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<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 question shall certify to the filing officer that all reports required by <br />Minnesota Statutes 211A.02 have been submitted to the filing officer or that the candidate or <br />committee has not received contributions or made disbursements exceeding $750 in the <br />calendar year. The certification shall be submitted to the filing officer not later than seven <br />days after the general or special election. (Minnesota Statutes 211A.05, subdivision 1) <br /> <br />Name of candidate or committee __CP..tjJ;..f:[_~.? d___~.6e..JL11it._f.e5.L~tl-f-s <br /> <br />Office sought by candidate __ Sl1r ~ __f:Q~l.. _______ <br />(if applicable) J <br /> <br />or <br /> <br />Identification of ballot question ____________________________ <br /> <br />Check the appropriate box below: <br /> <br />~ <br /> <br />I do swear (or affirm) that all campaign financial reports required by <br />Minnesota Statutes 211A.02 have been submitted to the filing officer. <br /> <br />o <br /> <br />I do swear (or affirm) that campaign contributions or disbursements did not <br />exceed $750 in the calendar year. <br /> <br />/7~_ . <br /> <br />~~ature of candidate or committee t asurer) <br /> <br /> <br />--1/ It 1/0/-___ <br />(Datt)~/k: <br /> <br />98finrpt.p65 <br />