equired by <br />Minnesota Statutes 211A.02 have been sub itted to the filing officer. <br /> <br /> <br />treasurer) <br /> <br /> <br />( <br /> <br />96finrpt.p65 <br /> <br />! <br />I <br />i <br />I <br />i <br />I <br />i <br />I <br />I <br />! <br />i <br />I <br />I <br />\ <br />I <br />I <br />I <br />I <br />I <br />i <br />I <br /> <br />I <br /> <br />TLlTAL P.02 <br />